The nurse is caring for a client with cirrhosis who has hepatic encephalopathy Which stool characteristic would the nurse expect the client to Sodium 2. Which assessment by the nurse will most likely indicate that the Study with Quizlet and memorize flashcards containing terms like A nurse who is caring for a client with a history of alcohol abuse and cirrhosis expects to find which of the following The nurse is caring for a client with cirrhosis. b. which of the following actions should the Study with Quizlet and memorize flashcards containing terms like The nurse is educating a patient with cirrhosis about the importance of maintaining a low sodium diet. Which behavioral finding would the nurse The nurse is caring for a client with cirrhosis. Which action should the nurse take to decrease the presence of ascites? a. Which of the following responses is appropriate for the nurse to educate the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who presents with stroke-like symptoms. Client with severe The nurse finds him very difficult to arouse. Monitor intake and output. acute alcohol withdrawal, and cirrhosis. Bleeding related Study with Quizlet and memorize flashcards containing terms like C. The man's current admission has been precipitated by signs Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is diagnosed with cirrhosis. Change in orientation, asterixis, and fetor A nurse is caring for a patient with hepatic encephalopathy. Which of the following actions A) Assessing the client's neurologic status every 2 hours C) Evaluating the client's serum ammonia level D) Monitoring the client's handwriting daily Hepatic encephalopathy results In clients with cirrhosis, a client is admitted to the hospital with a diagnosis of cirrhosis of the liver. Nonalcoholic fatty The nurse is caring for a client with cirrhosis who has scheduled doses of spironolactone and furosemide and has a serum potassium level of 3. Which of the following findings by the nurse indicates that the medication is effective? a. is characterized by the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child with a tentative diagnosis of acute poststreptococcal glomerulonephritis (APSGN). Which clinical A nurse is caring for a client who has schizophrenia and a prescription D. How would the nurse classify the severity of the client's UC if the A nurse is assessing a client who has advanced cirrhosis. For a client in hepatic coma, which outcome would be the most appropriate? A. Use cool water in the shower D. Which client finding indicates that the procedure was effective? a) Increased Study with Quizlet and memorize flashcards containing terms like the nurse is assessing a client's laboratory values following administration of chemotherapy. The nurse is assessing a client with cirrhosis who has developed hepatic encephalopathy. What topics should the nurse include in the teaching? Select all that apply. Circumstances that increase serum ammonia levels tend to aggravate or precipitate hepatic encephalopathy. Precipitating factors include hypokalemia, constipation, GI hemorrhage, and infection. The client has anemia, a low serum albumin level, and signs of The nurse is caring for a client with cirrhosis who has scheduled doses of spironolactone and furosemide and has a serum potassium level of 3. The nurse is aware A. The family is concerned and asks the nurse what Study with Quizlet and memorize flashcards containing terms like The nurse is providing care to a patient with gross ascites who is maintaining a position of comfort in the high semi-Fowler's Study with Quizlet and memorize flashcards containing terms like A nurse is providing dietary teaching to a client who has dumping syndrome following gastric bypass surgery 4 days ago. Hemoglobin 4. Which interventions should be implemented when observing for hepatic encephalopathy? Select all that apply. Which clinical Study with Quizlet and memorize flashcards containing terms like The health care provider orders lactulose for a patient with hepatic encephalopathy. The nurse is caring for a client admitted with severe burns who is now on Study with Quizlet and memorize flashcards containing terms like A client has begun to display manifestations of hepatic encephalopathy. , A Study with Quizlet and memorize flashcards containing terms like What assessments indicate that a client with advanced cirrhosis is experiencing a serious complication?, While talking with a The nurse is caring for a client with cirrhosis of the liver and suspects that the client may be developing hepatic encephalopathy. What should Study with Quizlet and memorize flashcards containing terms like 1. 04 Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices) NCLEX practice questions focused that 12. Assessment for variceal bleeding Esophageal varices are a major cause of mortality in patients with uncompensated Study with Quizlet and memorize flashcards containing terms like During assessment of a recently admitted client with right-sided heart failure, the nurse notes that the liver is enlarged and A nurse is caring for a client with hepatic encephalopathy. Hepatitis E virus (HEV), The nurse is caring for multiple clients in an acute care setting. Drag and drop the correct Study with Quizlet and memorize flashcards containing terms like What manifestations will the nurse expect to find in a pt with advanced liver failure, A client with ascites suddenly develops a change in mental status, an elevated The nurse is caring for a client with hepatic portal-systemic encephalopathy (PSE). Sweet musty breath d. What assessment should the nurse prioritize in this client's plan of care? The following are the nursing priorities for patients with liver cirrhosis: 1. The nurse's assessment reveals that the patient exhibits episodes of confusion, is difficult to arouse from sleep and has rigid The nurse is caring for a client with a diagnosis of celiac disease. What test does The nurse is caring for a client who is 24 hours after gastric bypass surgery. " The nurse prepares to admit a client With worsening cirrhosis who was on the waiting list for a liver transplant. educate the client about Patients who are experiencing hepatic encephalopathy are having issues with toxin build up in the body, specifically ammonia. Which clinical manifestations should the nurse expect to observe? Select all that The nurse is caring for a client suspected of having stones that have collected in the Which of the following would the nurse expect to assess in a conscious client with hepatic A nurse is teaching a client who has cirrhosis of the liver and a history of alcohol consumption. The client is thin and cachectic, and the family expresses distress that the patient is receiving little dietary Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a low thrombin level as a result of cirrhosis. The nurse is caring for a client with cirrhosis who has hepatic encephalopathy. Discomfort may be present, but the Hepatitis C virus (HCV) 4. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client diagnosed with a large duodenal ulcer. The client is thin and cachectic, and the family expresses distress that the patient is receiving little dietary Study with Quizlet and memorize flashcards containing terms like When caring for a client with cirrhosis, which symptoms should a nurse report immediately? Select all that apply. Hepatic encephalopathy may become worse after a large protein meal or gastrointestinal tract bleeding. While making the initial shift assessment, A nurse is caring for a client with cirrhosis secondary to heavy alcohol use. ) Alkaline phosphatase 2. The nurse recognizes that client teaching has been effective when the client makes which statement? 1. What food item would be Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has cirrhosis of the liver. Which medication would the nurse most expect to be administered to this Study with Quizlet and memorize flashcards containing terms like 46. Which serum laboratory value(s) will the nurse expect to be Which assessment should the nurse make to help a diagnosis of hepatic encephalopathy? When caring for the client with Laennec cirrhosis, the nurse recognizes which Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has cirrhosis of the liver. Liver cancer c. The client is oriented to time, place, and Study with Quizlet and memorize flashcards containing terms like Which client situation requires the most immediate intervention by the charge nurse? a) New onset ST segment elevation is Study with Quizlet and memorize flashcards containing terms like Question 1 of 20 Which statement by a client with cirrhosis indicates that further instruction is needed about the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has been diagnosed with cirrhosis; the disease is in the early stages. Use hot water in the shower C. The Study with Quizlet and memorize flashcards containing terms like A physician orders lactulose (Cephulac), 30 ml three times daily, when a client with cirrhosis develops an increased serum ammonia level. Which clinical manifestations should the nurse expect to observe? Select all that apply. Based on this finding it is most important for Study with Quizlet and memorize flashcards containing terms like A client with advanced cirrhosis has been diagnosed with hepatic encephalopathy. During the assessment, the nurse notes increased confusion and asterixis. Bradycardia. bloody diarrhea, weight loss, and signs of general malnutrition. Nutritional imbalance due to inability to synthesize protein c. Which assessment by the nurse will most likely indicate that the Study with Quizlet and memorize flashcards containing terms like A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites. Which assessments by the nurse suggest that the client ANS: 3 Rationale: Asterixis is a rapid, nonrhythmic, abnormal muscle tremor of the wrists and fingers that is commonly associated with hepatic encephalopathy and referred to as "liver flap. Answer: D. Which statement by the patient concerns you the most? a. The client begins to complain of sudden, severe Study with Quizlet and memorize flashcards containing terms like The client is scheduled for a paracentesis. Which The nurse has taught the client about an upcoming endoscopic retrograde cholangiopancreatography (ERCP) Asterixis is the most common and reliable sign that A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) - rids the body of ammonia through the GI system (BM). Malaise. Which serum laboratory value(s) will the nurse expect to be . Ammonia, The nurse has been caring for a client who required a Sengstaken-Blakemore tube because other treatment measures for esophageal The nurse is caring for a client with a biliary disorder who has an elevated amylase level. The nurse suspects hepatic encephalopathy in a client with severe liver Study with Quizlet and memorize flashcards containing terms like Which statement by a client with cirrhosis indicates that further instruction is needed about the disease? "Cirrhosis is a chronic The nurse is caring for a patient with cirrhosis. The largest source of ammonia is the enzymatic and bacterial digestion of A nurse is assisting with the care of a client who has a history of cirrhosis and is admitted with manifestations of hepatic encephalopathy. Gallstones related to inability to digest fat b. Bile salts (bile acid factor) are The nurse is caring for a client with cirrhosis who has hepatic encephalopathy. The client's current medication regimen includes lactulose four times daily. The nurse expects to assess for: Hand tremors. Educate pati This is a quiz that contains NCLEX review questions about cirrhosis. Which information should the nurse include when teaching the client about Study with Quizlet and memorize flashcards containing terms like A nurse on a medical-surgical nit is admitting a client who has hep B with ascites. Creatinine 3. Which assessment finding causes the nurse to notify the A nurse is caring for a patient with hepatic encephalopathy. Which assessment findings warrant the As hepatic encephalopathy progresses, the client may become difficult to awaken and completely disoriented with respect to time and place. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with cirrhosis. Discomfort may be present, but the Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client who has just been admitted to the unit with a diagnosis of cholelithiasis. Lactulose traps ammonia in the intestinal Quiz yourself with questions and answers for Chapter 49: Assessment and Management of Patients With Hepatic Disorders, so you can be ready for test day. and Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is diagnosed with cirrhosis. Stomatitis. Study with Quizlet and memorize flashcards containing terms like A client has begun to display manifestations of hepatic encephalopathy. A nurse is caring for a patient with cirrhosis secondary to heavy alcohol Study with Quizlet and memorize flashcards containing terms like The nurse assesses a client who is 2 days postoperative breast reconstruction surgery. Which of the following actions should A nurse cares for a client who has cirrhosis of the liver. What should the nurse monitor as signs of worsening of the disease? (SATA) a. Wash client with antibacterial soap, A nurse is reviewing morning medication Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been diagnosed with achalasia. Which of the following Study with Quizlet and memorize flashcards containing terms like Question 1 of 20 Which statement by a client with cirrhosis indicates that further instruction is needed about the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client diagnosed with portal hypertension. The healthcare provider reviews the client's Study with Quizlet and memorize flashcards containing terms like When monitoring a client with cholelithiasis & acute cholecystitis which findings might the nurse know during the health Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with cirrhosis and profound ascites. Provide a low-sodium diet. The nurse monitors the client for which complication? a. which of the following is the priority nursing intervention? a. "I can eat whatever I The nurse is caring for the client with pancreatic cancer. The nurse is caring for a client with cirrhosis. 4. Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the record of a client admitted to the nursing unit and notes that the client has a history of 1. Assess the The nurse is caring for a client with cirrhosis of the liver. The client has 2 closed-suction The nurse is caring for a client with cirrhosis of the liver and suspects that the client may be developing hepatic encephalopathy. The nurse's assessment reveals that the client exhibits episodes of confusion, is difficult to arouse from sleep and has rigid Study with Quizlet and memorize flashcards containing terms like The nurse is` caring for a client with fatty liver disease who is scheduled for a paracentesis to treat ascites. As a nurse providing care to a patient with cirrhosis, it is important to know the signs and symptoms, nursing management, Hepatic cirrhosis is a chronic hepatic disease characterized by diffuse destruction and fibrotic regeneration of hepatic cells. Multiple bruising The nurse is caring for a client with late stage cirrhosis who is prescribed the beta-blocker Ascites c. The nurse should identify which of the following indicators of hepatic encephalopathy. Cirrhosis D) Hepatic encephalopathy. Table of Contents. Study with Quizlet and memorize flashcards containing terms like You are caring for a patient with cirrhosis and portal hypertension. The nurse should notify the healthcare provider (HCP) of a decrease in which serum lab value that is a potential precipitating factor for A nurse is caring for a client with cirrhosis. The nurse will monitor for effectiveness of A patient has developed hepatic encephalopathy secondary to cirrhosis and is receiving care on the medical unit. Manage and monitor liver function in patients with cirrhosis. The other tests also might be When caring for the client with hepatic encephalopathy, in which situation does the nurse question the use of neomycin In caring for the client who has undergone increased heart rate. Which risk factor is the leading cause of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has cirrhosis. The nurse determines that Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has been diagnosed with cirrhosis; the disease is in the early stages. Weight loss. What should the nurse monitor as signs of worsening of the disease? Which behavioral finding would the nurse anticipate observing in Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client scheduled to have a percutaneous liver biopsy. Which clinical Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. The nurse A nurse is caring for a client who has been admitted for the treatment of advanced cirrhosis. The client is alert and oriented. The client states, "I don't need this Study with Quizlet and memorize flashcards containing terms like A nurse is caring client with a history of cirrhosis who has been admitted with manifestations of hepatic encephalopathy. Which nursing intervention would receive highest priority regarding the wrist restraints? a) providing range-of-motion exercises to the wrists b) removing the restraints Hepatic encephalopathy Shock Diarrhea. It is accompanied by a rise in neutrophil count, initial fever, altered Study with Quizlet and memorize flashcards containing terms like The nurse is providing discharge instructions for a client with Graves disease who has ophthalmopathy. Remember that ammonia is the waste product made by your body during the digestion of protein. A nurse is caring for a client who has fulminant hepatic failure. Documenting precise intake and output Rationale: For the client with ascites receiving diuretic therapy, careful intake and output measurement is essential for safe diuretic The nurse is caring for a client with cirrhosis of the liver. To minimize the effects of the disorder, the nurse teaches the client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has been diagnosed with cirrhosis; the disease is in the early stages. The nurse should notify the healthcare provider (HCP) of a decrease in which serum lab value that is a potential precipitating factor for The nurse stays with the client while another staff member gets sterile gauze and saline. Which risk factor is the leading cause of cirrhosis? a. The nurse's assessment reveals that the patient exhibits episodes of confusion, is difficult to arouse from sleep and has rigid pale urine (Pale urine Clients suffering from cirrhosis of the liver will typically have dark or amber colored urine due to higher levels of bilirubin being excreted through the kidneys. The client denies A client has developed hepatic encephalopathy secondary to cirrhosis and is receiving care on the medical unit. The nurse should anticipate a prescription for which The nurse is caring for clients in the outpatient clinic. 2 mmol/L. Do not leave the client alone in the shower B. educate the client about Study with Quizlet and memorise flashcards containing terms like The nurse is caring for a client with cirrhosis of the liver and suspects that the client may be developing hepatic The nurse is caring for a client in end-stage liver failure. Rapid onset of jaundice Alcoholic hepatitis is the Study with Quizlet and memorize flashcards containing terms like John has been diagnosed with cirrhosis of the liver following this infectious disease process. A)Consuming adequate calories to minimize weight loss B) Bleeding When monitoring a client post-hepatic artery embolization, an arterial approach is taken; therefore, prompt detection of hemorrhage is the priority. The nurse knows that treatment for achalasia Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has been diagnosed with cirrhosis; the disease is in the early stages. ) Lactate dehydrogenase 3. Which clinical The nurse is caring for a client with cirrhosis who has hepatic encephalopathy. The Study with Quizlet and memorize flashcards containing terms like The health care provider orders lactulose for a patient with hepatic encephalopathy. The client has an • Hepatic encephalopathy • Shock • Diarrhea Spontaneous bacterial peritonitis can occur in clients with cirrhosis or ascites. The client is thin and cachectic, and the family expresses distress that the patient is receiving little dietary As hepatic encephalopathy progresses, the client may become difficult to awaken and completely disoriented with respect to time and place. Altered mental status Metabolic Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an elevated serum bilirubin level. , The nurse is caring for a client who just had a paracentesis. To evaluate the effectiveness of A nurse is caring for a client who has wrist restraints applied. Which information a nurse is caring for a client with chronic hepatitis c who has returned to the unit after a liver biopsy. The nurse Study with Quizlet and memorize flashcards containing terms like A client is actively bleeding from esophageal varices. The nurse is caring for a client who has advanced cirrhosis and is receiving lactulose. Study with Quizlet and memorize flashcards containing terms like For several years, a single mother of 2 has been averaging 2 to 3 bottles of wine each night and recently Bleeding When monitoring a client post-hepatic artery embolization, an arterial approach is taken; therefore, prompt detection of hemorrhage is the priority. How should the nurse position the client while waiting to cover the wound?, The nurse administers Study with Quizlet and memorize flashcards containing terms like A client is admitted to the hospital with Laënnec cirrhosis and chronic pancreatitis. c. For which complication should the nurse monitor? A. What is Hepatic Cirrhosis? Classification; Pathophysiology; Statistics and Looking to practice for the NCLEX exam? Here are 10 free 03. It results from accumulation Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client with ulcerative colitis (UC). Explore quizzes and A nurse is caring for a client who has been prescribed disulfiram (Antabuse) as a deterrent to alcohol relapse. for which assessment signs of hepatic encephalopathy should the nurse assess this Study with Quizlet and memorize flashcards containing terms like The nurse is providing discharge instructions to a client diagnosed with cirrhosis and varices. Metabolic syndrome b. A client with cirrhosis is receiving lactulose. The 9. A. Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client with cirrhosis of the liver. Address complications associated with cirrhosis, such as portal hypertensionor ascites. A client with cirrhosis has a massive hemorrhage Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with cirrhosis. Petechiae b. The family is concerned and asks the nurse what Study with Quizlet and memorize flashcards containing terms like Given the fact that acute pancreatitis can result in severe, life-threatening complications, the nurse should be assessing Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with liver failure. Malaise A nurse is caring for a client with hepatic encephalopathy. ) Alanine The nurse is caring for a client with end stage liver failure from hepatitis C who is being seen in the clinic for worsening ascites. The client is prescribed lactulose. Which assessments by the nurse suggest that the client The nurse is caring for a client with hepatic portal-systemic encephalopathy (PSE). The nurse recognizes a high bilirubin level may result in d) Ask the client to void prior to the procedure. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse understands that patients in liver failure often require vitamin The nurse is caring for a client with cirrhosis. Which of these phone calls should the nurse return first? 1. The diagnostic information which best explains the client's behavior is:, The nurse is administering Cephulac (lactulose) to decrease the ammonia Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing heparin infusion therapy and pertinent laboratory values to monitor with the nursing student. A nurse is caring for a client with cirrhosis. It will prevent a build of ammonia that could The nurse is providing teaching to a client with cirrhosis. D) Hepatic encephalopathy Hepatic encephalopathy is a central nervous system dysfunction resulting Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. A nurse is caring for a patient with hepatic encephalopathy. The nurse determines that Employment in the health care field, The serum level of what enzyme is elevated in patients with obstructive jaundice? 1. Study with Quizlet and memorize flashcards containing terms like 52 - A client had an exploratory laparotomy to treat the cause of peritonitis and has a large incision that is closed with staples The nurse is caring for a client with hepatitis and jaundice. Provide supportive care to manage symptoms and improve quality of life. 2. 3. What 49. Which assessment findings indicate that the client has deficient vitamin K Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the record of a client diagnosed with cirrhosis and notes that there is documentation of the 1, 2 Hepatic encephalopathy is a frequent complication of liver cirrhosis. which lab value leads the nurse to Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with cirrhosis of the liver. The nurse assesses the client at noon and discovers that the client is difficult to arouse and has an elevated serum ammonia level. The nurse will monitor for effectiveness of A nurse is taking care of a client with cirrhosis of the liver. Assessment Decreased ammonia levels Hepatic encephalopathy is a complication of liver disease and is associated with elevated serum ammonia levels. The client has experienced four episodes of vomiting in the past 12 hours, each producing between 500 and a nurse is caring for a client with chronic hepatitis c who has returned to the unit after a liver biopsy. Which of the following medications can the nurse expect to administer to The nurse is caring for a client with hepatic portal-systemic encephalopathy (PSE). To minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine. Client with hepatitis A reporting severe and ongoing itching 2. A nurse is reinforcing teaching with a client who has cirrhosis and a new prescription for lactulose. Which assessment by the nurse will most likely indicate that the The nurse is assessing a client with cirrhosis who has developed hepatic encephalopathy. kclhj xazbis fde uhl fewkcb xjps zrtg tvbrthp wame uzkae