Qs form Shelba's Cirrhosis Article

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1.
Which of these types of hepatitis results in the highest risk of cirrhosis?
a. A
b. C
c. E

2.
Which of these suggestions should you give to a patient to slow the progression of micronodular liver disease?
a. "Avoid people who have colds."
b. "Avoid ingesting foods with a high fat content."
c. "Avoid drinking alcohol."

3.
Which of these manifestations should a nurse expect to assess in the early stage of cirrhosis?
a. nausea and fatigue
b. jaundice and itching
c. petechiae and edema

4.
A patient with advanced cirrhosis may report which of the following symptoms?
a. diarrhea and sweating
b. nosebleeds and bleeding gums
c. headache and vertigo

5.
Which elevated test results can you expect to observe in a patient with cirrhosis?
a. triglycerides
b. white blood cell count
c. alkaline phosphatase

6.
Which of these changes in stool characteristics is expected for a patient with cirrhosis?
a. bloody
b. watery, green
c. clay-colored

7.
Which of these treatments is recommended for ascites related to liver disease?
a. prophylactic antibiotics
b. potassium-sparing diuretics
c. prothrombin inhibitors

8.
Which of these treatments will help replace clotting factors for a patient with ruptured esophageal varices?
a. whole red blood
b. albumin infusion
c. fresh frozen plasma

9.
Which of these treatments may be needed before insertion of an esophageal balloon tamponade for a patient with bleeding esophageal varices?
a. endotracheal intubation
b. neuromuscular blockade
c. peritoneal dialysis

10.
Which of these interventions should you implement after the insertion of an esophageal balloon tamponade?
a. placing the patient in the Trendelenburg position to reduce pressure
b. putting on a football helmet and taping the tube to the face guard to maintain constant tension
c. filling the esophageal balloon with 250 ml of air

11.
The vasoconstrictor medication recommended to reduce portal blood flow in a patient with bleeding esophageal varices is
a. propranolol (Inderal).
b. vasopressin (Pitressin).
c. clonidine (Catapres).

12.
Which vitamin can be administered to activate the blood's clotting factors?
a. A
b. C
c. K

13.
One treatment under investigation for patients with hepatorenal syndrome or who need portal decompression is
a. intra-abdominal paracentesis.
b. Sengstaken-Blakemore balloon tamponade.
c. transjugular intrahepatic portosystemic shunting.

14.
A patient with advanced liver disease and high ammonia levels should follow a diet that contains
a. low fat, low cholesterol.
b. low protein, low sodium.
c. low potassium, low carbohydrate.

15.
Which of these parameters should you plan to monitor in a patient with cirrhosis?
a. pulse oximetry
b. urine specific gravity
c. abdominal girth