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nur 445 exam 5 Questions and Answers with Complete
Solutions UPDATED!!!
what are the clinical manifestations of cirrhosis of the liver? -
ANSWER Shortness of breath
• Decreased blood pressure
• Petechiae, bruising, and bleeding
• Altered mental status
• Asterixis
• Elevated liver enzymes
• Jaundice
• Dark amber urine
• Increased abdominal girth and bloating
• Decreased serum albumin levels
• Spider angiomas
• Palmar erythema
• Pruritus (secondary to accumulation of bile salts)
how is cirrhosis of the liver treated? - ANSWER sodium
rstrictions
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fluid restrictions
ativan diazepam
lactulose- waste excess ammonia
diuretics to help wast fluid ascites
parecentesis to drain ascites
vitamins a, b, c, k and folate to help vitamin b12 deficiencies
liver biopsy- removing damaged part of liver
Administer vitamin K, blood products, and fresh frozen plasma
as ordered (Corrects coagulation disorders)
small, frequent meals to prevent protein loading
transjugular intrahepatic portosystemic shunt -reduces fluid
accumulation
why is promoting rest important for cirrhosis clients? - ANSWER
Promote rest periods between activities; sit down while
bathing, dressing
Decreases metabolic demand on liver, decreases oxygen
demand, and prevents fatigue
what medications that are contraindicated in cirrhosis? -
ANSWER fluids- reduce risk of ascites
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protein restrictions- prevents uremia and ammonia build up
No ASPIRIN /tylenol due to decreased ability to metabolize
warfarin/ anticoagulants
antidepressants
What is asterixis? - ANSWER (flapping tremor of the hand when
wrist extended)
Cirrohsis labs - ANSWER ALT elevated: > 40 males
> 36 females
AST elevated: > 40 males
> 35 females
Alkaline phosphate elevated
Males > 142
Females > 125
Alkaline phosphate liver faction elevated
>93
Bilirubin total: >1
Bilirubin direct: > 0.3
nur 445 exam 5 Questions and Answers with Complete
Solutions UPDATED!!!
what are the clinical manifestations of cirrhosis of the liver? -
ANSWER Shortness of breath
• Decreased blood pressure
• Petechiae, bruising, and bleeding
• Altered mental status
• Asterixis
• Elevated liver enzymes
• Jaundice
• Dark amber urine
• Increased abdominal girth and bloating
• Decreased serum albumin levels
• Spider angiomas
• Palmar erythema
• Pruritus (secondary to accumulation of bile salts)
how is cirrhosis of the liver treated? - ANSWER sodium
rstrictions
,2|Page
fluid restrictions
ativan diazepam
lactulose- waste excess ammonia
diuretics to help wast fluid ascites
parecentesis to drain ascites
vitamins a, b, c, k and folate to help vitamin b12 deficiencies
liver biopsy- removing damaged part of liver
Administer vitamin K, blood products, and fresh frozen plasma
as ordered (Corrects coagulation disorders)
small, frequent meals to prevent protein loading
transjugular intrahepatic portosystemic shunt -reduces fluid
accumulation
why is promoting rest important for cirrhosis clients? - ANSWER
Promote rest periods between activities; sit down while
bathing, dressing
Decreases metabolic demand on liver, decreases oxygen
demand, and prevents fatigue
what medications that are contraindicated in cirrhosis? -
ANSWER fluids- reduce risk of ascites
, 3|Page
protein restrictions- prevents uremia and ammonia build up
No ASPIRIN /tylenol due to decreased ability to metabolize
warfarin/ anticoagulants
antidepressants
What is asterixis? - ANSWER (flapping tremor of the hand when
wrist extended)
Cirrohsis labs - ANSWER ALT elevated: > 40 males
> 36 females
AST elevated: > 40 males
> 35 females
Alkaline phosphate elevated
Males > 142
Females > 125
Alkaline phosphate liver faction elevated
>93
Bilirubin total: >1
Bilirubin direct: > 0.3
