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NURS 3205 - Adult Health Exam Study Guide With Questions & Answers

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NURS 3205 - Adult Health Exam Study Guide With Questions & Answers What happens in Biliary Cirrhosis? ️️Obstruction of bile flow within the liver causes retained bile damage and destroys liver cells What happens with Post-necrotic Cirrhosis? ️️Hepatitis B & C, or certain toxins/drugs ...

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  • November 1, 2024
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NURS 3205 - Adult Health Exam Study Guide With
Questions & Answers

What happens in Biliary Cirrhosis? ✔️✔️Obstruction of bile flow within the liver causes

retained bile damage and destroys liver cells



What happens with Post-necrotic Cirrhosis? ✔️✔️Hepatitis B & C, or certain toxins/drugs can

cause liver cell death.



What is Hepatic Encephalopathy? ✔️✔️Cerebral edema & accumulation of neurotoxins in the

blood



What is the main cause of Hepatic Encephalopathy? ✔️✔️Build up of ammonia because liver

is not functioning properly



What can cause Hepatic Encephalopathy? ✔️✔️- Constipation

- Blood transfusion

- GI bleeding

- Hypoxia

- High protein diet

- Severe infection

- Hx of liver, gallbladder disease or Type 2 diabetes

- Depressants (narcotic and tranquilizers)

,What can Hepatic Encephalopathy lead to? ✔️✔️- Altered mental status

- Stroke

- Coma



S/S of Hepatic Encephalopathy ✔️✔️- Fetor hepaticus (fruity or musty breath

- Asterixis (tremors in wrist)

- Altered mental status

- Hypotension

- Jaundice

- Ascites

- Tenderness of liver borders



Diagnostic tests for Liver disease and Hepatic Encephalopathy ✔️✔️- Liver Biopsy

- Endoscopic retrograde cholangiopancreatography (ERCP)



How to position a patient after a Liver Biopsy? ✔️✔️Lay them on their right side



What is a patient most at risk for during a Liver Biopsy? ✔️✔️Bleeding due to

thrombocytopenia



What medications do you use to treat Hepatic Encephalopathy? ✔️✔️- Lactulose (draws out

ammonia from the blood)

, - Antibiotics (Vancomycin)



What medications are used to treat Esophageal Varcies ✔️✔️Beta-blockers and Isosorbide

mononitrate to decrease portal hypertension



What is Hepatitis and what is it caused by? ✔️✔️Inflammation of the liver caused by a virus,

toxin or anything that damages liver cells



What type of Hepatitis does this describe?

- risk factors include contaminated food/H2O, fecal/oral route ✔️✔️Hepatitis A



What type of Hepatitis does this describe?

- risk factors include infected blood (sharing needles, body piercing/tattoos) and hx of HIV

✔️✔️Hepatitis C



What type of Hepatitis does this describe?

- Preventative actions include Vaccination, practicing safe sex, sharing personal items (razor,

toothbrush, needles) ✔️✔️Hepatitis B & C



What type of Hepatitis does this describe?

- Treatment = 8-12 week course of direct-acting antivirals (DAA) ✔️✔️Hepatitis C



What type of Hepatitis does this describe?

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