Patients with Hepatic Disorders Actual Practice Final
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A physician has ordered a liver biopsy for a client with cirrhosis whose condition
has recently deteriorated. The nurse reviews the client's recent laboratory
findings and recognizes that the client is at risk for complications due to:
low platelet count.
Chapter 49: Assessment and Management of Patients With Hepatic Disorders -
Page 1382
Prolonged prothrombin time (PT) and low platelet count place the client at
high risk for hemorrhage. The client may receive intravenous (IV)
administration of vitamin K or infusions of platelets before liver biopsy to
reduce the risk of bleeding.
,A client with severe and chronic liver disease is showing manifestations related to
inadequate vitamin intake and metabolism. He reports difficulty driving at night
because he cannot see well. Which of the following vitamins is most likely
deficient for this client?
Vitamin A
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 49: Assessment and
Management of Patients With Hepatic Disorders, Vitamin Deficiency, p. 1397.
A client with a lengthy history of alcohol addiction is being seen for jaundice. The
appearance of jaundice would most likely indicate:
liver disorder.
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 49: Assessment and
Management of Patients With Hepatic Disorders, p. 1384.
A nurse educator is providing an in-service to a group of nurses working on a
medical floor that specializes in liver disorders. What is an important education
topic regarding ingestion of medications?
metabolism of medications
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 49: Assessment and
Management of Patients With Hepatic Disorders, p. 1397.
,Total parental nutrition (TPN) should be used cautiously in clients with
pancreatitis because such clients:
cannot tolerate high-glucose concentration.
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 49: Assessment and
Management of Patients With Hepatic Disorders, p. 1444.
A client with carcinoma of the head of the pancreas is scheduled for surgery.
Which of the following should a nurse administer to the client before
surgery?
Vitamin K
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 49: Assessment and
Management of Patients With Hepatic Disorders, Medical Management, p. 1452.
, A nurse is preparing a presentation for a local community group about
hepatitis. Which of the following would the nurse include?
Hepatitis C increases a person's risk for liver cancer.
Chapter 49: Assessment and Management of Patients With Hepatic Disorders -
Page 1417
Infection with hepatitis C increases the risk of a person developing hepatic (liver)
cancer. Hepatitis A is transmitted primarily by the oral-fecal route; hepatitis B is
frequently spread by sexual contact and infected blood. Hepatitis E is similar to
hepatitis A whereas hepatitis G is similar to hepatitis C.