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?
Lactulose
Omeprazole
Furosemide
Propranolol
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) While adequate protein intake is important for overall health, encouraging the client to increase protein intake is not a priority in managing ascites. The priority is to address fluid retention through diuretic therapy.
B) While ambulation can be beneficial for clients with liver cirrhosis, it is not the priority for managing ascites. Diuretic therapy is more directly targeted at reducing fluid accumulation.
C) The priority nursing intervention for managing ascites in a client with liver cirrhosis is administering diuretics as prescribed by the healthcare provider. Diuretics help reduce fluid retention and alleviate the pressure caused by the accumulation of fluid in the abdomen. This intervention aims to improve the client's comfort and prevent the development of further complications associated with ascites.
D) Deep breathing exercises can be helpful for clients with liver cirrhosis, but they are not the priority for managing ascites. The focus should be on diuretic therapy and addressing the fluid retention in the abdomen.
Correct Answer is B
Explanation
Jaundice refers to the yellowing of the skin and eyes and is caused by the accumulation of bilirubin in the blood. While jaundice can be associated with liver cirrhosis, it does not describe the symptom of severe itching.
Pruritus refers to severe itching of the skin, which can occur in clients with liver cirrhosis due to the buildup of bile acids in the blood and skin. Elevated levels of bile acids can irritate the skin, leading to itching.
Hematemesis refers to vomiting of blood and is not related to the symptom of severe itching.
Ascites is the accumulation of fluid in the abdominal cavity and is not related to the symptom of severe itching.
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