Nokea
Hepatitis D is usually seen as a coinfection with
Correct Answer: hepatitis B
Rationale: Hepatitis D is usually seen as a coinfection with hepatitis B.
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The nurse clarifies that deterioration progresses through stages before presenting with liver disease. The first stage is destruction. What is the last stage?
- A. Liver disease
- B. Inflammation
- C. Hepatic insufficiency
- D. Destruction
- E. Fibrotic regeneration
Correct Answer: A
Rationale: Liver deterioration follows a pattern of stages: destruction, inflammation, fibrotic regeneration; hepatic insufficiency then presents as liver disease.
The nurse would expect to see a provision in the plan of care for a person who has had a liver transplant to prevent which complication?
- A. fluid congestion.
- B. fatigue.
- C. infection.
- D. urinary retention.
Correct Answer: C
Rationale: A critical aspect of nursing care following liver transplantation is monitoring for infection. The major postoperative complications of a liver transplant are rejection and infection.
Why is morphine contraindicated in the patient with pancreatitis?
- A. Meperidine is less expensive.
- B. Tylenol is more effective at managing this type of pain.
- C. Morphine may cause spasms of the sphincter of Oddi.
- D. These patients do not experience pain.
Correct Answer: C
Rationale: A common complaint is constant, severe pain; in such cases, meperidine is often administered. Morphine may cause spasms of the sphincter of Oddi.
Which should the nurse expect of a patient with a malabsorption of vitamin K?
- A. Anemia
- B. Excess platelet production
- C. Increased coagulation time
- D. Elevated for infection due to diminished white blood cell count
Correct Answer: C
Rationale: Prothrombin times are increased because malabsorption of vitamin K or inability to produce the clotting factors VII, IX, and X cause the patient to have bleeding tendencies.
A patient with cirrhosis of the liver will have which blood test results monitored?
- A. Blood urea nitrogen (BUN)
- B. Platelet counts
- C. Aspartate aminotransferase (AST)
- D. Hemoglobin and Hematocrit (HGB and HCT)
Correct Answer: C
Rationale: The nurse will monitor the patient with cirrhosis for an elevated AST level which would indicate worsening liver function. The BUN monitors kidney function. The platelet count is part of the complete blood count which is not necessary to monitor with cirrhosis. The HGB and HCT monitor for anemia.