Exam 47: Management of Clients with Hepatic Disorders

A nurse is serving food trays. From the tray of a client with hepatic encephalopathy, the nurse would remove

The nurse would explain to a client that the persistent presence of hepatitis B surface antigen (HBsAg) without overt manifestations strongly suggests that the client is

A client has ascites and the nursing diagnosis Excess Fluid Volume. The nurse has orders to administer albumin and furosemide (Lasix). Which action by the nurse regarding this order is correct?

The nurse assesses asterixis while monitoring the blood pressure of a client with viral hepatitis. The nurse would interpret this finding as an indication of

A client has been admitted with a diagnosis of "fatty liver." The nurse is aware that manifestations of this condition are

A client with jaundice is experiencing uncomfortable itching of the skin. The nurse would anticipate an order to administer

The factor in a client's history that the nurse would recognize as placing the client at risk for developing hepatitis A is

The nurse preparing to discharge a client with acute hepatitis B instructs the client to avoid

The nurse would counsel a client that the portosystemic shunt will

In caring for a client with severe hepatic abscess, the nurse would assess carefully for the common complication of

In a client with esophageal varices who is receiving vasopressin, the nurse would closely monitor for

A client with ascites has the nursing diagnosis Activity Intolerance. An appropriate goal for this client would be: the client will

The nurse is working in an area experiencing an outbreak of hepatitis. The manifestations that the nurse would identify as early manifestations of the disease are

The nurse is preparing to immunize a client who has had sexual contact with a known carrier of hepatitis B. The nurse would know that the medication providing the best immediate protection against hepatitis B is

A client with cirrhosis is on the transplant list and is now admitted for end-stage liver failure. The spouse breaks down crying, stating "I just can't cope any more. I already have to do every thing at home and for the kids, now if he/she dies, I just don't know what I will do!" The best response by the nurse is

A client experiencing hepatic encephalopathy is receiving lactulose. An irate family member asks, "Why in the world would the doctor give my husband something that gives him diarrhea when he is already so sick?" The nurse's response would include that the purpose of the lactulose is to

A client with massive ascites had a paracentesis. The site continues to leak through several layers of dressings, despite the nurse holding pressure. Which intervention should the nurse do first?

To best facilitate an effective breathing pattern, the nurse would place a client with massive ascites in the

The nurse providing information about the hepatitis B vaccine would include the information that the inoculation

The nurse counseling a client who has used oral contraceptives (OCs) since age 17 would make the client aware that the use of OCs has increased the incidence of