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Care of Patients with Liver Problems

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Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Care of Patients with Liver Problems

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Question 1 of 5

A nurse obtains a clients health history at a community health clinic. Which statement alerts the nurse to a possible health threat to the client?

A. I drink two glasses of red wine each week.

B. I take a lot of Tylenol for my arthritis pain.

C. I have a cousin who died of liver cancer.

D. I got a hepatitis vaccine before traveling.

Correct Answer:

Rationale:

Question 2 of 5

A nurse cares for a client who has cirrhosis of the liver. Which action should the nurse take to decrease the presence of ascites?

A. Monitor intake and output.

B. Monitor vital signs and diet.

C. Increase oral fluid intake.

D. Weigh the client daily.

Correct Answer:

Rationale:

Question 3 of 5

A nurse assesses a client who is recovering from a paracentesis 1 hour ago. Which assessment finding requires action by the nurse?

A. Urine output via indwelling urinary catheter is 20 mL/hr.

B. Blood pressure increases from 120/80 mm Hg to 140/90 mm Hg.

C. Respiratory rate decreases from 18 to 14 breaths/min.

D. A decrease in the clients weight by 6 kg

Correct Answer:

Rationale:

Question 4 of 5

A nurse cares for a client who is hemorrhaging from bleeding esophageal varices and has an esophagogastric tube. Which action should the nurse take first?

A. Sedate the client to prevent tube dislodgement.

B. Maintain balloon pressure at 15 to 25 mm Hg.

C. Irrigate the gastric lumen with normal saline.

D. Assist the client for airway patency.

Correct Answer:

Rationale:

Question 5 of 5

A nurse assesses a client who is prescribed an infusion of vasopressin (Pitressin) for bleeding esophageal varices. Which clinical manifestation should the nurse recognize as a potential complication?

A. Nausea and vomiting

B. Dizziness and syncope

C. Fever and chills

D. Mid-sternal chest pain

Correct Answer:

Rationale:

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