A client who has abused alcohol may present with edema because:
a. inactivity increases fluid stasis.
b. alcohol increases hydration of the body.
c. albumin levels in the blood are decreased.
d. ascites can force fluids out into peripheral tissues.
Q. 2What statement is true about alcohol?
a. Women have a greater tolerance for alcohol than men.
b. Alcohol is slowly absorbed from the gastric and intestinal mucosa.
c. Cerebral effects of alcohol can reach brain cells within few minutes.
d. Women produce more alcohol dehydrogenase, the gastric enzyme that breaks down alcohol.
Q. 3The nurse palpates the liver in a client with hepatitis and expects to find:
a. the liver firm with nodular edges.
b. hepatomegaly with smooth borders.
c. she or he is unable to palpate the liver because of atrophy.
d. no complaint of pain or discomfort on palpation.
Q. 4Alcohol has been indicted as a toxin of the following structures except the:
a. liver.
b. heart.
c. pancreas.
d. salivary glands.
Q. 5When speaking to the public about cancer prevention, the nurse might mention that alcohol can increase risk of cancer of the:
a. esophagus.
b. brain.
c. colon.
d. ileum.
Q. 6What specific vitamin supplement would the nurse advocate for a client known to be an alcoholic?
a. B vitamins including thiamine and folate
b. fat-soluble vitamins (A, D, E, K)
c. vitamin C
d. biotin
Q. 7A food item most appropriate for a client with esophageal varices would be:
a. eggnog.
b. a beef burrito.
c. a frozen yogurt.
d. no-salt pretzels.
Q. 8The priority nursing diagnosis for a client with hepatic encephalopathy is:
a. altered nutrition: less than body requirements.
b. sensory-perceptual alteration: speech.
c. altered tissue perfusion: cerebral.
d. risk for injury.
Q. 9An early sign of hepatic encephalopathy in a client with liver disease is:
a. coma.
b. ascites.
c. jaundice.
d. mental changes.