A nurse caring for a client with hepatitis is providing education to the client about portal hypertension. Which of the following will the nurse include in the teaching?
"Increased pressure from portal hypertension contributes to the abdominal swelling."
"Portal hypertension is caused by the heart overworking."
"Portal hypertension develops when the cirrhosis begins to resolve."
"Eating high sodium foods and a stressful lifestyle contribute to portal hypertension."
The Correct Answer is A
Choice A reason: This is the correct answer because portal hypertension means that there is high blood pressure in the portal vein, which carries blood from the digestive organs to the liver. When the liver is damaged by hepatitis, it becomes scarred and obstructs the blood flow, causing increased pressure in the portal vein. This leads to fluid accumulation in the abdomen, called ascites, which causes abdominal swelling.
Choice B reason: This is incorrect because portal hypertension is not caused by the heart overworking but by liver damage. The heart does not pump blood into the portal vein, but into the hepatic artery, which supplies oxygenated blood to the liver.
Choice C reason: This is incorrect because portal hypertension does not develop when cirrhosis begins to resolve, but when it progresses. Cirrhosis is a chronic condition that causes irreversible scarring of the liver tissue, which worsens over time and increases portal hypertension.
Choice D reason: This is incorrect because eating high-sodium foods and a stressful lifestyle do not cause portal hypertension, but they can aggravate it. High-sodium foods can increase fluid retention and worsen ascites, while stress can increase blood pressure and worsen bleeding complications. The nurse should advise the client to limit sodium intake and manage stress levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason: Sweating and pallor are early signs and symptoms of dumping syndrome, which is a condition where food moves too quickly from the stomach to the small intestine, causing rapid fluid shifts and hormonal changes. Sweating and pallor are caused by hypoglycemia, which occurs when the high concentration of food in the small intestine stimulates insulin secretion.
Choice B Reason: Abdominal cramping and pain are late signs and symptoms of dumping syndrome, which occur about one to three hours after eating. Abdominal cramping and pain are caused by intestinal distension, spasms, and gas formation.
Choice C Reason: Double vision and chest pain are not signs and symptoms of dumping syndrome, but may indicate other serious conditions, such as stroke or heart attack. Double vision and chest pain should be reported to the provider immediately.
Choice D Reason: Bradycardia and indigestion are not signs and symptoms of dumping syndrome, but may be related to other gastrointestinal disorders, such as gastritis or peptic ulcer disease. Bradycardia and indigestion should be evaluated by the provider for further diagnosis and treatment.
Correct Answer is D
Explanation
Choice A Reason: Head trauma is not one of the top causes of blindness in the United States, but rather a possible cause of it. Head trauma can damage the optic nerve, retina, or brain, leading to vision loss or impairment.
Choice B Reason: Cardiovascular disease is not one of the top causes of blindness in the United States, but rather a risk factor for it. Cardiovascular disease can affect the blood supply and oxygen delivery to the eyes, leading to conditions such as glaucoma, macular degeneration, or retinal vein occlusion.
Choice C Reason: Syphilis is not one of the top causes of blindness in the United States, but rather a rare cause of it. Syphilis is a sexually transmitted infection that can affect the eyes, leading to inflammation, scarring, or detachment of the retina.
Choice D Reason: This is the correct choice. Diabetic retinopathy is one of the top causes of blindness in the United States, affecting about 4.1 million adults. Diabetic retinopathy is a complication of diabetes that damages the blood vessels in the retina, leading to bleeding, swelling, or leakage of fluid. It can cause blurred vision, floaters, or blindness if left untreated.
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