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

Bradycardia

Asterixis

Fever

Melena

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

A) Pancrelipase is an enzyme replacement therapy used to aid in the digestion of fats, proteins, and carbohydrates, and its use may lead to steatorrhea (fatty stools) as a common side effect.
B) Pancrelipase is typically administered with meals or snacks to aid in digestion; there is no need to administer it prior to antacids.
C) Pancrelipase is taken with meals or snacks to assist in digestion, so this statement is incorrect.
D) There is no need to rinse the mouth after taking pancrelipase; it is a medication designed for oral ingestion.

A. Gallstones B. Duodenitis C. Type 2 diabetes mellitus D. Hepatitis C

Correct Answer is A

Explanation

A) Gallstones are a leading cause of acute pancreatitis as they can block the pancreatic duct.
B) While inflammation of the duodenum can cause abdominal symptoms, it does not directly lead to acute pancreatitis.
C) Diabetes results from the dysfunction of the pancreas after damage but does not cause acute pancreatitis.
D) Hepatitis C affects the liver and does not directly cause pancreatitis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?

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?

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

Which question would the nurse ask to identify a risk factor for liver disease?

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

A client with cirrhosis has the following laboratory results: albumin 4.9 g/dl. (3.5-5 g/dL), PT 13 seconds (11-12.5 sec), and serum ammonia 68 mcg/dL (15-45 mcg/dL). Based on this information, what is the nurse's next action?