Exam 58: Care of Patients with Liver Problems

A nurse cares for a client who is prescribed lactulose (Heptalac).The client states,"I do not want to take this medication because it causes diarrhea." How should the nurse respond?

A nurse assesses a client who is prescribed an infusion of vasopressin (Pitressin)for bleeding esophageal varices.Which clinical manifestation should alert the nurse to a serious adverse effect?

A nurse teaches a client with hepatitis C who is prescribed ribavirin (Copegus).Which statement should the nurse include in this client's discharge education?

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

A telehealth nurse speaks with a client who is recovering from a liver transplant 2 weeks ago.The client states,"I am experiencing right flank pain and have a temperature of 101° F." How should the nurse respond?

A nurse cares for a client with hepatitis C.The client's brother states,"I do not want to contract this infection,so I will not go into his hospital room." How should the nurse respond?

A nurse cares for a client with hepatopulmonary syndrome who is experiencing dyspnea with oxygen saturations at 92%.The client states,"I do not want to wear the oxygen because it causes my nose to bleed.Get out of my room and leave me alone!" Which action should the nurse take?

After teaching a client who has been diagnosed with hepatitis A,the nurse assesses the client's understanding.Which statement by the client indicates a correct understanding of the teaching?

A nurse cares for a client who is scheduled for a paracentesis.Which intervention should the nurse delegate to an unlicensed assistive personnel (UAP)?

A nurse cares for a client with hepatic portal-systemic encephalopathy (PSE).The client is thin and cachectic in appearance,and the family expresses distress that the client is receiving little dietary protein.How should the nurse respond?

An emergency room nurse assesses a client with potential liver trauma.Which clinical manifestations should alert the nurse to internal bleeding and hypovolemic shock? (Select all that apply.)

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

A nurse assesses clients on the medical-surgical unit.Which client is at greatest risk for the development of carcinoma of the liver?

After teaching a client who has alcohol-induced cirrhosis,a nurse assesses the client's understanding.Which statement made by the client indicates a need for additional teaching?

A nurse assesses clients at a community health fair.Which client is at greatest risk for the development of hepatitis B?

A nurse obtains a client's health history at a community health clinic.Which statement alerts the nurse to provide health teaching to this client?

A nurse cares for a client who has chronic cirrhosis from substance abuse.The client states,"All of my family hates me." How should the nurse respond?

A nurse assesses a male client who has symptoms of cirrhosis.Which questions should the nurse ask to identify potential factors contributing to this laboratory result? (Select all that apply.)

An infection control nurse develops a plan to decrease the number of health care professionals who contract viral hepatitis at work.Which ideas should the nurse include in this plan? (Select all that apply.)