This part of the 197 NurseZone Med-Surg Nursing Final Coaching focuses on managing a patient with liver cirrhosis. It assesses knowledge on complications like esophageal varices, hepatic encephalopathy, and nutritional needs, crucial for effective nursing interventions.
High fat diet
Low caloric diet
Low protein diet
High sodium diet
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Serum amylase level
Serum glucose level
Serum bilirubin level
White blood cell
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Empty the bladder
Eat foods low in fat
Remain NPO for 24 hours
Assume the supine position
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White bread
Dried fish
Fried rice
Boiled corn
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Fruit salad and vegetables
Boiled egg and vegetables
Cheeseburger and fries
Tuna salad with pasta
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Esophageal perforation
Pulmonary hypertension
Portal hypertension
Peptic ulcers
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The presence of a positive fluid wave in the abdominal area
A yellowish color of the sclera and skin
Ecchymosis in the flank and around the umbilical area
Bloody, foul-smelling stools
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Infection of the liver
Fatty degeneration of the liver
Obstruction of the hepatic circulation
Obstruction of the cystic and hepatic ducts
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Bile-colored stools
Elevated cholesterol
Flapping hand tremors
Depressed muscle reflexes
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Abdominal ultrasound
Barium enema
Complete blood count
Computed tomography (CT) scan
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High fever and vomiting
Petechiae and hepatomegaly
Jaundice and dark urine
Constipation alternating with diarrhea
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Clamping the t-tube
Aspirating the drainage
Irrigating the drainage
Emptying the drainage
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Avoid a high-fiber diet
Continue to use ice packs
Take a laxative daily to prevent constipation
Use a sitz bath after each bowel movement
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Ammonia level
White blood cell count
Culture and sensitivity
Alanine aminotransferase level
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Yes, you should be able to swim again, even with the colostomy
You should avoid immersing the colostomy in water
No, you should avoid getting the colostomy wet
Don’t worry about that. You will be able to live just like you did before
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Cholangiography
Ultrasonography
Gall bladder series
Oral cholecystogram
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Tissue anabolism
Decreased bile in the blood
Fat accumulation in the liver tissue
Coagulation of blood in microcirculation
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“The removal of the gallbladder would significantly interfere only with the digestion of fatty foods”
“The removal of the gallbladder does not usually interfere with digestion”
“Your body system will adjust in due time”
“The removal of the gallbladder usually interferes with digestion but can be remedied by dietary modifications”
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Diet history
Bowel sounds
Present weight
Pain description
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Reinforcing the need for a balance diet
Encouraging the client to drink 16 ounces of fluid with each meal
Telling the client to eat a diet low in fiber
Instructing the client to limit his intake of fruits and vegetables
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Bowel sounds are present
Intermittent left-lower quadrant pain
Constipation alternating with diarrhea
Hemoglobin 26% and hematocrit 32
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Anxiety
Impaired skin integrity
Fluid volume deficit
Nutrition altered, less than body requirements
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Jaundice and icterisia
Urticaria and clay colored stools
Hepatic fetor and liver flap
Hemangioma and bleeding
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NGT for decompression
Strict NPO
IV fluids for hydration
Morphine for the severe pain
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WBC
BUN
Creatinine clearance
Serum transaminase
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Assessing the client’s breath for a musty, sweet odor
Asking the client to draw a simple figure and noting any deterioration
Reviewing the bilirubin and alkaline phosphate levels
Asking the client to extend an arm, dorsiflex the wrist, and extend the fingers
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Tenderness that is generalized in the upper epigastric area
Pain on the left upper quadrant radiating to the left shoulder
Tenderness and rigidity at the left epigastric area radiating to the back
Tenderness and rigidity of the upper right abdomen radiating to the midsternal area
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Assess for tube placement by aspirating stomach content
Place the patient in a left-lying position
Administer feeding with 50% Dextrose
Clarify the orders
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1, 2, 3
2, 3, 4
3, 5, 6
1, 2, 6
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