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

Prothrombin time (PT)

Serum albumin

Serum ammonia

Troponin

Serum lipase

Answer and Explanation

Correct Answer : A,B,C

A)   PT is prolonged in cirrhosis due to impaired synthesis of clotting factors by the liver, making it important to monitor for bleeding risk.
B)   Serum albumin levels decrease in cirrhosis due to impaired liver function, reflecting the client's nutritional status and liver synthetic function.
C)   Elevated serum ammonia levels can indicate hepatic encephalopathy, a complication of cirrhosis characterized by altered mental status.
D)   Troponin is not typically evaluated in cirrhosis assessment; it is a cardiac marker used to assess for myocardial infarction.
E)   Serum lipase is not typically evaluated in cirrhosis assessment; it is a pancreatic enzyme used to diagnose pancreatitis.

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Correct Answer is B

Explanation

A) Bowel pattern changes are not typically associated with hepatitis C.

B) Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus.
C) Travel history is not directly relevant to assessing for hepatitis C transmission.

D) While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.

A. Alcohol abuse B. IV drug use C. Smoking D. Obesity

Correct Answer is A

Explanation

A) Chronic and excessive alcohol consumption is a well-established risk factor for the development of chronic pancreatitis.
B) While contributing to other health issues, it is not directly linked to chronic pancreatitis.

C) Smoking is a risk factor, but alcohol abuse is more significantly associated with chronic pancreatitis.
D) Although it contributes to various health problems, it is not as directly linked to chronic pancreatitis as alcohol abuse.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

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

The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

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?