A nurse is teaching a client about the causes of biliary cirrhosis. Which of the following should the nurse include in the teaching?

Excessive alcohol consumption

Hepatotoxic medications

Obstruction of the bile duct

Hepatitis C

Answer and Explanation

The Correct Answer is C

Choice A reason: While excessive alcohol consumption is a well known cause of liver cirrhosis, it is not typically associated with biliary cirrhosis1.

Choice B reason: Hepatotoxic medications can lead to liver damage, but they are not the primary cause of biliary cirrhosis1.

Choice C reason: Obstruction of the bile duct is a direct cause of biliary cirrhosis, as it can lead to bile accumulation and liver damage1.

Choice D reason: Hepatitis C can cause liver cirrhosis, but it is not a direct cause of biliary cirrhosis1

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Correct Answer is A

Explanation

Choice A reason: Placing the client in a sitting position helps to lower blood pressure by promoting venous return and is the first action to take in cases of autonomic dysreflexia.

Choice B reason: Checking for a fecal impaction is important as it can be a trigger for autonomic dysreflexia, but it is not the first action to take.

Choice C reason: Examining for areas of skin breakdown is part of ongoing care for clients with spinal cord injuries but is not the immediate priority in autonomic dysreflexia.

Choice D reason: Checking blood pressure is important for monitoring the severity of autonomic dysreflexia, but the first action is to address the positioning of the client to manage the hypertensive crisis.

A. Keep the client NPO B. Observe the client carefully for signs of hypocalcemia C. Provide a quiet, low stimulus environment D. Administer aspirin as prescribed for any sign of hyperthermia

Correct Answer is C

Explanation

Choice A reason: Keeping the client NPO (nothing by mouth) is not directly related to preventing a thyroid crisis. While it may be necessary in some situations, such as preoperative care, it does not address the hyperthyroid state.

Choice B reason: Observing the client for signs of hypocalcemia is important, especially after thyroid surgery, as hypocalcemia can occur due to accidental removal or damage to the parathyroid glands. However, it is not a preventive measure for a thyroid crisis.

Choice C reason: Providing a quiet, low stimulus environment can help reduce stress and agitation, which are potential triggers for a thyroid crisis. Stress can exacerbate hyperthyroid symptoms and precipitate a crisis.

Choice D reason: Aspirin is contraindicated in clients with hyperthyroidism as it can increase thyroid hormone levels by displacing them from their binding proteins. This can potentially worsen the condition and lead to a crisis.

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A nurse is teaching a client about the causes of biliary cirrhosis. Which of the following should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a spinal cord injury and is developing autonomic dysreflexia. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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