Exam 19: Nutrition and Liver Diseases

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Furosemide is what type of drug that may be used to treat the symptoms of cirrhosis?

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Describe the possible causes of hepatic encephalopathy.

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Nursing Exam Review Multiple Choice A patient with liver disease is having laboratory testing. The nurse understands that the normal range of albumin would be:

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Nursing Exam Review Multiple Choice The nurse understands that _____ may not be a good indicator of nutritional status in patients with ascites.

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Hepatomegaly refers to a surgical puncture of a body cavity with an aspirator to draw out excess fluid.

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The beneficial effects of moderate alcohol intake are mainly seen in:

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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. Brian asks if he can take acetaminophen to relieve his muscle aches. The doctor replies:

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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. If Mr. Jamison develops advanced cirrhosis, what potential complication may he develop?

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A primary cause of non-alcoholic fatty liver is:

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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. Although Brian has not gained weight recently, he remains slightly overweight. How many kcalories per gram does alcohol provide as a source of energy? 

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Nursing Exam Review Multiple Choice A nurse is caring for a patient who is recovering from a liver transplant. Because the patient is at higher risk of foodborne illness, the nurse should educate the patient by giving him which information?

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Match each nutrition term with the appropriate definition.
cirrhosis
an advanced stage of liver disease in which extensive scarring replaces healthy liver tissue
hyponatremia
inflammation of the liver
ascites
a surgical puncture of a body cavity with an aspirator to draw out excess fluid
Correct Answer:
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Responses:
cirrhosis
an advanced stage of liver disease in which extensive scarring replaces healthy liver tissue
hyponatremia
inflammation of the liver
ascites
a surgical puncture of a body cavity with an aspirator to draw out excess fluid
alcohol abuse
a passage within the liver that connects a portion of the portal vein to the hepatic vein using a stent
alcoholic liver disease
an accumulation of fat in liver tissue
hepatomegaly
liver disease that is related to excessive alcohol consumption
transjugular intrahepatic portosystemic shunt
itchy skin
hepatic portal vein
the continued use of alcohol despite the development of social, legal, or health problems
paracentesis
the blood vessel that conducts nutrient-rich blood from the digestive tract to the liver
acetate
an intermediate in alcohol metabolism that, in excess, can damage the body's tissues and interfere with cellular functions
insulin resistance
enlargement of the liver
jaundice
abnormally dilated blood vessels
hepatic coma
an alcoholic beverage that contains about half an ounce of pure alcohol
drink
an abnormal accumulation of fluid in the abdominal cavity
pruritus
yellow discoloration of the skin and eyes due to an accumulation of bilirubin
hepatitis
loss of consciousness resulting from severe liver disease
sinusoids
the small, capillary-like passages that carry blood through liver tissue
varices
the product of alcohol metabolism that is used as a source of energy by many tissues in the body
fatty liver
the reduced sensitivity to insulin in liver, muscle, and adipose cells
acetaldehyde
abnormally low sodium levels in the blood
(Matching)
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Evaluating nutrition status in liver transplant candidates is relatively easy because liver dysfunction and malnutrition often have similar metabolic effects.

(True/False)
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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. To improve Mr. Jamison's appetite, his physician may prescribe:

(Multiple Choice)
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One alcoholic drink that contains about half an ounce of pure alcohol is equivalent to _____ ounces of beer.

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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. The dietitian assesses Mr. Jamison's protein needs based on an appropriate weight for his height and estimates that he requires _____ grams of protein per day.

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An important consideration in the diet of a patient with esophageal varices is to provide a:

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Nursing Exam Review Multiple Choice Initial symptoms of cirrhosis are usually nonspecific and may include fatigue, malaise, and:

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When blood flow is impeded in a cirrhotic liver, it causes:

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Persons using potassium-sparing diuretics should be cautioned about consuming:

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