Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)

Jaundice

Hepatic encephalopathy

Ascites

Regular exercise

Answer and Explanation

Correct Answer : A,B,C

Rationale:

A. Decompensated cirrhosis impairs the liver’s ability to process bilirubin, leading to yellowing of the skin and eyes.

B. Accumulation of ammonia and other toxins due to liver dysfunction can cause confusion, altered level of consciousness, and asterixis.

C. Fluid shifts into the peritoneal cavity occur due to low albumin levels and portal hypertension, causing abdominal distention.

D. While beneficial for overall health, exercise is not a clinical manifestation of cirrhosis.

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Correct Answer is B

Explanation

Rationale:
A. Ulcerative colitis always begins in the rectum and progresses proximally, but Crohn’s disease can occur anywhere in the GI tract.
B. Ulcerative colitis and Crohn’s disease are both types of inflammatory bowel disease (IBD) characterized by chronic intestinal inflammation.
C. Surgery may be needed in severe cases, but ulcerative colitis can sometimes be cured with colectomy, while Crohn’s disease is not cured by surgery and tends to recur.
D. Fistulas are common in Crohn’s disease but not in ulcerative colitis.

A. Lower right quadrant B. Lower left quadrant C. Upper left quadrant D. Upper right quadrant

Correct Answer is B

Explanation

Rationale:
A. Pain in this area is more commonly associated with appendicitis, not diverticular disease.
B. Lower left quadrant is the typical site of pain in diverticular disease, especially diverticulitis, because the sigmoid colon (most often affected) is located here.
C. Upper left quadrant; Pain in this area is more often linked to conditions involving the spleen, stomach, or pancreas.
D. Upper right quadrant; Pain here is usually related to gallbladder, liver, or biliary tract disorders.

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Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?

Correct Answer is B

Explanation

A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

A nurse on the day shift is preparing to change a client's total parenteral nutrition (TPN) solution, but the new TPN solution has not arrived from the pharmacy. The client receives additional IV fat emulsion during the night shift. Which of the following actions should the nurse take?

Which complication is most commonly associated with paracentesis for ascites?

A nurse in a provider's office is caring for a client. Exhibits Select the 3 findings from the client's medical record that increase their risk for peptic ulcer disease (PUD).

A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point.

Which electrolyte imbalance is most commonly associated with refeeding syndrome?

A nurse is providing discharge teaching to a client who will be receiving total parenteral nutrition (TPN) at home. Which of the following instructions should the nurse include? (Select all that apply.)

A student asks the nurse why a peripherally inserted central catheter is needed for a patient receiving parenteral nutrition with 25% dextrose. Which response by the nurse is accurate?