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?

Magnetic resonance imaging (MRI)

Positron emission tomography (PET)

Computed tomography (CT) scan

Electroencephalogram (EEG)

Answer and Explanation

The Correct Answer is C

A) While MRI is also used to assess the liver, it may not be the first-line imaging modality for assessing the size and structure of the liver in clients with cirrhosis.

B) PET scans are mainly used to evaluate cellular metabolism and tissue function, including cancerous cells. While it can be helpful in detecting liver tumors, it may not be the primary choice for assessing liver size and structure in cirrhosis.

C) Computed tomography (CT) scan is commonly used to assess the liver's size, shape, and structure in clients with liver cirrhosis. CT provides detailed cross-sectional images of the liver, helping to identify any abnormalities, including liver nodules, fibrosis, and signs of portal hypertension.

D) An electroencephalogram (EEG) is a test used to record electrical activity in the brain. It is not used to assess the liver's size, shape, or structure in clients with liver cirrhosis.

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Correct Answer is A

Explanation

A) Spironolactone is a potassium-sparing diuretic commonly used to manage fluid retention in liver cirrhosis. The nurse should monitor the client's serum potassium levels regularly as this medication can cause hyperkalemia (elevated potassium levels). It is important to assess potassium levels to avoid complications associated with imbalances in potassium levels.

B) Monitoring blood glucose levels is not specifically related to the use of spironolactone in liver cirrhosis. Spironolactone does not have a significant effect on blood glucose levels.

C) Monitoring the white blood cell count is not directly related to the use of spironolactone. White blood cell count is typically monitored to assess for signs of infection or immune system response.

D) Monitoring serum calcium levels is not directly related to the use of spironolactone in liver cirrhosis. Spironolactone does not significantly impact calcium levels in the blood.

A. Administering iron supplements to promote blood clotting. B. Monitoring fluid balance and daily weights. C. Elevating the head of the bed to prevent aspiration. D. Encouraging the client to avoid straining during bowel movements.

Correct Answer is D

Explanation

A) Iron supplements are not indicated in the care of a client with liver cirrhosis and esophageal varices. The client's condition is related to portal hypertension and the risk of variceal bleeding, not blood clotting.

B) Monitoring fluid balance and daily weights is important in managing clients with liver cirrhosis, especially those with ascites. However, it is not the essential intervention specific to clients at risk of developing esophageal varices.

C) Elevating the head of the bed is a standard intervention to prevent aspiration in clients with various medical conditions. However, it is not the essential intervention specific to clients at risk of esophageal varices.

D) Encouraging the client to avoid straining during bowel movements is essential in the care of a client at risk of developing esophageal varices. Straining during bowel movements can increase intra-abdominal pressure, which may lead to increased pressure in the portal vein, potentially exacerbating portal hypertension and increasing the risk of variceal bleeding.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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

Correct Answer is D

Explanation

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 client with liver cirrhosis has developed ascites. Which nursing intervention is a priority for managing this complication?

A client with liver cirrhosis complains of difficulty sleeping at night due to frequent awakenings caused by shortness of breath. Which complication should the nurse suspect as the most likely cause of the client's symptom?

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 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 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?

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