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Nurs 241 Exam 4 Cirrhosis, Liver Cancer, Drug & Alcohol Abuse Questions And Verified Answers

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NURS 241 EXAM 4 CIRRHOSIS, LIVER CANCER, DRUG & ALCOHOL ABUSE QUESTIONS AND VERIFIED ANSWERS

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When caring for a pt with liver failure, the nurse assesses for which potential
complications? (select all that apply)
a) hematuria
b) jaundice
c) coagulopathy
d) spontaneuous bacterial peritonitis
e) encephalopathy
f) hemorrhoids


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, b) jaundice
c) coagulopathy
e) encephalopathy




What are the symptoms & presentation of alcohol ingestion is stopped?


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-nausea
-shaking
-sweating
-disorientation
-changes in mood, speech, postural stability




Q1: It is 8 hours after a paracentesis procedure was performed. What do you need to
check back on?


Q2: ****What would make this patient deteriorate after the procedure?


Q3: What background pieces would make this patient more critical?


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Q1: Site, fluid status (VS, urine output, labs), wt
Q2: Sepsis, fall, no one assessing them
Q3: CHF, AKI, blood thinners, diabetes, change MS




A client is taking prednisone to prevent transplant rejection. What instruction by the
nurse is most
important?

,a. Avoid large crowds and people who are ill.
b. Check over-the-counter meds for acetaminophen.
c. Take this medicine exactly as prescribed.
d. You have a higher risk of developing cancer.


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a. Avoid large crowds and people who are ill.

*Prednisone, like all steroids, decreases immune function. The client should
be advised to avoid large crowds and people who are ill. Prednisone does
not contain acetaminophen. All clients should be taught to take
medications exactly as prescribed. A higher risk for cancer is seen with
drugs from the calcineurin inhibitor
category, such as tacrolimus (Prograf).




When caring for a client with cirrhosis, which of these does the nurse expect to find
on assessment? (select all that apply)
a) Prolonged partial thromboplastin time
b) Icterus of skin
c) Swollen abdomen
d) Elevated magnesium
e) Currant jelly stool
f) Elevated amylase level


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a) Prolonged partial thromboplastin time
b) Icterus of skin
c) Swollen abdomen

*Clients with cirrhosis have damaged clotting factors, so prolonged
coagulation times and bleeding may result. Icterus, or jaundice, results from
cirrhosis. The client with cirrhosis may develop ascites, or fluid in the
abdominal cavity.Elevated magnesium is not related to cirrhosis. Amylase is
typically elevated in pancreatitis. Currant jelly stool is consistent with
intussusception, a type of bowel obstruction. The client with cirrhosis may
develop hypocalcemia and/or hypokalemia. It is also consistent with

, elevations of aspartate aminotransferase (AST), alanine aminotransferase
(ALT), and alkaline phosphatase.




Match each cancer cell picture with its likely definition or explanation.
Use each picture and definition only once. *REFER TO IMAGES IN QUIZ 8
____Disordered architecture, structure and arrangements: likely cancer cells
____Cells all look the same type and size: normal cell structure
____Tumor with smooth border, defined edges, no spreading or extravasation = benign
or encapsulated tumor
____Tumor which has extravasated or spread beyond margins/borders = malignant
tumor


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__1__Disordered architecture, structure and arrangements: likely cancer cells
__2__Cells all look the same type and size: normal cell structure
__4__Tumor with smooth border, defined edges, no spreading or
extravasation = benign or encapsulated tumor
__3__Tumor which has extravasated or spread beyond margins/borders =
malignant tumor




A nurse cares for a client with hepatitis C. The clients brother states, I do not want to
contract this
infection, so I will not go into his hospital room. How should the nurse respond?
a. If you wear a gown and gloves, you will not get this virus.
b. Viral hepatitis is not spread through casual contact.
c. This virus is only transmitted through a fecal specimen.
d. I can give you an update on your brothers status from here.


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