During assessment the nurse identifies the following. Which of these findings is most suggestive of liver disease?
a. elevated AST
b. hypoglycemia
c. slight light blue coloring of sclera
d. weight gain of three pounds in past 24 hours
Q. 2When the client is taught to reduce sodium to attempt better control of ascites, an intervention would be to:
a. substitute soy sauce for salt in cooking.
b. use potassium-sparing diuretics and salt substitute.
c. use strong-flavored herbs and spices in place of salt.
d. provide a liquid diet because most beverages contain less sodium than solid foods.
Q. 3In planning care, the nurse recognizes that the following statements related to hepatic encephalopathy are true except:
a. bacteria in the colon acts on undigested foods resulting in ammonia.
b. elevated levels of ammonia result from incomplete conversion into urea.
c. ammonia blood levels correlate with the degree of neurological impairment.
d. pharmacological agents to treat hepatic encephalopathy are lactulose and neomycin.
Q. 4The fluid in ascites can cause all of the following except:
a. pain.
b. early satiety.
c. respiratory difficulty.
d. reabsorption of fluid from within the abdominal cavity.
Q. 5When the diseased liver may not be able to synthesize body proteins, the following laboratory finding is expected:
a. low albumin.
b. elevated ammonia.
c. low alkaline phosphatase.
d. normal blood urea nitrogen.
Q. 6Jaundice and fat malabsorption can result in cirrhosis because of:
a. fatty liver.
b. bile obstruction.
c. blood clotting impairment.
d. toxic waste build-up in the liver.
Q. 7Which of the following clients is at least risk for contracting hepatitis?
a. client with ethanol abuse issues
b. client who enjoys eating at sushi bars
c. client who survived Hurricane Katrina
d. client who re-uses his own needles and syringes for insulin administration
Q. 8Which of the following statements would be appropriate in teaching a client how to reduce his risk for fatty liver?
a. Achieve weight loss as quickly as possible.
b. Reduce alcohol intake to three beers a day.
c. Aim for exercise to increase high-density lipoproteins.
d. Making behavioral changes in eating and exercise will always reverse fatty liver.
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