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Hepatic Disorder Nursing Practice Quiz

This document contains 10 practice questions about caring for clients with various hepatic disorders: 1. When discharging a client with hepatitis B, the nurse should instruct them to avoid sharing personal hygiene items and to follow a low-fat diet. 2. For a client with cirrhosis, ascites and edema, appropriate interventions to prevent skin breakdown include repositioning every 2 hours and using an alternating air pressure mattress. 3. To prevent bleeding in a client with liver disease, the nurse should advise avoiding straining and teach gentle injection techniques to minimize risk of rupture.

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279 views2 pages

Hepatic Disorder Nursing Practice Quiz

This document contains 10 practice questions about caring for clients with various hepatic disorders: 1. When discharging a client with hepatitis B, the nurse should instruct them to avoid sharing personal hygiene items and to follow a low-fat diet. 2. For a client with cirrhosis, ascites and edema, appropriate interventions to prevent skin breakdown include repositioning every 2 hours and using an alternating air pressure mattress. 3. To prevent bleeding in a client with liver disease, the nurse should advise avoiding straining and teach gentle injection techniques to minimize risk of rupture.

Uploaded by

Nicholas Obasi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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NURS 1028 Nursing Theory for Practical Nurses II

Hepatic Disorder Practice Questions

1. The practical nurse is providing education to a client with an active Hepatitis B


infection. What will the practical nurse include in the discharge instructions? Select all
that apply.
a. “Do not share toothbrushes, razors, utensils, drinking cups, or any type of
personal hygiene product.”
b. “Take acetaminophen as needed for pain.”
c. “Eat large meals that are spread out through the day.”
d. “Follow a diet low in fat and high in carbohydrates.”
e. “Perform aerobic exercises daily to maintain strength.”

2. A client diagnosed with chronic cirrhosis who has ascites and pitting peripheral
edema also has hepatic encephalopathy. Which of the following nursing interventions
are appropriate to prevent skin breakdown? Select all that apply.
a. Range of motion every 4 hour
b. Turn and reposition every 2 hours
c. Abdominal and foot massages every 2 hours
d. Alternating air pressure mattress
e. Sit in chair for 30 minutes each shift

3. When caring for a client with liver disease, the practical nurse recognizes the need to
prevent bleeding resulting from altered clotting factors and rupture of varices. Which
nursing interventions should be appropriate to achieve this outcome? Select all that
apply.
a. Use smallest gauge needle possible when giving injections or drawing blood
b. Teach client to avoid straining at stool, vigorous blowing of nose, and coughing
c. Advise client to use soft-bristle toothbrush and avoid ingestion of irritating food
d. Apply gentle pressure for the shortest possible time period after performing
venipuncture
e. Instruct client to avoid aspirin and NSAIDs to prevent hemorrhage when varices
are present

4. A client is diagnosed with Hepatitis A. The client asks how a person can become
infected with this condition. Which of the following does the practical nurse know is the
most common route of transmission?
a. Blood
b. Percutaneous
c. Mucosal
d. Fecal-oral

5. A client with Hepatitis A asks the practical nurse about the treatment options for this
condition. What would be the correct treatment the practical nurse should suggest the
physician will most likely order?
a. Antiviral medications
b. Interferon
c. Supportive care
d. Hepatitis A vaccine

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6. The physician writes an order for the administration of Lactulose. What lab result will
indicate this medication was successful?
a. Ammonia
b. ALT
c. Bilirubin
d. AST

7. Select all the signs and symptoms associated with Hepatitis?


a. Arthralgia
b. Bilirubin 17 μmol/L
c. Ammonia 36 μmol/L
d. Dark urine
e. Vision changes
f. Yellowing of the sclera
g. Fever
h. Loss of appetite

8. What is the most common transmission route of Hepatitis C?


a. Blood transfusion
b. Sharps injury
c. Long-term dialysis
d. IV drug use

9. A client with cirrhosis has severe splenomegaly. Which of the following will the
practical nurse make a priority to monitor the client for signs and symptoms of? Select
all that apply:
a. Thrombocytopenia
b. Vision changes
c. Increased PT/INR
d. Leukopenia

10. A client is admitted with hepatic encephalopathy secondary to cirrhosis. Which meal
option below should be avoided with this client?
a. Beef tips and broccoli rabe
b. Pasta noodles and bread
c. Cucumber sandwich with a side of grapes
d. Fresh salad with chopped water chestnuts

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