NURS 221 Final Exam (new material)
cirrhosis
Typically a person with ____ shows no signs or symptoms initially until the
disease is advanced.
When symptoms present, they include: hepatomegaly, splenomegaly
(associated anemia and leukopenia), bleeding, weight loss, weakness,
anorexia.
pruritis
In a patient with cirrhosis (end-stage liver disease), bile salts in the blood are
excreted onto the skin resulting in ____. Treat with Cholestyramine
(Questran).
gynecomastia
Male patients with cirrhosis of the liver may present with enlarged breasts due
to hormone imbalance known as ____.
spider angiomas
The scientific name for "drinker's nose" referring to a symptom of liver disease
is ____ (two words).
, bilirubin (conjugated)
The nurse knows that patients with liver disease who have jaundice have an
abnormally high level of ____ in their blood.
thrombocytopenia
Low production of clotting factors in a damaged or diseased liver results in
____, which places patients at risk of VTE/DVT.
portal hypertension
Enlarged vessels, ascites (d/t drop in albumin level), collateral shunting like
caput medusi (enlarged umbilical veins), esophageal varices (enlarged
esophageal vessels) and hemorrhoids are all signs of ____ (two words).
ammonia
Lactulose (Cephulac) PO, binds with ____ in the colon for excretion in the
stools. S/E is increased number of stools (3-5/day). This med may be
prescribed for patients with liver cirrhosis/hepatic encephalopathy.
bacteria
Neomycin Sulfate (Mycifrudin), PO, kills ammonia producing ____ in the
stomach. This med may be prescribed for patients with liver cirrhosis.
hepatic encephalopathy
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