A client with liver cirrhosis is found to have elevated iron levels in their blood. Which genetic disorder should the nurse suspect as a possible cause of these findings?

Hemochromatosis

Wilson's disease

Alpha-1 antitrypsin deficiency

Primary biliary cholangitis

Answer and Explanation

The Correct Answer is A

A) Hemochromatosis is a genetic disorder characterized by excessive iron absorption from the diet, leading to the accumulation of iron in various organs, including the liver. In individuals with hemochromatosis, the excess iron can cause liver cell injury and lead to cirrhosis over time.

B) Wilson's disease is a genetic disorder that causes impaired copper metabolism, leading to copper accumulation in the liver and other organs. While it can lead to liver damage, it is not associated with elevated iron levels.

C) Alpha-1 antitrypsin deficiency is a genetic disorder that affects the lungs and liver. It can lead to liver disease, but it does not cause elevated iron levels.

D) Primary biliary cholangitis is an autoimmune liver disease that primarily affects the small bile ducts within the liver. While it can lead to liver damage and cirrhosis, it is not associated with elevated iron levels.

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Correct Answer is D

Explanation

A) Serum albumin is a protein synthesized by the liver, and its levels are often decreased in advanced liver cirrhosis due to impaired liver function. However, the question asks for an elevated finding, not a decreased one.

B) Prothrombin time (PT) measures the time it takes for blood to clot. In liver cirrhosis, PT is often prolonged due to impaired liver function and reduced production of clotting factors. However, the question asks for an elevated finding, not a prolonged one.

C) Aspartate aminotransferase (AST) is an enzyme found in the liver and other organs. While AST levels may be elevated in liver cirrhosis, it is not a specific marker for liver cirrhosis, and its elevation can occur in various liver diseases and conditions.

D) In liver cirrhosis, impaired liver function leads to reduced clearance of bilirubin, resulting in elevated total bilirubin levels in the blood. Elevated bilirubin is a common finding in liver cirrhosis and can contribute to jaundice.

A. "Hepatitis C infection does not increase the risk of liver cirrhosis." B. "The risk of liver cirrhosis is higher if you have hepatitis D co-infection." C. "Liver cirrhosis is more likely to develop if you have a history of hepatitis B." D. "Chronic hepatitis C infection can lead to liver cirrhosis over time."

Correct Answer is D

Explanation

A) This statement is incorrect. Chronic hepatitis C infection is a significant risk factor for liver cirrhosis, and individuals with this infection require regular monitoring and appropriate medical management to prevent or delay the progression of cirrhosis.

B) While hepatitis D co-infection can worsen the course of chronic hepatitis B or C infection, it does not diminish the significance of hepatitis C infection as a risk factor for liver cirrhosis.

C) While chronic hepatitis B infection is also a known risk factor for liver cirrhosis, the client's history of hepatitis C infection is more relevant to the risk of developing cirrhosis in this case.

D) Chronic hepatitis C infection is a well-established risk factor for liver cirrhosis. The hepatitis C virus causes persistent inflammation in the liver, leading to liver cell damage and scarring (fibrosis). Over time, this fibrosis can progress to cirrhosis, which is the advanced stage of liver damage.

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A client with liver cirrhosis is found to have elevated iron levels in their blood. Which genetic disorder should the nurse suspect as a possible cause of these findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client with a history of chronic hepatitis C infection asks the nurse about the risk of developing liver cirrhosis. Which response by the nurse is accurate?

Correct Answer is D

Explanation

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A client with suspected liver cirrhosis is scheduled for a diagnostic imaging test. Which imaging modality is commonly used to assess the liver's size, shape, and structure in clients with cirrhosis?

A client with liver cirrhosis is prescribed spironolactone to manage fluid retention. Which laboratory test should the nurse monitor closely while the client is on this medication?

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

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?

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