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 A
Explanation
Choice A Reason:
Contact precautions are recommended for patients with MRSA to prevent the spread of the bacteria. This includes measures such as placing the patient in a single room, using personal protective equipment (PPE) like gowns and gloves, and ensuring proper hand hygiene. These precautions help to minimize the risk of transmission through direct or indirect contact with the patient or their environment.
Choice B Reason:
Protective precautions, also known as reverse isolation, are used to protect immunocompromised patients from infections. This is not applicable for MRSA patients, as the goal is to prevent the spread of MRSA to others, not to protect the patient from external infections.
Choice C Reason:
Airborne precautions are used for diseases that are transmitted through the air, such as tuberculosis or measles. MRSA is not transmitted through airborne particles, so this type of precaution is not appropriate.
Choice D Reason:
Droplet precautions are used for diseases that are spread through large respiratory droplets, such as influenza or pertussis. MRSA is primarily spread through direct contact, not through respiratory droplets, making droplet precautions unnecessary.
Correct Answer is B
Explanation
Choice A Reason:
Nutritional therapy focuses on dietary needs and ensuring patients receive adequate nutrition. While this is important for overall health, it does not directly address the swallowing difficulties experienced by patients with Parkinson’s disease.
Choice B Reason:
This is the correct answer. Speech therapy is essential for patients with Parkinson’s disease who have difficulty swallowing. Speech-language pathologists (SLPs) are trained to assess and treat swallowing disorders (dysphagia). They can provide exercises and strategies to improve swallowing function and reduce the risk of aspiration.
Choice C Reason:
Occupational therapy helps patients with daily living activities and improving motor skills. While occupational therapists can assist with feeding techniques, they do not specialize in treating swallowing disorders.
Choice D Reason:
Respiratory therapy focuses on breathing and lung function. It is not directly related to swallowing difficulties, although respiratory therapists may be involved if there are complications such as aspiration pneumonia.
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