NU 424 Renal Exam Study Set A+ Graded
Which of the following the are early manifestations of liver cancer? Select all that apply.
Pain
Continuous aching in the back
Increased appetite
Fever
Jaundice
Vomiting - ANSWER Pain
Continuous aching in the back
A mother brings her teenage son to the clinic, where tests show that he has hepatitis A
virus (HAV). They ask the nurse how this could have happened. Which of the following
explanations would the nurse correctly identify as possible causes? Select all that
apply.
Infection at school
Suboptimal sanitary habits
Consumption of sewage-contaminated water or shellfish
Sexual activity
Ingestion of undercooked beef - ANSWER Infection at school
Suboptimal sanitary habits
Consumption of sewage-contaminated water or shellfish
Sexual activity
A nurse practitioner treating a patient who is diagnosed with hepatitis A should provide
health care information. Which of the following statements are correct for this disorder?
Select all that apply.
The incubation period for this virus is up to 4 months.
There is a 70% chance that jaundice will occur.
Transmission of the virus is possible with oral-anal contact during sex.
Typically there is a spontaneous recovery.
, There is a 50% risk that cirrhosis will develop. - ANSWER There is a 70% chance that
jaundice will occur.
Transmission of the virus is possible with oral-anal contact during sex.
Typically there is a spontaneous recovery.
When caring for a client with hepatitis B, the nurse should monitor closely for the
development of which finding associated with a decrease in hepatic function? -
ANSWER Irritability and drowsiness
Explanation:
Although all the options are associated with hepatitis B, the onset of irritability and
drowsiness suggests a decrease in hepatic function. To detect signs and symptoms of
disease progression, the nurse should observe for disorientation, behavioral changes,
and a decreasing level of consciousness and should monitor the results of liver function
tests, including the blood ammonia level. If hepatic function is decreased, the nurse
should take safety precautions.
A client with hepatitis C develops liver failure and GI hemorrhage. The blood products
that most likely bring about hemostasis in the client are: - ANSWER cryoprecipitate and
fresh frozen plasma.
Explanation:
The liver is vital in the synthesis of clotting factors, so when it's diseased or
dysfunctional, as in hepatitis C, bleeding occurs. Treatment consists of administering
blood products that aid clotting. These products include fresh frozen plasma containing
fibrinogen and cryoprecipitate, which have most of the clotting factors. Although
administering whole blood, albumin, and packed cells will contribute to hemostasis,
these products aren't specifically used to treat hemostasis. Although platelets may be
helpful, the best answer is cryoprecipitate and fresh frozen plasma.
A client is given a diagnosis of hepatic cirrhosis. The client asks the nurse what findings
led to this determination. Which of the following clinical manifestations would the nurse
correctly identify? Select all that apply.
Enlarged liver size
Ascites
Accelerated behaviors and mental processes
Hemorrhoids
Excess storage of vitamin C - ANSWER Enlarged liver size
Ascites
Which of the following the are early manifestations of liver cancer? Select all that apply.
Pain
Continuous aching in the back
Increased appetite
Fever
Jaundice
Vomiting - ANSWER Pain
Continuous aching in the back
A mother brings her teenage son to the clinic, where tests show that he has hepatitis A
virus (HAV). They ask the nurse how this could have happened. Which of the following
explanations would the nurse correctly identify as possible causes? Select all that
apply.
Infection at school
Suboptimal sanitary habits
Consumption of sewage-contaminated water or shellfish
Sexual activity
Ingestion of undercooked beef - ANSWER Infection at school
Suboptimal sanitary habits
Consumption of sewage-contaminated water or shellfish
Sexual activity
A nurse practitioner treating a patient who is diagnosed with hepatitis A should provide
health care information. Which of the following statements are correct for this disorder?
Select all that apply.
The incubation period for this virus is up to 4 months.
There is a 70% chance that jaundice will occur.
Transmission of the virus is possible with oral-anal contact during sex.
Typically there is a spontaneous recovery.
, There is a 50% risk that cirrhosis will develop. - ANSWER There is a 70% chance that
jaundice will occur.
Transmission of the virus is possible with oral-anal contact during sex.
Typically there is a spontaneous recovery.
When caring for a client with hepatitis B, the nurse should monitor closely for the
development of which finding associated with a decrease in hepatic function? -
ANSWER Irritability and drowsiness
Explanation:
Although all the options are associated with hepatitis B, the onset of irritability and
drowsiness suggests a decrease in hepatic function. To detect signs and symptoms of
disease progression, the nurse should observe for disorientation, behavioral changes,
and a decreasing level of consciousness and should monitor the results of liver function
tests, including the blood ammonia level. If hepatic function is decreased, the nurse
should take safety precautions.
A client with hepatitis C develops liver failure and GI hemorrhage. The blood products
that most likely bring about hemostasis in the client are: - ANSWER cryoprecipitate and
fresh frozen plasma.
Explanation:
The liver is vital in the synthesis of clotting factors, so when it's diseased or
dysfunctional, as in hepatitis C, bleeding occurs. Treatment consists of administering
blood products that aid clotting. These products include fresh frozen plasma containing
fibrinogen and cryoprecipitate, which have most of the clotting factors. Although
administering whole blood, albumin, and packed cells will contribute to hemostasis,
these products aren't specifically used to treat hemostasis. Although platelets may be
helpful, the best answer is cryoprecipitate and fresh frozen plasma.
A client is given a diagnosis of hepatic cirrhosis. The client asks the nurse what findings
led to this determination. Which of the following clinical manifestations would the nurse
correctly identify? Select all that apply.
Enlarged liver size
Ascites
Accelerated behaviors and mental processes
Hemorrhoids
Excess storage of vitamin C - ANSWER Enlarged liver size
Ascites
