HESI Case Study: Cirrhosis Exam
Questions and Answers 100% Pass
Which nursing intervention best promotes accurate and effective communication?
- ANSWER-Explain that there are several types of cirrhosis.
The nurse continues the focused risk assessment by asking about etiologic factors
related to cirrhosis. Which assessment finding provides the most likely indication
that the client is at high risk for cirrhosis? - ANSWER-Previous diagnosis of
Hepatitis C.
Which nursing interventions are important prior to a paracentesis? (Select all that
apply. One, some, or all options may be correct.) - ANSWER--Ensure the client
has signed a consent.
-Instruct the client to empty their bladder.
-Position the client in an upright position.
-Apply sphygmomanometer to monitor blood pressure.
After the client undergoes the paracentesis, which nursing assessment warrants
immediate intervention? - ANSWER-Increasing abdominal pain
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, In the client with cirrhosis, which lab values does the nurse anticipate will be
increased from the normal value? (Select all that apply. One, some, or all options
may be correct.) - ANSWER-Total serum bilirubin
AST/ALT
APTT, PT/INR
Based on the prolonged APTT and PT/INR what clinical manifestation would the
nurse anticipate visualizing upon assessment? - ANSWER-Petechiae
With a confirmed diagnosis of Laennec's cirrhosis, which assessment finding
warrants immediate intervention? (Select all that apply. One, some, or all options
may be correct.) - ANSWER--Hematemesis
-Melena
Which medication places the client at risk for hyperkalemia? - ANSWER-
Spironolactone.
While administering the albumin infusion via a vein in the right hand, the nurse
notes that the peripheral edema in the client's arms and hands has changed from
3+ to 2+. It is most important for the nurse to implement which intervention? -
ANSWER-Continue the albumin infusion.
What is the best approach for the nurse to use when responding to the client? -
ANSWER-Ask the client why he feels people are judging them.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
Which nursing intervention best promotes accurate and effective communication?
- ANSWER-Explain that there are several types of cirrhosis.
The nurse continues the focused risk assessment by asking about etiologic factors
related to cirrhosis. Which assessment finding provides the most likely indication
that the client is at high risk for cirrhosis? - ANSWER-Previous diagnosis of
Hepatitis C.
Which nursing interventions are important prior to a paracentesis? (Select all that
apply. One, some, or all options may be correct.) - ANSWER--Ensure the client
has signed a consent.
-Instruct the client to empty their bladder.
-Position the client in an upright position.
-Apply sphygmomanometer to monitor blood pressure.
After the client undergoes the paracentesis, which nursing assessment warrants
immediate intervention? - ANSWER-Increasing abdominal pain
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, In the client with cirrhosis, which lab values does the nurse anticipate will be
increased from the normal value? (Select all that apply. One, some, or all options
may be correct.) - ANSWER-Total serum bilirubin
AST/ALT
APTT, PT/INR
Based on the prolonged APTT and PT/INR what clinical manifestation would the
nurse anticipate visualizing upon assessment? - ANSWER-Petechiae
With a confirmed diagnosis of Laennec's cirrhosis, which assessment finding
warrants immediate intervention? (Select all that apply. One, some, or all options
may be correct.) - ANSWER--Hematemesis
-Melena
Which medication places the client at risk for hyperkalemia? - ANSWER-
Spironolactone.
While administering the albumin infusion via a vein in the right hand, the nurse
notes that the peripheral edema in the client's arms and hands has changed from
3+ to 2+. It is most important for the nurse to implement which intervention? -
ANSWER-Continue the albumin infusion.
What is the best approach for the nurse to use when responding to the client? -
ANSWER-Ask the client why he feels people are judging them.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
