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concept of nursing 1
Cirrhosis
| Question | Answer |
|---|---|
| What should the nurse include in a focused assessment when caring for a patient admitted to the hospital with a diagnosis of cirrhosis? | -Assess the lower extremities. -Assess skin integrity and color. -Measure abdominal circumference. |
| Which pathologic change would cue the nurse to assess for excess fluid volume in a patient with cirrhosis? | Hyperaldosteronism |
| An elevation in which laboratory value can lead to increased confusion and lethargy in the patient with cirrhosis? | Ammonia |
| The nurse is preparing to administer a unit of fresh frozen plasma to a patient with cirrhosis admitted for a transjugular intrahepatic portosystemic shunt (TIPS) procedure. | -- |
| The patient’s caregiver asks why the patient will be receiving fresh frozen plasma. What is the nurse’s best response? | “Fresh frozen plasma provides the patient with the necessary clotting factors that the liver is not producing.” |
| The nurse is preparing to administer spironolactone to a patient with cirrhosis. Which finding would lead the nurse to withhold the dose of spironolactone? | Hyperkalemia |
| A nurse is reviewing medications with a patient who is being discharged after having an esophageal variceal bleed. The patient questions why propranolol is being prescribed when blood pressure is low. What is the nurse’s best response? | “Propranolol will help decrease the portal pressure to prevent further bleeding from existing varices.” |
| A nurse is caring for a patient with a long-standing history of cirrhosis. Which findings on admission would cue the nurse to ask for further information from the patient or caregiver? | -Uses acetaminophen for pain -Lethargic and oriented to person -Consumes 1 to 2 alcoholic beverages per week |
| The nurse is providing discharge teaching to a male patient with cirrhosis about managing his care at home. Which statement made by the patient indicates a need for further teaching? | “I will weigh myself every other day.” |
| The nurse is reviewing the admission history and physical examination findings for a patient with a history of cirrhosis who is being admitted for the third time in 6 months. | -- |
| Which laboratory finding would indicate the patient has not followed the plan of care previously discussed at discharge? | Blood alcohol level 160 mg/dL |
| Which interventions should the nurse include in the plan of care for a patient with cirrhosis who is experiencing excess fluid volume? | -Obtain a daily weight. -Auscultate lung sounds. -Elevate lower extremities. |
Created by:
Lightnning54
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