Hepatitis and Cirrhosis (ATI) Detailed Answer Key- Updated Version 2024/2025
6 views 0 purchase
Course
ATI
Institution
ATI
Hepatitis and Cirrhosis (ATI) Detailed Answer Key- Updated Version 2024/2025
Hepatitis and Cirrhosis (ATI) Detailed Answer Key- Updated Version 2024/2025
1.A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the
following interventions should the nurse plan to implement to decrease the client's ammonia level? A.
Administer diuretics.
Rationale:Diuretics do not help to decrease ammonia levels.
B. Restrict the client's intake of fluids.
Rationale:Restricting fluid intake does not help to decrease a client's ammonia level.
C. Reduce the client's intake of protein.
Rationale:Ammonia is formed in the gastrointestinal tract by the action of bacteria on protein. Limiting
dietary protein intake can assist with decreasing the client's ammonia level. Protein is necessary for healing, so
strict limitation of dietary protein is not recommended. D. Administer vitamin K.
Rationale:Vitamin K does not help to decrease a client's ammonia level.
2.A nurse is teaching a community education course about the physical complications related to substance use
disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?
A. Alcohol
Rationale:Chronic alcohol use disorder is one of the primary causes of cirrhosis of the liver.
B. Caffeine
Rationale:Chronic ingestion of caffeine can result in many physical complications; however, it is not
associated with liver cirrhosis.
C. Cocaine
Rationale:Cocaine can result in many physical complications; however, it is not associated with liver
cirrhosis.
D. Inhalants
Rationale:Inhalants can result in many physical complications; however, they are not associated with liver
cirrhosis.
3.A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving
spironolactone. Which of the following findings should the nurse expect?
A. Decreased sodium level
Rationale:
Page 1
, Detailed Answer Key
Liver
The nurse should expect a decreased sodium level. Spironolactone is a potassium-sparing
diuretic that inhibits the action of aldosterone, resulting in an increased excretion of sodium.
B. Decreased phosphate level
Rationale:The nurse should not expect a decreased phosphate level. Spironolactone inhibits the action of
aldosterone, resulting in the retention of phosphate.
C. Decreased potassium level
Rationale:The nurse should not expect a decreased potassium level. Spironolactone is a potassium-
sparing diuretic that inhibits the action of aldosterone, resulting in the retention of potassium.
D. Decreased chloride level
Rationale:The nurse should not expect a decreased chloride level. Spironolactone is a potassium-sparing
diuretic that inhibits the action of aldosterone, resulting in the retention of chloride.
4.A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal
hypertension. The nurse recognizes which of the following laboratory findings as indicating the client’s
gastrointestinal (GI) tract is digesting and absorbing blood?
A. Elevated blood urea nitrogen (BUN)
Rationale:As the body digests blood, BUN rises. An elevated BUN is an indication of GI bleeding.
B. Elevated HbA1c
Rationale:Chronic blood loss can lower HbA1c and alcohol toxicity can raise it. But digestion of blood does
not elevate it.
C. Decreased chloride
Rationale:Neither liver disease nor GI bleeding affects chloride levels, although severe vomiting and GI
suction can decrease chloride levels.
D. Decreased bilirubin
Rationale:Bilirubin levels rise with cirrhosis and with hemolysis of red blood cells.
5.A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's
lunch tray, which of the following items should the nurse identify as contraindicated for the client?
A. Baked potato
Rationale:The client who has cirrhosis requires a diet that is high in carbohydrates. A baked potato
contains 33.62 g of carbohydrates.
Rationale:
Page 2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller igniteminds. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
