Identify two causes of ascites related to liver cirrhosis:
Poor nutrition related to alcoholism results in abdominal obesity.
Portal hypertension pushes proteins from the blood vessels, causing leakage into the peritoneal cavity.
Osmoreceptors in the hypothalamus stimulate thirst, which causes the patient to take in excessive fluids orally.
There is decreased colloid oncotic pressure from the liver's inability to synthesize albumin.
Correct Answer : B,D
Choice A reason: Poor nutrition related to alcoholism can lead to abdominal obesity, but it is not a direct cause of ascites in liver cirrhosis. Ascites is primarily due to factors like portal hypertension and decreased colloid oncotic pressure.
Choice B reason: Portal hypertension is a significant cause of ascites in liver cirrhosis. The increased pressure in the portal vein causes proteins to leak from the blood vessels into the peritoneal cavity, leading to fluid accumulation.
Choice C reason: Osmoreceptors in the hypothalamus stimulating thirst can lead to excessive fluid intake, but this is not a direct cause of ascites related to liver cirrhosis. Ascites is more directly linked to portal hypertension and decreased colloid oncotic pressure.
Choice D reason: Decreased colloid oncotic pressure due to the liver's inability to synthesize albumin is a key factor in the development of ascites. Albumin helps maintain fluid balance in the blood vessels, and its deficiency leads to fluid leakage into the peritoneal cavity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Choice A reason: Placing the patient in restraints for safety is not typically necessary unless the patient is agitated or a danger to themselves or others. This action is not directly addressing the acute condition of a stroke.
Choice B reason: Inserting an NGT (nasogastric tube) is not an immediate priority in the acute management of a stroke. This might be considered later if the patient has swallowing difficulties and needs nutritional support, but it is not a first-line intervention.
Choice C reason: Anticipating thrombolytic therapy for ischemic stroke is appropriate, as timely administration of thrombolytics can dissolve the clot and improve blood flow to the affected brain area, potentially reducing the severity of the stroke.
Choice D reason: Establishing IV access with normal saline is crucial for administering medications and maintaining hydration. It ensures that the patient can receive necessary interventions promptly.
Choice E reason: Placing the patient in the prone position is not appropriate in the management of an acute stroke. The prone position is generally used in respiratory conditions to improve oxygenation but is not relevant to stroke management.
Correct Answer is ["C","D"]
Explanation
Choice A reason: Upper endoscopy is not typically used to diagnose cholecystitis. It is more commonly used to examine the upper gastrointestinal tract, such as the esophagus, stomach, and duodenum.
Choice B reason: Stool samples are not relevant for diagnosing cholecystitis. They are more commonly used to detect gastrointestinal infections or bleeding.
Choice C reason: Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable diagnostic tool for cholecystitis, especially when there is suspicion of bile duct obstruction or gallstones.
Choice D reason: Abdominal ultrasound is the most common and preferred imaging test for diagnosing cholecystitis. It can visualize the gallbladder and detect gallstones, inflammation, or other abnormalities.
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