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?
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?
