Liver practice questions

Supplementation with which vitamin may be needed for a patient with cirrhosis if the patient is at risk for alcohol withdrawal? a. folate b. niacin c. thiamine d. vitamin D

c. thiamine

Which factor may lead to hepatic encephalopathy for a patient with cirrhosis? select all that apply a. constipation b. low-protein diet c. decreased fluid volume d. GI bleeding e. increased serum potassium

a. constipation c. decreased fluid volume d. GI bleeding

Which laboratory finding signifies an immune response to liver disease? a. elevated serum globulin b. elevated serum ammonia c. decreased serum albumin d. decreased serum total protein

a. elevated serum globulin

In which way will the nurse respond to a patient diagnosed with hepatitis A who asks the nurse how this disease may have been contracted? a. "you may have consumed foods contaminated with the virus" b. "if you received a blood transfusion, you may have been exposed" c. "you may have been exposed if you had unprotected sexual intercourse" d. "the virus is airborne, so you may have contracted it from an infected person"

a. "you may have consumed foods contaminated with the virus"

Which term will the nurse use to document hand flapping that occurs a few minutes after dorsiflexion of the hands when the arms are raised to the shoulder level for a patient with liver disease? a. asterixis b. kehr sign c. hyperreflexia d. positive babinski sign

a. asterixis

Elevation of which laboratory value is associated with jaundice for a patient with hepatitis? a. bilirubin b. blood urea nitrogen (BUN) c. Alanine aminotransferase (ALT) d. Aspartate aminotransferase (AST)

a. bilirubin

Which assessment finding is consistent with a diagnosis of viral hepatitis? a. icterus b. dark-brown stool c. light-colored urine d. left upper quadrant tenderness

a. icterus

Which finding would the nurse expect for a patient with late-stage cirrhosis? select all that apply a. icterus b. currant jelly stool c. swollen abdomen d. elevated vitamin K e. elevated amylase level f. prolonged partial thromboplastin time (PTT)

a. icterus c. swollen abdomen f. prolonged partial thromboplastin time (PTT)

Which assessment finding would the nurse expect for a patient with hepatitis B? select all that apply a. itching b. brown stool c. tea-colored urine d. recent influenza infection e. right upper quadrant tenderness

a. itching c. tea-colored urine e. right upper quadrant tenderness

Which patient condition would cause the nurse to question the use of neomycin for a patient with hepatic encephalopathy? a. kidney failure b. fector hepaticus c. refractory ascites d. paracentesis scheduled in 2 hours

a. kidney failure

Which medication may cause intestinal bloating and cramping for a patient who is being treated for hepatic encephalopathy? a. lactulose b. rifaximin c. alprazolam d. metronidazole

a. lactulose

When providing community education, the nurse would emphasize that which group should receive immunization for hepatitis B? a. men who prefer sex with men b. patients who work with shellfish c. patients raveling to a third-world country d. patients with elevations of AST and ALT

a. men who prefer sex with men

Which term will the nurse use to document round, pinpoint, red-purple lesions for a patient with possible liver dysfunction? a. petechiae b. ecchymosis c. telangiectasis d. spider angioma

a. petechiae

Portal hypertension related to cirrhosis can result in which complication? select all that apply a. fever b. ascites c. hematuria d. hemorrhoids e. esophageal varices

b. ascites d. hemorrhoids e. esophageal varices

Which factor may lead to the development of hepatic encephalopathy in a patient with cirrhosis? select all that apply a. diarrhea b. hypokalemia c. hypertension d. high-protein diet e. hypermagnesemia f. GI bleeding

b. hypokalemia d. high-protein diet f. GI bleeding

A patient with hepatic encephalopathy may require which pharmacological therapy to help decrease serum ammonia levels? a. second-generation protease inhibitor b. lactulose c. combination of furosemide and spironloactone d. IV antibiotic such as cefotaxime

b. lactulose

Which intervention will the nurse include in the plan of care for a patient who is to undergo paracentesis later today? a. measure and record drainage b. obtain informed consent for the procedure c. have the patient void before the procedure is performed d. report elevates AST, ALT, and alkaline phosphatase levels

c. have the patient void before the procedure is performed

The presence of immunoglobulin G hepatitis A virus antibodies would indicate which condition? a. ongoing liver inflammation caused by HAV b. active HAV infection with acute liver changes c. immunity to HAV after previous HAV infection d. possible hepatic cirrhosis as a result of HAV infection

c. immunity to HAV after previous HAV infection

Lactulose may be prescribed for which purpose for a patient with cirrhosis? a. reduce portal pressure b. decrease GI bleeding c. promote GI excretion of ammonia d. provide enzymes necessary to digest dairy productions

c. promote GI excretion of ammonia

which factor increases a patients risk for the development of hepatitis C? a. consuming shellfish b. traveling internationally c. chronic alcohol consumption d. employment in the healthcare field

d. employment in the healthcare field

Clay-colored stools and dark urine are typically characteristics of which complication of viral hepatitis? a. hepatic carcinoma b. cirrhosis of the liver c. obstructive jaundice d. intrahepatic obstruction

d. intrahepatic obstruction

Which person has the greatest risk for developing hepatitis A? a. health care worker b. IV drug user c. patient receiving hemodialysis d. person who consumes raw oysters

d. person who consumes raw oysters

Which type of cirrhosis is caused by hepatitis C? a. biliary b. laennec c. cholestatic d. postnecrotic

d. postnecrotic

If a health care worked believes that he or she may have been exposed to hepatitis A, which immediate action will help prevent disease development? a. request vaccination for hepatitis A b. use a needleless system in daily work c. get the three-part hepatitis B vaccine d. request an injection of immunoglobulin

d. request an injection of immunoglobulin

Which precaution is necessary to implement for a patient with hepatitis A? a. enteric precautions b. droplet precautions c. protective isolation d. standard precautions

d. standard precautions