Lippincott Q A Liver

2403 WordsMay 19, 201510 Pages
The nurse is assessing a client with chronic hepatitis B who is receiving Lamivudine (Epivir). What information is most important to communicate to the physician? 1. 
 The client’s daily record indicates a 3 kg weight gain over 2 days.
 The client is complaining of nausea.
 The client has a temperature of 99° F orally. 4. 
 The client has fatigue. The nurse is assessing a client with hepatitis and notices that the AST and ALT lab values have increased. Which of the following statements by the client requires further instruction by the nurse? 1. “I require increased periods of rest.”
 2. I follow a low-fat, high carbohydrate diet.” 3. “I eat dry toast to relieve my nausea.”
 4. “I take acetaminophen (Tylenol) for arthritis…show more content…
1. Aldosterone. 2. Creatinine. 3. Potassium. 4. Protein. A client has advanced cirrhosis of the liver. The client’s spouse asks the nurse why his abdomen is swollen, making it very difficult for him to fasten his pants. How should the nurse respond to provide the most accurate explanation of the disease process? 1. “He must have been eating too many foods with salt in them. Salt pulls water with it.” 2. “The swelling in his ankles must have moved up closer to his heart so the fluid circulates better.” 3. “He must have forgotten to take his daily water pill.” 4. 
“Blood is not able to flow readily through the liver now, and the liver cannot make protein to keep fluid inside the blood vessels.” A nurse is developing a care plan for a client with hepatic encephalopathy. Which of the following are goals for the care for this client? Select all that apply. 1. Preventing constipation.
 2. Administering lactulose (Cephulac).
 3. Monitoring coordination while walking.
 4. Checking the pupil reaction.
 5. Providing food and fluids high in carbohydrate. 6. Encouraging physical activity. The nurse is assessing a client who is in the early stages of cirrhosis of the liver. Which focused assessment is appropriate?
 1. Peripheral edema. 2. Ascites. 3. Anorexia. 4. Jaundice. A client with cirrhosis begins to develop ascites. Spironolactone (Aldactone) is prescribed to treat the ascites. The nurse should

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