The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Check blood glucose every 4 hours

2 gram sodium diet

Bedrest

Insert indwelling urinary catheter

Answer and Explanation

The Correct Answer is B

A) Monitoring blood glucose is more relevant for diabetic care.

B)   A sodium diet is appropriate for managing fluid retention associated with liver disease.
C)   Bedrest may be prescribed but not as specific to the management of fluid retention.
D)   Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.

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Correct Answer is B

Explanation

A) Bradycardia is not typically associated with hepatic encephalopathy.

B) Asterixis is a characteristic finding in hepatic encephalopathy, known as "flapping tremor," indicating neuromuscular irritability due to elevated blood ammonia levels.
C) Fever is not a common direct symptom of hepatic encephalopathy.

D) Melena indicates gastrointestinal bleeding, which while possible in liver disease, is not specific to hepatic encephalopathy.

A. Weight loss B. Cool, clammy skin C. Bruising on flank D. Ascites

Correct Answer is A

Explanation

A) Weight loss is a common symptom of chronic pancreatitis due to malabsorption and decreased appetite.
B) Cool, clammy skin is not typically associated with chronic pancreatitis; it may indicate other conditions such as shock or hypotension.
C) Bruising on the flank is not a typical finding in chronic pancreatitis; it may suggest trauma or other underlying conditions.
D) Ascites, the accumulation of fluid in the abdominal cavity, is more commonly associated with advanced liver disease rather than chronic pancreatitis.

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The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?

Correct Answer is B

Explanation

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

Correct Answer is A

Explanation

The nurse is admitting a client diagnosed with ascites. Which assessment finding would the nurse anticipate?

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

When reviewing a client's health history, which information does the nurse identify as a risk factor for development of chronic pancreatitis?

The nurse is collecting a health history of a client admitted for possible acute pancreatitis. Which health history item would increase the client's risk for this diagnosis?

A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

The client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

The nurse should evaluate results of which laboratory tests while caring for a client who has cirrhosis of the liver? Select all that apply.