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Nursing Care for Patients with Hepatic Cirrhosis Quiz

#1

Which of the following is a characteristic feature of hepatic cirrhosis?

Jaundice
Explanation

Yellowing of the skin and eyes due to bilirubin buildup.

#2

What is the primary cause of hepatic cirrhosis?

Alcohol abuse
Explanation

Chronic alcohol consumption leading to liver damage and scarring.

#3

Which symptom is characteristic of hepatic encephalopathy in patients with cirrhosis?

Confusion
Explanation

Resulting from the accumulation of neurotoxic substances.

#4

What is a potential complication of hepatic cirrhosis related to portal hypertension?

Esophageal varices
Explanation

Dilated veins in the esophagus prone to bleeding.

#5

Which assessment finding indicates hepatic encephalopathy in a patient with cirrhosis?

Slurred speech and asterixis
Explanation

Signs of neurological impairment.

#6

Which complication is associated with hepatic cirrhosis and can lead to hepatorenal syndrome?

Ascites
Explanation

Resulting in circulatory dysfunction and renal impairment.

#7

Which laboratory finding indicates impaired liver function in a patient with hepatic cirrhosis?

Prolonged prothrombin time
Explanation

Reflects decreased production of clotting factors.

#8

Which position is preferred for a patient with hepatic cirrhosis to optimize respiratory function?

Fowler's position
Explanation

Enhances lung expansion and oxygenation.

#9

Which complication of hepatic cirrhosis can lead to the development of hepatorenal syndrome?

Ascites
Explanation

Leads to circulatory dysfunction and renal failure.

#10

Which nursing intervention is crucial for preventing skin breakdown in a patient with hepatic cirrhosis and ascites?

Encouraging frequent repositioning
Explanation

To alleviate pressure on vulnerable areas.

#11

Which of the following nursing interventions is appropriate for a patient with hepatic cirrhosis experiencing ascites?

Administer diuretics as ordered
Explanation

To reduce fluid buildup in the abdomen.

#12

What dietary modification is typically recommended for patients with hepatic cirrhosis?

Low-fat diet
Explanation

To ease the workload on the liver.

#13

Which medication is commonly administered to reduce ammonia levels in patients with hepatic encephalopathy?

Lactulose
Explanation

To promote the excretion of ammonia in the stool.

#14

What is the rationale for administering lactulose in patients with hepatic encephalopathy?

To decrease ammonia absorption
Explanation

By acidifying the colon and promoting ammonia excretion.

#15

What is the primary nursing goal for a patient with hepatic cirrhosis experiencing ascites?

Promote fluid restriction
Explanation

To minimize fluid buildup and reduce symptoms.

#16

Which diet modification is recommended for a patient with hepatic cirrhosis and hepatic encephalopathy?

Low protein
Explanation

To decrease ammonia production and neurotoxicity.

#17

Which medication should be avoided in patients with hepatic cirrhosis due to its hepatotoxic effects?

Acetaminophen (Tylenol)
Explanation

Can exacerbate liver damage and failure.

#18

Which assessment finding suggests the development of hepatic encephalopathy in a patient with cirrhosis?

Ammonia-like breath odor
Explanation

Due to ammonia buildup in the body.

#19

Which medication is commonly administered to reduce fluid retention in patients with hepatic cirrhosis?

Furosemide (Lasix)
Explanation

To promote diuresis and decrease fluid buildup.

#20

Which diet modification is typically recommended for patients with hepatic cirrhosis and ascites?

Low-sodium diet
Explanation

To reduce fluid retention and edema.

#21

Which laboratory test result would a nurse expect to see in a patient with hepatic cirrhosis?

Decreased platelet count
Explanation

Due to splenic sequestration and decreased production.

#22

Which nursing action is appropriate for a patient with hepatic cirrhosis experiencing bleeding esophageal varices?

Elevate the head of the bed
Explanation

To reduce venous pressure and risk of bleeding.

#23

Which nursing intervention is essential for a patient with hepatic cirrhosis to prevent bleeding complications?

Avoid intramuscular injections
Explanation

To prevent bleeding due to impaired clotting.

#24

Which nursing intervention is essential to prevent fluid volume overload in a patient with hepatic cirrhosis?

Monitoring daily weights and abdominal girth
Explanation

To detect and manage fluid retention.

#25

Which nursing action is appropriate for a patient with hepatic cirrhosis at risk for hepatic encephalopathy?

Monitor serum ammonia levels
Explanation

To assess for impending encephalopathy.

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