A client with cirrhosis has the following laboratory results: albumin 4.9 g/dl. (3.5-5 g/dL), PT 13 seconds (11-12.5 sec), and serum ammonia 68 mcg/dL (15-45 mcg/dL). Based on this information, what is the nurse's next action?

Assess level of consciousness

Assess for bleeding

Measure abdominal girth

Auscultate bowel sounds

Answer and Explanation

The Correct Answer is A

A)   Elevated serum ammonia levels can lead to hepatic encephalopathy, which affects mental status and consciousness, making this the priority assessment.
B)   The PT is slightly prolonged but not alarmingly high; bleeding is less of a concern compared to the elevated ammonia.
C)   This action is important in assessing fluid accumulation but is not as critical as assessing mental status in this scenario.
D)   While part of a comprehensive abdominal assessment, this is not the most critical action given the elevated ammonia level.

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Correct Answer is D

Explanation

A) Checking blood glucose daily is not directly relevant unless the client also has diabetes.

B) While this can indicate other health issues, it is not specific post-paracentesis advice.
C) A low carbohydrate diet is not typically related to post-paracentesis care unless specified by the healthcare provider for other underlying conditions.
D) Change positions slowly is important to prevent postural hypotension and falls after fluid removal during paracentesis. It prevent dizziness or lightheadedness due to fluid shifts or blood pressure changes after the procedure.

A. “Do you consume a high carbohydrate diet?" B. "Do you have a history of heart disease?" C. "Have you had a flu shot this year?" D. "Have you ever used IV drugs?"

Correct Answer is D

Explanation

A) While a high carbohydrate diet can contribute to fatty liver disease, it is less direct and specific compared to other risk factors.
B) Heart disease is not directly linked to liver disease risk.

C) Having a flu is unrelated to liver disease risk.

D) Intravenous drug use is a known risk factor for hepatitis B and C, both of which can lead to liver disease.

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A client with cirrhosis has the following laboratory results: albumin 4.9 g/dl. (3.5-5 g/dL), PT 13 seconds (11-12.5 sec), and serum ammonia 68 mcg/dL (15-45 mcg/dL). Based on this information, what is the nurse's next action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

Correct Answer is D

Explanation

Which question would the nurse ask to identify a risk factor for liver disease?

Correct Answer is D

Explanation

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?

When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?

The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?