NUR 414
A child is diagnosed with hepatitis A. The client's parent expresses concern that the other members of the family may get hepatitis because they all share the same bathroom. The nurse's best reply is:
"All family members, including your child, need to wash their hands after using the bathroom."
The nurse is providing discharge instructions to a client who is recovering from an acute case of viral hepatitis. Which statement by the client indicates a need for further education?
"I will take acetaminophen for pain"
During the morning assessment of a client with cirrhosis, you note the client is disoriented to person and place. In addition, while assessing the upper extremities, the client's hands demonstrate a flapping motion. What lab result would explain these abnormal assessment findings?
Ammonia level of 68 µ/dL
A client with ascites has a paracentesis, and 1500 mL of fluid is removed. The nurse recognizes that it is important to monitor the client for what signs of complications that may occur immediately after the procedure? Select all that apply.
Blood pressure of 90/40 Heart rate of 110
A patient diagnosed with hepatitis develops splenomegaly. When reviewing the laboratory report, which of the following results will the healthcare provider anticipate?
Thrombocytopenia
When caring for a patient diagnosed with viral hepatitis, the healthcare provider experiences a needlestick with a contaminated needle. Which of the following actions should the healthcare provider do first?
Wash the area thoroughly with soap and water.
A client with cirrhosis of the liver develops ascites, and the health care provider prescribes spironolactone. What should the nurse monitor the client for?
hyperkalemia
A nurse reviews a medical record of a client with ascites. What does the nurse identify that may be causing the ascites?
Diminished plasma protein level
A health care provider schedules a paracentesis for a client with ascites. What should the nurse include in the client's teaching plan?
Empty the bladder immediately before the procedure.
The nurse is caring for a client who is scheduled to have a percutaneous liver biopsy. Which findings warrant the postponement of the procedure? Select all that apply.
Hemoglobin less than 9 g/dL Ecchymosis and purpura Marked ascites
The physician orders Lactulose 30 mL by mouth three times a day for a client with cirrhosis. What finding below demonstrates the medication is working effectively?
Improvement in level of consciousness
A client diagnosed with viral hepatitis develops liver failure and hepatic encephalopathy. Which of these measures should the healthcare provider include in this client's plan of care?
Monitor the blood glucose
A client with a 20-year history of excessive alcohol use is admitted to the hospital with jaundice and ascites. What is a priority nursing action during the first 48 hours after the client's admission?
Monitor the client's vital signs
A nurse is caring for a client with ascites who is to receive intravenous (IV) albumin. What changes should the nurse anticipate after the client receives the albumin?
Peripheral edema and hematocrit level
A patient with late-stage cirrhosis develops portal hypertension. Identify the potential complications below. Select all that apply
Splenomegaly Esophageal varices Ascites
A client with esophageal varices is admitted with hematemesis, and two units of packed red blood cells are prescribed. The client complains of flank pain halfway through the first unit of blood. What action should the nurse complete first?
Stop the transfusion
A client is admitted to the hospital with ascites. The client reports drinking a quart of vodka mixed in orange juice every day for the past three months. To assess the potential for withdrawal symptoms, which question would be appropriate for the nurse to ask the client?
When was your last drink of vodka
A school health nurse is teaching a health class of 12-year-olds about hepatitis C. Which statement by a student indicates an understanding of the origin of the disease?
You can catch it while you're getting a tattoo.
