A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?
Hepatotoxic medications
Hepatitis C
Excessive alcohol consumption
Obstruction of the bile duct
The Correct Answer is D
A. Hepatotoxic medications can contribute to liver damage but are not a primary cause of biliary cirrhosis. However, they can contribute to cirrhosis through other mechanisms.
B. Hepatitis C is a viral infection that primarily affects the liver and can lead to cirrhosis, but it is not specifically classified as a cause of biliary cirrhosis.
C. Excessive alcohol consumption can cause alcoholic liver disease, which may progress to
cirrhosis, but it is not directly related to biliary cirrhosis, which is characterized by damage to the bile ducts.
D. Biliary cirrhosis, also known as primary biliary cirrhosis (PBC) or primary biliary cholangitis (PBC), is a chronic liver disease characterized by progressive destruction of the bile ducts in the liver. Obstruction of the bile ducts contributes to the development of biliary cirrhosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lactulose is commonly prescribed for clients with cirrhosis to reduce blood ammonia levels by promoting the excretion of ammonia in the stool. Elevated ammonia levels can lead to hepatic encephalopathy.
B. Lactulose does not directly affect glucose levels in the bloodstream. Its primary action is on ammonia.
C. Bicarbonate levels are not typically targeted by lactulose therapy in cirrhosis.
D. Lactulose does not affect potassium levels directly. Its main therapeutic action in cirrhosis is related to reducing ammonia levels.
Correct Answer is D
Explanation
A. Eating four small meals each day can help prevent overeating, but it may not specifically address GERD symptoms. However, smaller meals are generally recommended for individuals with GERD to reduce gastric pressure and decrease the risk of reflux.
B. While sleeping on the left side may be recommended for some individuals to reduce acid reflux, it is not the most universally applicable instruction for managing GERD.
C. Drinking milk may provide temporary relief for some individuals with mild symptoms of heartburn, but it can exacerbate symptoms for others due to its fat content. It is not generally recommended as a consistent management strategy for GERD.
D. Waiting to go to bed for at least 1 hour after eating can help reduce the risk of reflux episodes during sleep by allowing more time for digestion and gastric emptying. This instruction is
commonly recommended for individuals with GERD.
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