Exam 19: Nutrition and Liver Diseases

The most common conditions that precede liver transplantation are chronic hepatitis C infection and:

Nursing Exam Review Multiple Choice The immediate concerns that the nurse must recognize when caring for a patient who has had a liver transplant are organ rejection and:

Brian is a 21-year-old Caucasian student who is in his last year of college. Though he is a good student, it has been Brian's practice since freshman year to binge drink on weekends, typically consuming more than a six-pack of beer on Friday and Saturday nights. Brian is 5'11" tall; has weighed about the same, 195 lbs., for the past few years; and is fairly muscular and athletic in his build. He eats most meals in the cafeteria, but despite access to homemade foods, he eats few vegetables, fruits, and whole grains, and his diet is high in fat and salt. The only snacks he consumes are from the vending machine, and he usually washes down a bag of corn chips with a soda or grabs a burger, fries, and beer when out on weekends. He doesn't take any medications and has no significant medical history. A recent physical examination in preparation for basketball season revealed no remarkable physical findings except muscle aches since restarting weight lifting and new-onset stomach pain, which the doctor assesses to be gastritis. A lipid profile found his triglycerides and VLDL cholesterol to be elevated. His blood pressure is slightly elevated. He has a family history of hypertension, stroke, and alcohol abuse. Most alcohol metabolism takes place in the:

The most common cause of infection with acute hepatitis A virus is:

Nursing Exam Review Multiple Choice The nurse notes that a patient with liver disease has had nausea and vomiting. This is most likely a side effect of:

Andrew Jamison is a 47-year-old construction worker with a long history of alcohol abuse. Recently he has been experiencing fatigue, weakness, loss of appetite, and weight loss. A visit to his physician and laboratory testing confirmed a diagnosis of cirrhosis. He is 5'10" tall and currently weighs 145 pounds. Due to the risk of foodborne illness, what food should Mr. Jamison avoid if he has a liver transplant ?

The most common complication of alcohol abuse is:

Brian is a 21-year-old Caucasian student who is in his last year of college. Though he is a good student, it has been Brian's practice since freshman year to binge drink on weekends, typically consuming more than a six-pack of beer on Friday and Saturday nights. Brian is 5'11" tall; has weighed about the same, 195 lbs., for the past few years; and is fairly muscular and athletic in his build. He eats most meals in the cafeteria, but despite access to homemade foods, he eats few vegetables, fruits, and whole grains, and his diet is high in fat and salt. The only snacks he consumes are from the vending machine, and he usually washes down a bag of corn chips with a soda or grabs a burger, fries, and beer when out on weekends. He doesn't take any medications and has no significant medical history. A recent physical examination in preparation for basketball season revealed no remarkable physical findings except muscle aches since restarting weight lifting and new-onset stomach pain, which the doctor assesses to be gastritis. A lipid profile found his triglycerides and VLDL cholesterol to be elevated. His blood pressure is slightly elevated. He has a family history of hypertension, stroke, and alcohol abuse. Because of his heavy drinking, Brian is at highest risk of what condition?

Nursing Exam Review Multiple Choice Mrs. Juarez is diagnosed with cirrhosis and has developed ascites. Her appetite is poor, and she is losing weight. The nurse realizes that she is at risk for malnutrition and encourages Mrs. Juarez to:

If a patient with ascites does not respond to sodium restriction and diuretic therapy, excess fluid may be removed from the abdomen by:

Nursing Exam Review Multiple Choice Kim is a 27-year-old well-nourished female who has been diagnosed with hepatitis A. Which nutrition intervention is most appropriate for Kim?

Ascites is exacerbated by:

Patients with cirrhosis require _____ in order to prevent wasting.

Nursing Exam Review Multiple Choice The nurse is working with a patient who has liver cirrhosis and who is malnourished. What describes the most appropriate type of nutrition support for this client?

Eating well and taking supplements of protein, vitamins, and minerals protect the body from harmful effects of alcohol.

Rapid weight loss aids in the recovery from liver disease.

In patients with fat malabsorption, fat intake may be restricted to less than _____ percent of total kcalories or as necessary to control steatorrhea.

Patients with ascites generally must restrict their intake of:

High-fat foods may be restricted in patients with cirrhosis who are experiencing steatorrhea.

Nursing Exam Review Multiple Choice The hepatic portal vein and the hepatic artery together supply approximately _____ ml of blood each minute to the extensive network of vessels in the liver.