B with ascites. Which of the following actions should the nurse include in the
plan of care?
A) Initiate contact precautions
B) Weight the client weekly
C) Measure the abdominal girth at the base of the ribcage
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, D) Provide a high-calorie, high-carbohydrate diet ANS >>> D) Provide a high-
calorie, high-carbohydrate diet
2. A nurse is caring for a client who has a new diagnosis of hepatitis C. Which
of the following laboratory findings should the nurse expect?
A) Presence of immunoglobulin G antibodies (IgG)
B) Positive EIA test
C) Aspartate aminotransferase (AST) 35 units/L
D) Alanine aminotransferase (ALT) 15 IU/L ANS >>> B) Positive EIA test
3. A nurse is assessing a client who has advanced cirrhosis. The nurse should
identify which of the following findings as indicators of hepatic encephalopa-
thy? (SATA)
A) Anorexia
B) Change in orientation
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, C) Asterixis
D) Ascites
E) Fetor hepaticus ANS >>> B) Change in orientation
C) Asterixis
E) Fetor hepaticus
4. A nurse is caring for a client who has cirrhosis. Which of the following
medications can the nurse expect to administer to this client? (SATA)
A) Diuretic
B) Beta-blocking agent
C) Opioid analgesic
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, D) Lactulose
E) Sedative ANS >>> A) Diuretic
B) Beta-blocking agent
D) Lactulose
5. A nurse is teaching a client who has hepatitis B about home care. Which of
the following instructions should the nurse include in the teaching? (SATA)
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