A client with liver cirrhosis is at risk of bleeding due to decreased synthesis of clotting factors. Which nursing intervention is essential in preventing bleeding episodes?

Encouraging frequent ambulation and leg exercises.

Applying cold packs to areas of potential bleeding.

Using a soft-bristle toothbrush for oral care.

Administering intramuscular injections cautiously.

Answer and Explanation

The Correct Answer is C

A) While ambulation and leg exercises are essential for maintaining overall health, they are not directly related to preventing bleeding episodes in clients with liver cirrhosis. The risk of bleeding in these clients is primarily related to clotting factor synthesis impairment.

B) Applying cold packs can help reduce swelling and inflammation but may not be the most appropriate intervention for preventing bleeding episodes in clients with liver cirrhosis. Cold packs may have limited effectiveness in addressing the underlying clotting factor deficiency.

C) Clients with liver cirrhosis may experience impaired clotting due to decreased synthesis of clotting factors by the liver. To prevent bleeding episodes, using a soft-bristle toothbrush for oral care is essential. A soft-bristle toothbrush is gentler on the gums and oral tissues, reducing the risk of causing trauma or bleeding during oral hygiene practices.

D) While it is important to administer intramuscular injections cautiously in clients with clotting disorders, this intervention is not the most essential for preventing bleeding episodes. Clients with liver cirrhosis are at risk of bleeding primarily due to the liver's decreased synthesis of clotting factors, not necessarily due to intramuscular injections.

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Correct Answer is A

Explanation

A. Encouraging the client to lie on the right side after a liver biopsy is essential because this position helps to apply pressure to the biopsy site, reducing the risk of bleeding.
B. While administering pain medication may be necessary, it is not the primary nursing action following a liver biopsy compared to ensuring hemostasis and preventing complications.
C. Monitoring vital signs is important, but in this case, vital signs should be checked more frequently than every 4 hours to assess for complications like bleeding. Initial monitoring is typically every 15 minutes for the first hour and then every 30 minutes to hourly based on facility protocols.
D. Although maintaining a supine position is typically advised, the focus should be on the right side position to ensure proper hemostasis following the biopsy procedure.

A. Lactulose B. Omeprazole C. Furosemide D. Propranolol

Correct Answer is D

Explanation

A) Lactulose is used to treat hepatic encephalopathy and is not prescribed to reduce the risk of bleeding from esophageal varices.

B) Omeprazole is a proton pump inhibitor used to reduce stomach acid production and treat conditions such as peptic ulcers and gastroesophageal reflux disease (GERD). While it may be prescribed to manage gastritis or peptic ulcers, it is not primarily used to reduce the risk of bleeding from esophageal varices.

C) Furosemide is a diuretic used to manage fluid retention and ascites in clients with liver cirrhosis. It is not prescribed to reduce the risk of bleeding from esophageal varices.

D) Propranolol is a beta-blocker commonly used to reduce the risk of bleeding from esophageal varices in clients with liver cirrhosis. Propranolol helps decrease portal hypertension by reducing the pressure in the portal vein, thereby reducing the likelihood of variceal rupture and bleeding.

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A client with liver cirrhosis is at risk of bleeding due to decreased synthesis of clotting factors. Which nursing intervention is essential in preventing bleeding episodes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected liver cirrhosis undergoes a liver biopsy. Which nursing action is essential following the procedure?

Correct Answer is A

Explanation

A client with liver cirrhosis is at risk of developing esophageal varices. Which medication should the nurse expect to be prescribed to reduce the risk of bleeding from these varices?

Correct Answer is D

Explanation

A nurse is providing discharge instructions to a client with liver cirrhosis. Which statement by the nurse is appropriate regarding alcohol consumption?

A nurse is reviewing the laboratory results of a client suspected to have liver cirrhosis. Which finding should the nurse expect to be elevated, indicating impaired liver function?

A nurse is caring for a client with liver cirrhosis and notices that the client's platelet count is significantly decreased. Which complication of liver cirrhosis is the likely cause of this finding?

A client with liver cirrhosis is at risk of developing esophageal varices. Which nursing intervention is essential in the care of this client?

A nurse is assessing a client with liver cirrhosis and observes that the client has altered mental status and confusion. Which action should the nurse take first?

A nurse is providing discharge teaching to a client with liver cirrhosis. Which dietary modification should the nurse recommend to the client?

A client with liver cirrhosis is found to have visible distended veins on the abdomen and chest. Which term should the nurse use to document this finding?

A client with liver cirrhosis is experiencing episodes of hepatic encephalopathy. Which medication should the nurse anticipate administering to help reduce ammonia levels in the blood?