David Edge Cirrhosis

Which clinical manifestation detected in the patient with cirrhosis is directly associated with accumulation of ammonia? - Pruritis - Altered mental status - Altered blood pressure and edema - Petechiae and bleeding

- Altered mental status

The nurse is caring for this patient with acute hepatis. The skin coloring on the left is from a week ago and the coloring on the right is from today. Which additional assessment finding would be consistent with this assessment? - Yellow halos in field of vision - Hunger - Clay colored stools - Decrease in serum bilirubin levels

- Clay colored stools

The nurse is assessing the laboratory findings of a patient with suspected liver failure. Which laboratory findings support the nurse's suspicion? Select all that apply. - Decreased albumin - Decreased ammonia - Prolonged prothrombin time - Decreased alkaline phosphatase - Prolonged partial thromboplastin time

- Decreased albumin - Prolonged prothrombin time - Prolonged partial thromboplastin time

Which clinical manifestation is a nurse most likely to observe in a patient with liver trauma? - High hemoglobin - Decreased respiratory rate - Elevated liver enzymes - High blood pressure

- Elevated liver enzymes

Which clinical manifestation is most likely caused by the accumulation of ammonia and toxins in the blood? - Ascites - Portal hypertension and varices - Hepatic encephalopathy syndrome - Hepatorenal syndrome

- Hepatic encephalopathy syndrome

Which type of hepatitis is prevented by vaccine?

- Hepatitis B

Which type of hepatitis is considered a chronic illness? - Hepatitis C - Hepatitis D - Hepatitis E - Hepatitis G

- Hepatitis C

The nurse is caring for a patient with known hepatitis B. A second type of hepatitis is discovered. What type of hepatitis would it be? - Hepatitis A - Hepatitis C - Hepatitis D - Hepatitis E

- Hepatitis D

The nurse is educating a high-risk community group about hepatitis. Which statement regarding nonviral forms of hepatitis indicates a need for further instruction? - "They may result in jaundice." - "They can be treated by pegylated interferon injections." - "They may result in hepatomegaly." - "They can be caused by ingestion, inhalation, or injection of toxins or drugs."

"They can be treated by pegylated interferon injections."

A nurse is discussing the precautionary measures that need to be taken to prevent further complications with a patient who has hepatitis. Which statement made by the patient indicates a need for further discussion? - "I should continue taking acetaminophen as I have in the past." - "I should take supplements of vitamin A, D, E, and K." - "I should take small, frequent meals that are low in fat." - " I should maintain a proper balance of rest and exercise."

- "I should continue taking acetaminophen as I have in the past."

The nurse is teaching a patient with a liver disorder about nutritional intake. Which statement made by the patient indicates the need for further teaching? - "I should limit my daily fat intake." - "I should fulfill my daily calorie requirement." - "I should eat small and frequent meals." - "I should increase the protein content of my diet."

- "I should increase the protein content of my diet."

Which point regarding hepatitis B infection indicates a need for further instruction? - "It has an incubation period of about 45 to 60 days." - "Its route of transmission is the fecal-oral." - "It can be prevented by vaccination." - "It results in chronic infection."

- "Its route of transmission is the fecal-oral."

Which statement by a nursing student regarding liver cancer indicates a need for further instruction? - "Hemochromatosis is a risk factor for liver cancer." - "Secondary liver cancer originates from the liver." - "Radiofrequency ablation is a mode of treatment for liver cancer." - Transcatheter arterial chemoembolization is a mode of treatment for liver cancer."

- "Secondary liver cancer originates from the liver."

Which actions are most appropriate when caring for a patient with liver cancer? Select all that apply.

- Administer nerve blocks locally and directly into the nerves of the abdomen. - Administer antibiotics and antipyretics to the patient. - Administer non steroidal anti-inflammatory medications to the patient.

Which abnormal laboratory value associated with liver failure is correct? Select all that apply. - Albumin level is decreased. - Total bilirubin is elevated. - Platelets are increased. - Partial thromboplastin time is prolonged. - Ammonia level is decreased.

- Albumin level is decreased. - Total bilirubin is elevated - Partial thromboplastin time is prolonged.

A nursing student is listing the types of hepatitis that are transmitted through infected blood and body fluids. Which example listed by the nursing student indicates a need for further instruction? - Hepatitis C - Hepatitis D - Hepatitis E - Hepatitis G

- Hepatitis E

A nurse is assessing a patient who has experienced cirrhosis and subsequent decreased immune status. Which is the nurse most likely to document in the patient's record? - Risk for injury and bleeding. - Altered nutrition less than body requirements. - Fluid volume deficit. - Impaired skin integrity.

- Impaired skin integrity

Which action performed by a nurse while taking care of a patient with cirrhosis puts the patient at increased risk of complication? - Providing electrolyte replacements such as potassium. - Administering diuretics. - Increasing amounts of protein in the diet. - Restricting sodium and fluid intake as ordered.

- Increasing amounts of protein in the diet.

The nurse is teaching a group of pre-school teachers about hepatitis A. Which is true? Select all that apply. - It can cause chronic infection - It can last up to 8 weeks. - It can be spread only by blood and body fluids - It can cause mild symptoms, or sometimes the patient may remain asymptomatic - It can cause an elevation in the levels of antihepatitis A immunoglobulin M.

- It can last up to 8 weeks. - It can cause mild symptoms, or sometimes the patient may remain asymptomatic - It can cause an elevation in the levels of antihepatitis A immunoglobulin M.

Which type of liver cirrhosis is caused by the intake of alcohol? - Micronodular cirrhosis - Laennec's cirrhosis - Wilson's disease cirrhosis - hemochromatosis

- Laennec's cirrhosis

Which patient is demonstrating signs of stage 2 hepatic encephalopathy? - Patient A - Slurred speech, impaired writing, and lethargy - Patient B - Increased drowsiness, disorientation, and mood swings - Patient C - Severe confusion, rigid extremities, and increased reflexes - Patient D - Nonresponsive for painful stimuli

- Patient B

The patient a nurse is caring for is scheduled for a test in which a diagnostic tool uses a contrast media to inject into the bile duct of the liver of a patient . What is this test? - EGD - Liver biopsy - Endoscopic retrograde cholangiopancreatography (ERCP) - Percutaneous transhepatic cholangiography

- Percutaneous transhepatic cholangiography

A patient is hospitalized as the result of an injury in the abdominal area. The computed tomography scan reveals a penetrating trauma of the liver. For which complication should the nurse monitor after the patient's treatment? - Pneumonia - Tachycardia - Abdominal pain - Low blood pressure

- Pneumonia

Which clinical manifestation is found in stage I hepatic encephalopathy? Select all that apply. - Slurred speech - No response to painful stimulus - Reversal of day and night sleep patterns - Impaired writing - Mood swing

- Slurred speech - Reversal of day and night sleep patterns - Impaired writing

Which condition can be treated with this procedure? (Transjugular intrahepatic portosystemic shunt [TIPS])

Ascites