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NURS 425 Exam 3 ATI Questions and answers
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NURS 425 Exam 3 ATI Questions and answers
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NURS 425 Exam 3 ATIQuestions and answers
A nurse on a medical-surgical unit is admitting a client who has
hepatitis B with ascites. Which of the following actions should the
nurse include in the POC?
A. initiate contact precautions
B. weigh the client weekly
C. measure abdominal girth 7.5 cm (3 in) above the umbilicus
D. provide a high-calorie, high-carb diet - answer D. provide a high-
calorie, high-carb diet
Rationale:
The client who has hepatitis B should have a diet high in calories
and carbs
A nurse is caring for a client who has a new diagnosis of hepatitis C.
Which of the following lab findings should the nurse expect?
A. presence of immunoglobulin G antibodies
B. positive EIA test
C. aspartate aminotransferase (AST) 35 units/L
D. alanine aminotransferase (ALT) 15 IU/L - answer B. positive EIA
test
Rationale:
a positive EIA test is an expected lab finding in a client who has a
new diagnosis of hepatitis C.
,A nurse is assessing a client who has advanced cirrhosis. the nurse
should identify which of the following findings as indicators of
hepatic encephalopathy? (SATA)
A. anorexia
B. change in orientation
C. asterixis
D. ascites
E. fetor hepaticus - answer B, C, & E
B. change in orientation
C. asterixis
(asterixis, a coarse tremor of the wrists and fingers, is observed as
a late complication in a client who has cirrhosis & hepatic
encephalopathy
E. fetor hepaticus
(fruity breath odor)
A nurse is caring for a client who has cirrhosis. Which of the
following medications can the nurse expect to administer to this
client? (SATA)
A. diuretic
B. Beta-blocking agent
C. opioid analgesic
D. lactulose
E. sedative - answer A, B, & D
,A nurse is teaching a client who has hepatitis B about home care.
Which of the following instructions should the nurse include in the
teaching? (SATA)
A. limit physical activity
B. avoid alcohol
C. take acetaminophen for comfort
D. wear a mask in public places
E. eat small frequent meals - answer A, B, & E
1. Which condition is NOT a known cause of cirrhosis?
A. Obesity
B. Alcohol consumption
C. Blockage of the bile duct
D. Hepatitis C
E. All are known causes of Cirrhosis - answer E.
2. The liver receives it blood supply from two sources. One of these
sources is called the _________________, which is a vessel network that
delivers blood _____________ in nutrients but ________ in oxygen.
A. hepatic artery, low, high
, B. hepatic portal vein, high, low
C. hepatic lobule, high, low
D. hepatic vein, low, high - answer B. Hepatic portal vein, high, low
3. A patient with late-stage cirrhosis develops portal hypertension.
Which of the following options below are complications that can
develop from this condition? Select all that apply:
A. Increase albumin levels
B. Ascites
C. Splenomegaly
D. Fluid volume deficient
E. Esophageal varices - answer B, C, & E
4. Your patient with cirrhosis has severe splenomegaly. As the nurse
you will make it priority to monitor the patient for signs and
symptoms of? Select all that apply:
A. Thrombocytopenia
B. Vision changes
C. Increased PT/INR
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