A nurse is caring for a client who has a new diagnosis of liver disease. Which of the following manifestations should the nurse expect?
Night sweats
Acanthosis nigricans
Hemosiderin staining
Pruritus
The Correct Answer is D
Choice A Reason: Night sweats
Night sweats are not typically associated with liver disease. They are more commonly linked to conditions such as infections, hormonal imbalances, or certain cancers1. While liver disease can cause a variety of symptoms, night sweats are not a primary manifestation.
Choice B Reason: Acanthosis nigricans
Acanthosis nigricans is characterized by dark, velvety patches of skin, usually in body folds and creases. It is often associated with insulin resistance, obesity, and certain endocrine disorders. It is not a common manifestation of liver disease.
Choice C Reason: Hemosiderin staining
Hemosiderin staining refers to the deposition of iron in the skin, which can cause a brownish discoloration. This condition is more commonly associated with chronic venous insufficiency or hemochromatosis, a genetic disorder that causes iron overload. It is not a typical symptom of liver disease.
Choice D Reason: Pruritus
Pruritus, or itching, is a common symptom of liver disease. It is often caused by the accumulation of bile salts in the skin due to impaired bile flow, a condition known as cholestasis. This symptom can be particularly distressing for patients and is a significant indicator of liver dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
An N95 respirator is used for airborne precautions, not contact precautions. It is necessary for protecting against airborne pathogens like tuberculosis or COVID-19.
Choice B Reason:
Goggles are used to protect the eyes from splashes or sprays of infectious materials. While they can be part of contact precautions, they are not the primary PPE required for changing bed linen.
Choice C Reason:
A face shield provides protection against splashes and sprays to the face. Similar to goggles, it is not the primary PPE required for contact precautions when changing bed linen.
Choice D Reason:
This is the correct answer. Gloves are essential for contact precautions to prevent the transmission of infectious agents through direct or indirect contact with contaminated surfaces or materials. They protect the nurse from coming into contact with pathogens that may be present on the bed linen.
Correct Answer is ["A","C","D"]
Explanation
Choice A Reason:
Rubeola, also known as measles, is highly contagious and spreads through airborne transmission. The virus can remain infectious in the air for up to two hours after an infected person coughs or sneezes. This makes it one of the most easily spread diseases through airborne particles.
Choice B Reason:
Clostridium difficile (C. diff) is primarily transmitted through the fecal-oral route, not through airborne transmission. It spreads via spores that can survive on surfaces and be ingested, leading to infection.
Choice C Reason:
Varicella, or chickenpox, is transmitted through airborne particles. The virus can spread through direct contact with the fluid from the blisters or through respiratory droplets when an infected person coughs or sneezes. This makes it an airborne disease.
Choice D Reason:
Tuberculosis (TB) is caused by Mycobacterium tuberculosis and spreads through the air when an infected person coughs, speaks, or sings. The bacteria can remain suspended in the air for several hours, making TB an airborne disease.
Choice E Reason:
Staphylococcus aureus is not typically transmitted through airborne means. It spreads through direct contact with infected wounds, contaminated surfaces, or through respiratory droplets in some cases. However, it is not considered an airborne disease.
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