A nurse is providing community education on the risk factors for liver cirrhosis. Which risk factor should the nurse emphasize as the leading cause of liver cirrhosis?

Chronic viral hepatitis (B, C, or D)

Alcohol abuse

Nonalcoholic fatty liver disease (NAFLD)

Autoimmune hepatitis

Answer and Explanation

The Correct Answer is B

A)   Chronic viral hepatitis is a significant risk factor for liver cirrhosis, especially in regions where these viruses are prevalent. However, alcohol abuse is considered the leading cause of liver cirrhosis.
B)   Among the listed risk factors, alcohol abuse is the leading cause of liver cirrhosis in many parts of the world. Prolonged and excessive alcohol consumption can directly damage liver cells, leading to inflammation and subsequent scarring. The risk of developing cirrhosis is closely related to the amount and duration of alcohol consumption.
C)   NAFLD is a growing concern and a leading cause of liver disease globally. It is strongly associated with obesity, insulin resistance, type 2 diabetes, and metabolic syndrome. While NAFLD is a significant risk factor for liver cirrhosis, alcohol abuse holds the highest association with cirrhosis.
D)   Autoimmune hepatitis is an immune-mediated liver disease that can lead to chronic inflammation and cirrhosis if not properly managed. While it is a risk factor for cirrhosis, alcohol abuse remains the leading cause of the condition.

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Correct Answer is A

Explanation

A)Paracentesis is a procedure in which a needle or catheter is inserted into the peritoneal cavity to drain the accumulated fluid in clients with ascites. This procedure is performed to relieve abdominal pressure and discomfort, as well as to facilitate diagnostic testing on the ascitic fluid.

B) Thoracentesis is a procedure to drain fluid from the pleural cavity, which is the space surrounding the lungs. It is not used to treat ascites.

C) Pleurodesis is a procedure performed to create adhesions between the two layers of the pleura to prevent recurrent pleural effusions (fluid accumulation in the pleural cavity). It is not used to treat ascites.

D) Pericardiocentesis is a procedure to drain fluid from the pericardial sac surrounding the heart. It is not used to treat ascites.

A. Lactulose B. Furosemide C. Propranolol D. Spironolactone

Correct Answer is A

Explanation

B) Furosemide is a diuretic used to treat fluid retention in clients with cirrhosis but is not effective in reducing ammonia levels or managing hepatic encephalopathy.

C) Propranolol is a beta-blocker often prescribed to reduce portal hypertension and prevent variceal bleeding in clients with liver cirrhosis. It is not used to treat hepatic encephalopathy.

D) Spironolactone is a diuretic used to manage fluid retention and ascites in clients with liver cirrhosis. Like furosemide, it is not effective in reducing ammonia levels or treating hepatic encephalopathy.

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A nurse is providing community education on the risk factors for liver cirrhosis. Which risk factor should the nurse emphasize as the leading cause of liver cirrhosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with liver cirrhosis presents with severe ascites. Which procedure should the nurse anticipate being performed to drain the accumulated fluid from the peritoneal cavity?

Correct Answer is A

Explanation

A client with liver cirrhosis is experiencing episodes of hepatic encephalopathy. Which medication should the nurse anticipate administering to help reduce ammonia levels in the blood?

Correct Answer is A

Explanation

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

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 liver cirrhosis is prescribed lactulose to manage hepatic encephalopathy. What should the nurse instruct the client about taking this medication?

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

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 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 assessing a client with suspected liver cirrhosis. Which clinical manifestation should the nurse expect to find as an early sign of the condition?