Question

failure an 7. The client is in -stage liver failure and has vitamin K deficiency. Whic interventions should the nurse implemen a. Take temperature rectally b. Use soft toothbrush. c. Use disposable razor when shaving the client d. Be sur e an anticoagulant is readily available for administration. The client h nurse expect to implement? a. Instruct the client to void immediately. b. Keep the client NPO for eight (8) hours. c. Place the client on the right side. d. Monitor blood urea nitrogen (BUN) and creatinine level. 8. as had a liver biopsy. Which post-procedure intervention should the 9. Which laboratory result, if elevated, is most indicative that the client may develop hepatic encephalopathy? a. Serum creatinine b. Serum bilirubin c. Blood ammonia d. Blood urea nitrogen was successful when 10. The nurse would know that teaching on low-residue diets the client with ulcerative colitis is seen selecting which item from the menu? a. Luncheon meat on whole wheat bread b. Whole grain cereal c. Scramble egg on wheat bread d. Cottage cheese and chicken breast d to the unit with a tentative diagnosis of a 11. A 40-year-old client is admitte duodenal ulcer. The client has a history of night pain. Which would be an appropriate entry on this client's care plan? a. Advise the client to give up smoking in the late eveni Offer a mild pain reliever such as aspirin at this time e. Oive the client a light carbohydrate snack one hour prior to the usual onset of pain d. Teach the client some relaxation techniques to decrease pain sensations 12. Prior to removal of a T-tube, a clamping schedule is initiated post meals. Why is this done by the nurse? a. Promote return of normal p b. Assess ability of the liver to manufacture bile c. Assist the flow of bile to the duodenum to aid d. Evaluate the patency of the hepatic ducts one-hour pre and eristaltic movements within the biliary system digestion

Answer 1

Ans)7) d. Be sure an anticoagulant is readily available for administration

Explaination:

Vitamin K is frequently administered in cirrhotic patients to correct their coagulopathy.

8) c. Place the client on the right side:

Explaination:

On the right side-the liver capsule at the site of penetration is compressed against the chest wall, and the escape of blood or bile through the perforation made for the biopsy is impeded.

9) c. Blood ammonia

Explaination:

Blood ammonia laboratory result, if elevated, is most indicative that the client with cirrhosis of the liver may develop hepatic encephalopathy.

10) d. Cottage cheese and chicken breast

Explaination:

A low-residue diet is a low-fiber diet.

Products made of refined flour or
finely milled grains, along with
roasted, baked, or broiled meats,
are recommended.

- . Dairy products Include yogurt, cottage cheese, milk, or creamy soups — set a limit of 2 cups per day — or 1.5 ounces of hard cheese.