2025 COMPREHENSIVE HEALTH
CARE NURSING CHAPTER 53
COMPLETE QUESTIONS WITH
VERIFIED ANSWERS ALREADY
GRADED A+ BY EXPERTS
The nurse is caring for a client who has cirrhosis of the liver. Which risk factor is the leading
cause of cirrhosis?
a. Metabolic syndrome
b. Liver cancer
c. Nonalcoholic fatty liver disease
d. Hepatitis C - CORRECT ANSWER>>>A
The nurse is caring for a client who has cirrhosis of the liver. What nursing action is appropriate
to help control ascites?
a. Monitor intake and output.
b. Provide a low-sodium diet.
c. Increase oral fluid intake.
d. Weigh the patient daily - CORRECT ANSWER>>>B
The nurse assesses a client who is recovering from a paracentesis 1 hour ago. Which assessment
finding would require immediate action by the nurse?
a. Urine output via indwelling urinary catheter is 20 mL/hr
b. Blood pressure increases from 110/58 to 120/62 mm Hg
c. Respiratory rate decreases from 22 to 16 breaths/min
d. A decrease in the client's weight by 3 lb (1.4 kg) - CORRECT ANSWER>>>A
The nurse is caring for a client who has a risk gene for developing cirrhosis. Which racial/ethnic
group has this gene most often?
a. Blacks
b. Asian/Pacific Islanders
c. Latinos
d. French - CORRECT ANSWER>>>C
The nurse is caring for a client with hepatic portal-systemic encephalopathy (PSE). The clientis
thin and cachectic, and the family expresses distress that the patient is receiving little dietary
protein. How would the nurse respond?
1
,a. "A low-protein diet will help the liver rest and will restore liver function."
b. "Less protein in the diet will help prevent confusion associated with liver failure."
c. "Increasing dietary protein will help the patient gain weight and muscle mass."
d. "Low dietary protein is needed to prevent fluid from leaking into the abdomen." - CORRECT
ANSWER>>>B
he nurse is caring for a client who is prescribed lactulose. The client states, "I do not want to take
this medication because it causes diarrhea." How would the nurse respond?
a. "Diarrhea is expected; that's how your body gets rid of ammonia."
b. "You may take antidiarrheal medication to prevent loose stools."
c. "Do not take any more of the medication until your stools firm up."
d. "We will need to send a stool specimen to the laboratory as soon as possible." - CORRECT
ANSWER>>>A
After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the client's
understanding. Which statement by the client indicates correct understanding of the teaching?
a. "Some medications have been known to cause hepatitis A."
b. "I may have been exposed when we ate shrimp last weekend."
c. "I was infected with hepatitis A through a recent blood transfusion."
d. "My infection with Epstein-Barr virus can co-infect me with hepatitis A." - CORRECT
ANSWER>>>B
The nurse is caring for a client scheduled to have a transjugular intrahepatic portal-systemic
shunt (TIPS) procedure. What client assessment would the nurse perform prior to this procedure?
a. Musculoskeletal assessment
b. Neurologic assessment
c. Mental health assessment
d. Cardiovascular assessment - CORRECT ANSWER>>>D
A nurse assesses a client who has cholecystitis. Which sign or symptom indicates that
thiscondition is chronic rather than acute?
a. Temperature of 100.1° F (37.8° C)
b. Positive Murphy sign
c. Clay-colored stools
d. Upper abdominal pain after eating - CORRECT ANSWER>>>C
The nurse is teaching a client a client about taking elbasvir for hepatitis C. What information in
the client's history would the nurse need prior to drug administration?
a. History of hepatitis B
b. History of kidney disease
c. History of cardiac disease
d. History of rectal bleeding - CORRECT ANSWER>>>A
2
,A telehealth nurse speaks with a client who is recovering from a liver transplant 2 weeks ago.The
client states, "I'm having right belly pain and have a temperature of 101° F (38.3° C)." How
would the nurse respond?
a. "The anti-rejection drugs you are taking make you susceptible to infection."
b. "You should go to the hospital immediately to get checked out."
c. "You should take an additional dose of cyclosporine today."
d. "Take acetaminophen every 4 hours until you feel better soon." - CORRECT ANSWER>>>B
After teaching a client who has alcohol-induced cirrhosis, a nurse assesses the
client'sunderstanding. Which statement made by the client indicates a need for further teaching?
a. "I cannot drink any alcohol at all anymore."
b. "I should not take over-the-counter medications."
c. "I need to avoid protein in my diet."
d. "I should eat small, frequent, balanced meals." - CORRECT ANSWER>>>C
The nurse is caring for a client who is scheduled for a paracentesis. Which action is appropriate
for the nurse to take?
a. Have the client sign the informed consent form.
b. Get the patient into a chair before the procedure.
c. Help the client lie flat in bed on the right side.
d. Assist the client to void before the procedure. - CORRECT ANSWER>>>D
The nurse is caring for a client who has cirrhosis from substance abuse. The client states, "All of
my family hates me." How would the nurse respond?
a. "You should make peace with your family."
b. "This is not unusual. My family hates me too."
c. "I will help you identify a support system."
d. "You must attend Alcoholics Anonymous." - CORRECT ANSWER>>>C
The nurse is caring for a client with hepatitis C. The client's brother states, "I do not want to get
this infection, so I'm not going into his hospital room." How would the nurse respond?
a. "Hepatitis C is not spread through casual contact."
b. "If you wear a gown and gloves, you will not get this virus."
c. "This virus is only transmitted through a fecal specimen."
d. "I can give you an update on your brother's status from here." - CORRECT ANSWER>>>A
The nurse is caring for a client with early encephalopathy due to cirrhosis of the liver. Which
factors may contribute to increased encephalopathy for which the nurse would assess? (Select all
that apply.)
3
, a. Infection
b. GI bleeding
c. Irritable bowel syndrome
d. Constipation
e. Anemia
f. Hypovolemia - CORRECT ANSWER>>>ABDF
A nurse assesses a client who has cirrhosis of the liver. Which laboratory findings would the
nurse expect in clients with this disorder? (Select all that apply.)
a. Elevated aspartate transaminase
b. Elevated international normalized ratio (INR)
c. Decreased serum globulin levels
d. Decreased serum alkaline phosphatase
e. Elevated serum ammonia
f. Elevated prothrombin time (PT) - CORRECT ANSWER>>>BEF
The nurse is teaching assistive personnel (AP) about care of a client who has advanced cirrhosis.
Which statements would the nurse include in the staff teaching? (Select all that apply.)
a. "Apply lotion to the client's dry skin areas."
b. "Use a basin with warm water to bathe the patient."
c. "For the patient's oral care, use a soft toothbrush."
d. "Provide clippers so the patient can trim the fingernails."
e. "Bathe with antibacterial and water-based soaps." - CORRECT ANSWER>>>ACD
The nurse is caring for a client who has late-stage (advanced) cirrhosis. What assessment
findings would the nurse expect? (Select all that apply.)
a. Jaundice
b. Clay-colored stools
c. Icterus
d. Ascites
e. Petechiae
f. Dark urine - CORRECT ANSWER>>>ABCDEF
he nurse plans care for a patient who has hepatopulmonary syndrome. Which interventions
would the nurse include in this client's plan of care? (Select all that apply.)
a. Oxygen therapy
b. Prone position
c. Feet elevated on pillows
d. Daily weights
e. Physical therapy
f. Respiratory therapy - CORRECT ANSWER>>>ACDF
4
CARE NURSING CHAPTER 53
COMPLETE QUESTIONS WITH
VERIFIED ANSWERS ALREADY
GRADED A+ BY EXPERTS
The nurse is caring for a client who has cirrhosis of the liver. Which risk factor is the leading
cause of cirrhosis?
a. Metabolic syndrome
b. Liver cancer
c. Nonalcoholic fatty liver disease
d. Hepatitis C - CORRECT ANSWER>>>A
The nurse is caring for a client who has cirrhosis of the liver. What nursing action is appropriate
to help control ascites?
a. Monitor intake and output.
b. Provide a low-sodium diet.
c. Increase oral fluid intake.
d. Weigh the patient daily - CORRECT ANSWER>>>B
The nurse assesses a client who is recovering from a paracentesis 1 hour ago. Which assessment
finding would require immediate action by the nurse?
a. Urine output via indwelling urinary catheter is 20 mL/hr
b. Blood pressure increases from 110/58 to 120/62 mm Hg
c. Respiratory rate decreases from 22 to 16 breaths/min
d. A decrease in the client's weight by 3 lb (1.4 kg) - CORRECT ANSWER>>>A
The nurse is caring for a client who has a risk gene for developing cirrhosis. Which racial/ethnic
group has this gene most often?
a. Blacks
b. Asian/Pacific Islanders
c. Latinos
d. French - CORRECT ANSWER>>>C
The nurse is caring for a client with hepatic portal-systemic encephalopathy (PSE). The clientis
thin and cachectic, and the family expresses distress that the patient is receiving little dietary
protein. How would the nurse respond?
1
,a. "A low-protein diet will help the liver rest and will restore liver function."
b. "Less protein in the diet will help prevent confusion associated with liver failure."
c. "Increasing dietary protein will help the patient gain weight and muscle mass."
d. "Low dietary protein is needed to prevent fluid from leaking into the abdomen." - CORRECT
ANSWER>>>B
he nurse is caring for a client who is prescribed lactulose. The client states, "I do not want to take
this medication because it causes diarrhea." How would the nurse respond?
a. "Diarrhea is expected; that's how your body gets rid of ammonia."
b. "You may take antidiarrheal medication to prevent loose stools."
c. "Do not take any more of the medication until your stools firm up."
d. "We will need to send a stool specimen to the laboratory as soon as possible." - CORRECT
ANSWER>>>A
After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the client's
understanding. Which statement by the client indicates correct understanding of the teaching?
a. "Some medications have been known to cause hepatitis A."
b. "I may have been exposed when we ate shrimp last weekend."
c. "I was infected with hepatitis A through a recent blood transfusion."
d. "My infection with Epstein-Barr virus can co-infect me with hepatitis A." - CORRECT
ANSWER>>>B
The nurse is caring for a client scheduled to have a transjugular intrahepatic portal-systemic
shunt (TIPS) procedure. What client assessment would the nurse perform prior to this procedure?
a. Musculoskeletal assessment
b. Neurologic assessment
c. Mental health assessment
d. Cardiovascular assessment - CORRECT ANSWER>>>D
A nurse assesses a client who has cholecystitis. Which sign or symptom indicates that
thiscondition is chronic rather than acute?
a. Temperature of 100.1° F (37.8° C)
b. Positive Murphy sign
c. Clay-colored stools
d. Upper abdominal pain after eating - CORRECT ANSWER>>>C
The nurse is teaching a client a client about taking elbasvir for hepatitis C. What information in
the client's history would the nurse need prior to drug administration?
a. History of hepatitis B
b. History of kidney disease
c. History of cardiac disease
d. History of rectal bleeding - CORRECT ANSWER>>>A
2
,A telehealth nurse speaks with a client who is recovering from a liver transplant 2 weeks ago.The
client states, "I'm having right belly pain and have a temperature of 101° F (38.3° C)." How
would the nurse respond?
a. "The anti-rejection drugs you are taking make you susceptible to infection."
b. "You should go to the hospital immediately to get checked out."
c. "You should take an additional dose of cyclosporine today."
d. "Take acetaminophen every 4 hours until you feel better soon." - CORRECT ANSWER>>>B
After teaching a client who has alcohol-induced cirrhosis, a nurse assesses the
client'sunderstanding. Which statement made by the client indicates a need for further teaching?
a. "I cannot drink any alcohol at all anymore."
b. "I should not take over-the-counter medications."
c. "I need to avoid protein in my diet."
d. "I should eat small, frequent, balanced meals." - CORRECT ANSWER>>>C
The nurse is caring for a client who is scheduled for a paracentesis. Which action is appropriate
for the nurse to take?
a. Have the client sign the informed consent form.
b. Get the patient into a chair before the procedure.
c. Help the client lie flat in bed on the right side.
d. Assist the client to void before the procedure. - CORRECT ANSWER>>>D
The nurse is caring for a client who has cirrhosis from substance abuse. The client states, "All of
my family hates me." How would the nurse respond?
a. "You should make peace with your family."
b. "This is not unusual. My family hates me too."
c. "I will help you identify a support system."
d. "You must attend Alcoholics Anonymous." - CORRECT ANSWER>>>C
The nurse is caring for a client with hepatitis C. The client's brother states, "I do not want to get
this infection, so I'm not going into his hospital room." How would the nurse respond?
a. "Hepatitis C is not spread through casual contact."
b. "If you wear a gown and gloves, you will not get this virus."
c. "This virus is only transmitted through a fecal specimen."
d. "I can give you an update on your brother's status from here." - CORRECT ANSWER>>>A
The nurse is caring for a client with early encephalopathy due to cirrhosis of the liver. Which
factors may contribute to increased encephalopathy for which the nurse would assess? (Select all
that apply.)
3
, a. Infection
b. GI bleeding
c. Irritable bowel syndrome
d. Constipation
e. Anemia
f. Hypovolemia - CORRECT ANSWER>>>ABDF
A nurse assesses a client who has cirrhosis of the liver. Which laboratory findings would the
nurse expect in clients with this disorder? (Select all that apply.)
a. Elevated aspartate transaminase
b. Elevated international normalized ratio (INR)
c. Decreased serum globulin levels
d. Decreased serum alkaline phosphatase
e. Elevated serum ammonia
f. Elevated prothrombin time (PT) - CORRECT ANSWER>>>BEF
The nurse is teaching assistive personnel (AP) about care of a client who has advanced cirrhosis.
Which statements would the nurse include in the staff teaching? (Select all that apply.)
a. "Apply lotion to the client's dry skin areas."
b. "Use a basin with warm water to bathe the patient."
c. "For the patient's oral care, use a soft toothbrush."
d. "Provide clippers so the patient can trim the fingernails."
e. "Bathe with antibacterial and water-based soaps." - CORRECT ANSWER>>>ACD
The nurse is caring for a client who has late-stage (advanced) cirrhosis. What assessment
findings would the nurse expect? (Select all that apply.)
a. Jaundice
b. Clay-colored stools
c. Icterus
d. Ascites
e. Petechiae
f. Dark urine - CORRECT ANSWER>>>ABCDEF
he nurse plans care for a patient who has hepatopulmonary syndrome. Which interventions
would the nurse include in this client's plan of care? (Select all that apply.)
a. Oxygen therapy
b. Prone position
c. Feet elevated on pillows
d. Daily weights
e. Physical therapy
f. Respiratory therapy - CORRECT ANSWER>>>ACDF
4
