Liver Cirrhosis By RNpedia.com
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Choose the letter of the correct answer.
- 1.The nurse is caring for a male client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?
- A.
Dyspnea and fatigue
- B.
Ascites and orthopnea
- C.
Purpura and petechiae
- D.
Gynecomastia and testicular atrophy
- 2.
- A.
Diaphoresis and tremors.
- B.
Increased blood pressure and heart rate.
- C.
Illusions.
- D.
Delusions of grandeur.
- 3.
- A.
Pork
- B.
Milk
- C.
Chicken
- D.
Broccoli
- 4.
- A.
Alcoholic cirrhosis
- B.
Postnecrotic cirrhosis
- C.
Biliary cirrhosis
- D.
Compensated cirrhosis
- 5.
- A.
Pressure in the portal vein
- B.
Production of serum albumin
- C.
Secretion of bile salts
- D.
Interstitial osmotic pressure
- 6.
- A.
lactulose (Chronulac)
- B.
ethacrynic acid (Edecrin)
- C.
folic acid (Folvite)
- D.
thiamine (Vitamin B1)
- 7.
- A.
Chronic low serum protein levels result in inadequate tissue repair, allowing the esophageal wall to weaken.
- B.
The enlarged liver presses on the diaphragm, which in turn presses on the esophageal wall, causing collapse of blood vessels into the esophageal lumen.
- C.
Increased portal pressure causes some of the blood that normally circulates through the liver to be shunted to the esophageal vessels, increasing their pressure and causing varicosities.
- D.
The enlarged liver displaces the esophagus toward the left, tearing the muscle layer of the esophageal blood vessels, which allows small aneurysms to form along the lower esophageal vessels.
- 8.
- A.
“The low protein diet will result in reduced clotting.”
- B.
“The increased production of bile decreases clotting factors.”
- C.
“The liver affected by cirrhosis is unable to produce clotting factors.”
- D.
“The required medications reduce clotting factors.”
- 9.
- A.
Deflate the esophageal balloon
- B.
Monitor VS
- C.
Encourage him to take deep breaths
- D.
Notify the MD
- 10.A client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?
- A.
Esophageal varices
- B.
Ascites
- C.
Peripheral edema
- D.
Asterixis (liver flap)
- 11.
- A.
Decreased red blood cell count
- B.
Decreased serum acid phosphate level
- C.
Elevated white blood cell count
- D.
Elevated serum aminotransferase
- 12.
- A.
Impaired clotting mechanism
- B.
Varix formation
- C.
Inadequate nutrition
- D.
Trauma of invasive procedure
- 13.
- A.
Increased urine output
- B.
Altered level of consciousness
- C.
Decreased tendon reflex
- D.
Hypotension
- 14.A nurse is completing an assessment to a client with cirrhosis. Which of the following nursing assessment is important to notify the physician?
- A.
Expanding ecchymosis
- B.
Ascites and serum albumin of 3.2 g/dl
- C.
Slurred speech
- D.
Hematocrit of 37% and hemoglobin of 12g/dl
- 15.
- A.
“How much of a difference have you noticed”
- B.
“It’s part of the swelling your body is experiencing”
- C.
“It’s probably because you have been less physically active”
- D.
“Your liver is not destroying estrogen hormones that all men produce”
- 16.Which of the following findings would strongly indicate the possibility of cirrhosis?
- A.
Dry skin
- B.
Hepatomegaly
- C.
Peripheral edema
- D.
Pruritus
- 17.Which of the following is NOT a liver function?
- A.
Conversion of excess glucose into glycogen for storage
- B.
Conversion of conjugated bili to unconjugated bili
- C.
Regulation blood coagulation
- D.
Production of bile salts
- E.
Conversion of ammonia to urea
- 18.What is the normal liver span?
- A.
8-13cm
- B.
2-3cm
- C.
1 foot
- D.
6-12cm
- 19.The left hepatic vein divides the left lobe into
- A.
Medial and lateral lobes
- B.
Anterior and posterior halves
- C.
Superior and inferior halves
- D.
Left and right parts of left lobe
- 20.The left lobe occupies
- A.
Right and left hypochondrium
- B.
Epigastrium and some left hypochondrium
- C.
Right hypochondrium and epigastrium
- D.
Epigastrium and umbilicus
- 21.The right lobe of the liver occupies epigastrium.
- A.
True
- B.
False
- 22.The fundus of the stomach in relationship to the liver
- A.
Posterior and superior to right lobe
- B.
Anterior and lateral to left lobe
- C.
Posterior and lateral to left lobe
- D.
Inferior to left lobe
- 23.Ultrasound is the best modality to differentiate a liver cyst from a solid mass
- A.
True
- B.
False
- 24.Right hepatic vein divides right lobe of the liver into anterior and posterior halves.
- A.
True
- B.
False
- 25.What separates the right lobe from the left lobe?
- A.
Falciform ligament
- B.
Right hepatic vein
- C.
Ligament teres
- D.
Portal vein
- 26.The right lobe of the liver is how many times larger than the left?
- A.
2
- B.
4
- C.
6
- D.
8
- 27.Where is Morison's Pouch located?
- A.
Between liver and right diaphragm
- B.
Between liver and left diaphragm
- C.
Between liver and right kidney
- D.
Between liver and duodenum
- 28.The liver is suspended from the diaphragm and abdominal wall by
- A.
Falciform ligament
- B.
Ligament teres
- C.
Ligament venosum
- D.
Subphrenic ligaments
- 29.The pancreas is ____ to the ____ lobe of the liver.
- A.
Inferior, left
- B.
Inferior, right
- C.
Superior, left
- D.
Inferior, caudate
- 30.In a female, the liver weighs about
- A.
1200 to 1400 g
- B.
1400 to 1600 g
- C.
1800 mg
- D.
1000 g
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