Nursing Management Liver

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Question 1
Free
Multiple Choice

Aclient contracts hepatitis from contaminated food. During the acute (icteric) phase of the client's illness, which of the following serological findings should the nurse expect?

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A

Antibody to hepatitis D virus (anti-HDV)

B

Hepatitis B surface antigen (HBsAg)

C

Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG)

D

Anti-hepatitis A virus immunoglobulin M (anti-HAV IgM)

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Question 2
Free
Multiple Choice

Which of the following findings in a blood specimen indicates that the administration of hepatitis B vaccine to a client has been effective?

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A

HBsAg

B

Anti-HBs

C

Anti-HBc IgG

D

Anti-HBc IgM

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Question 3
Free
Multiple Choice

Aclient in the outpatient clinic is diagnosed with acute hepatitis C virus (HCV) infection. Which of the following actions by the nurse is best?

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A

Schedule the client for HCV genotype testing.

B

Administer immune globulin and the HCV vaccine.

C

Instruct the client on ribavirin treatment.

D

Teach that the infection will resolve in a few months.

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Question 4
Free
Multiple Choice

The nurse is caring for a client who is diagnosed with acute hepatitis B. Which of the following information should the nurse include in the teaching plan?

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A

Ways to increase exercise and activity level

B

Self-administration of ?-interferon

C

Adverse effects of nucleoside and nucleotide analogs

D

Measures that will be helpful in improving appetite

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Question 5
Free
Multiple Choice

The nurse is caring for a client with chronic hepatitis C who is prescribed combination therapy of ?-interferon and ribavirin. Which of the following findings should the nurse monitor for the presence of hepatitis C in the client?

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A

Leukopenia

B

Hypokalemia

C

Polycythemia

D

Hypoglycemia

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Question 6
Multiple Choice

Which of the following clients should alert the nurse that screening for hepatitis C should be done?

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A
The client eats frequent meals in fast-food restaurants.
B
The client recently travelled to an undeveloped country.
C
The client had a blood transfusion after surgery in 1998.
D
The client reports a one-time use of IV drugs 20 years ago.
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Question 7
Multiple Choice

The nurse is caring for a client who is admitted with an abrupt onset of jaundice, nausea, and abnormal liver function studies. Serological testing is negative for viral causes of hepatitis. Which of the following questions by the nurse is best?

Choose correct answer/s
A
"Is there any history of IV drug use?"
B
"Are you taking corticosteroids for any reason?"
C
"Do you use any over-the-counter (OTC) drugs?"
D
"Have you recently travelled to a foreign country?"
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Question 8
Multiple Choice

The nurse is caring for a client with cirrhosis who has 4+ pitting edema of the feet and legs. Which of the following assessments is priority for the nurse to monitor?

Choose correct answer/s
A
Hemoglobin
B
Temperature
C
Activity level
D
Albumin
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Question 9
Multiple Choice

The nurse is preparing a teaching plan for a young adult client who is diagnosed with early alcoholic cirrhosis. Which of the following topics is most important to include in client teaching?

Choose correct answer/s
A
Need to abstain from alcohol
B
Use of vitamin B supplements
C
Maintenance of a nutritious diet
D
Treatment with lactulose
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Question 10
Multiple Choice

The nurse is caring for a client with cirrhosis who has scheduled doses of spironolactone and furosemide and has a serum potassium level of 3.2 mmol/L. Which of the following actions should the nurse take?

Choose correct answer/s
A
Give both drugs as scheduled.
B
Administer the spironolactone.
C
Administer the furosemide and withhold the spironolactone.
D
Withhold both drugs until talking with the health care provider.
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Question 11
Multiple Choice

Which of the following actions should the nurse implement to evaluate the effectiveness of treatment for a client who has hepatic encephalopathy?

Choose correct answer/s
A
Request that the client stand on one foot.
B
Ask the client to extend both arms to the front.
C
Instruct the client to perform the Valsalva manoeuvre.
D
Have the client walk a few steps with the eyes closed.
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Question 12
Multiple Choice

The nurse is caring for a client who has advanced cirrhosis and is receiving lactulose. Which of the following findings by the nurse indicates that the medication is effective?

Choose correct answer/s
A
The client is alert and oriented.
B
The client denies nausea or anorexia.
C
The client's bilirubin level decreases.
D
The client has at least one stool daily.
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Question 13
Multiple Choice

Which of the following nursing actions should be included in the plan of care for a client who is being treated for bleeding esophageal varices with balloon tamponade?

Choose correct answer/s
A
Monitor the client for shortness of breath.
B
Encourage the client to cough every 4 hours.
C
Deflate the gastric balloon every 8-12 hours.
D
Verify the position of the balloon every 6 hours.
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Question 14
Multiple Choice

The nurse is caring for a client with severe cirrhosis who has an episode of bleeding esophageal varices. Which of the following laboratory tests should the nurse monitor to detect possible complications of the bleeding episode?

Choose correct answer/s
A
Bilirubin
B
Ammonia
C
Potassium
D
Prothrombin time
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Question 15
Multiple Choice

Which of the following nursing actions should be included in the plan of care for a client with cirrhosis who has ascites and 4+ edema of the feet and legs?

Choose correct answer/s
A
Weekly weight of client
B
Reposition the client every 4 hours
C
Restrict sodium intake.
D
Perform passive range-of-motion QID.
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Question 16
Multiple Choice

The nurse is caring for a client who has had a transjugular intrahepatic portosystemic shunt (TIPS) placement. Which of the following findings indicate that the procedure has been effective?

Choose correct answer/s
A
Lower indirect bilirubin level
B
Increase in serum albumin level
C
Decrease in episodes of variceal bleeding
D
Improvement in alertness and orientation
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Question 17
Multiple Choice

The health care provider plans a paracentesis for a client with ascites caused by liver cancer. Which of the following actions should the nurse implement to prepare the client for the procedure?

Choose correct answer/s
A
Place the client on NPO status.
B
Assist the client to lie flat in bed.
C
Ask the client to empty the bladder.
D
Position the client on the right side.
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Question 18
Multiple Choice

The nurse is assessing a client who had a liver transplant a week previously and obtains the following data. Which of the following findings is most important to communicate to the health care provider?

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A
Dry lips and oral mucosa
B
Crackles at both lung bases
C
Temperature 38.2°C (100.8°F)
D
No bowel movement for 4 days
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Question 19
Multiple Choice

Which of the following laboratory test results is most important for the nurse to monitor when evaluating the effects of therapy for a client who has acute pancreatitis?

Choose correct answer/s
A
Calcium
B
Bilirubin
C
Amylase
D
Potassium
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Question 20
Multiple Choice

Which of the following assessment findings in a client with acute pancreatitis should the nurse report most quickly to the health care provider?

Choose correct answer/s
A
Nausea and vomiting
B
Hypotonic bowel sounds
C
Abdominal tenderness and guarding
D
Muscle twitching and finger numbness
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