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NURS 5315 FINAL QUESTIONS WITH CORRECT ANSWERS|WITH STUDY GUIDE|ACCURATE ACTUAL EXAM 2024 WITH VERIFIED ANSWERS|ALREADY GRADED A|GUARANTEED PASS 2024|LATEST UPDATE.$20.49
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NURS 5315 FINAL QUESTIONS WITH CORRECT ANSWERS|WITH STUDY GUIDE|ACCURATE ACTUAL EXAM 2024 WITH VERIFIED ANSWERS|ALREADY GRADED A|GUARANTEED PASS 2024|LATEST UPDATE.
NURS 5315 FINAL QUESTIONS WITH CORRECT
ANSWERS|WITH STUDY GUIDE|ACCURATE ACTUAL EXAM
2024 WITH VERIFIED ANSWERS|ALREADY GRADED
A|GUARANTEED PASS 2024|LATEST UPDATE.
NURS 5315 FINAL QUESTIONS WITH CORRECT ANSWERS|WITH STUDY GUIDE|ACCURATE ACTUAL EXAM 2024 WITH VERIFIED ANSWERS|ALREADY GRADED A|GUARANTEED PASS 2024|LATEST UPDATE . A client diagnosed with viral hepatitis develops liver failure and hepatic encephalopathy. Which of these measures should the healthcare provider include in this client's plan of care? A. Provide high -protein feedings B.Monitor the blood glucose C.Institute droplet precautions D.Weigh once a week - CORRECT ANSWER B. Monitor the blood glucose Interventions for this patient include blood glucose monitoring (because of decreased glycogen synthesis and storage), monitoring PT and INR (because of decreased clotting factors), checking reflexes (because of the neurological effects of i ncreased ammonia), providing diet/feedings that are low in protein (to decrease ammonia levels), and following standard precautions. The client should be weighed every day. A client with cirrhosis of the liver develops ascites, and the health care provide r prescribes spironolactone. What should the nurse monitor the client for? A.Hyperkalemia B.Tachycardia C.Hypoglycemia D.Ecchymosis - CORRECT ANSWER A. Hyperkalemia Spironolactone (Aldactone) is a potassium -sparing diuretic that is used to treat clients with ascites; therefore, the nurse should monitor the client for signs and symptoms of hyperkalemia. Bruising and purpura are associated with cirrhosis, not with the administration of spironolactone. Spironolactone does not cause tachycardia. Spironolacton e does not cause hypoglycemia. A health care provider schedules a paracentesis for a client with ascites. What should the nurse include in the client's teaching plan? A. Consume a diet low in fat for three days before the procedure. B. Stay on a liquid di et for 24 hours after the procedure. C. Empty the bladder immediately before the procedure . D. Maintain a supine position during the procedure. - CORRECT ANSWER C. Empty the bladder immediately before the procedure. The bladder must be emptied immediately before the procedure to decrease the chance of puncture with the trocar used in a paracentesis. A paracentesis usually is performed with the client in the Fowler position to assist the flow of fluid by gravity. Eatin g a diet low in fat for three days before the procedure is not necessary for a paracentesis. Staying on a liquid diet is not necessary for a paracentesis. A school health nurse is teaching a health class to 12 -year-olds about hepatitis C. Which statement by a student indicates an understanding of the origin of the disease? A."You can catch it while you're getting a tattoo." B. "The disease is passed from person to person by casual contact." C."People working at restaurants can give it to you if they don't wash their hands." D."You're more likely to get it in crowded living conditions. - CORRECT ANSWER A. "You can catch it while you're getting a tattoo." The hepatitis C virus (HCV) is a bloodborne pathogen; it can be acquired during the application of a ta ttoo with equipment that is contaminated with the hepatitis C virus. Hepatitis C is not transmitted by close contact in crowded spaces; HCV is a bloodborne pathogen. HCV is not transmitted by casual contact; it is a bloodborne pathogen. The fecal -oral rout e of transmission is associated with hepatitis A, not hepatitis C. The physician orders Lactulose 30 mL by mouth per day for a client with cirrhosis. What finding below demonstrates the medication is working effectively? A.Improvement in level of consciousness B.Presence of asterixis C.Decreased albumin levels D.Absence of fruity breath - CORRECT ANSWER A. Improvement in level of consciousness A patient with cirrhosis may experience a complication called hepatic encephalopathy. This will cause the patient to become confused (they may enter into a coma), have pungent, musty smelling breath (fetor hepaticus), asterixis (involuntary flapping of the hands). This is due to the buildup of ammonia in the blood, which affects the brain. Lactu lose can be prescribed to help decrease the ammonia levels. Therefore, if the medication is working properly to decrease the level of ammonia the patient would have improving mental status, decreased ammonia blood level, decreasing or absence of asterixis, and decreased ammonia blood level. Fruity breath is associated with DKA not hepatic encephalopathy. During the morning assessment of a client with cirrhosis, you note the client is disoriented to person and place. In addition, while assessing the upper e xtremities, the client's hands demonstrate a flapping motion. What lab result would explain these abnormal assessment findings? A.Ammonia level of 68 µ/dL B.Creatinine level of 2.9 mg/dL C.Potassium level of 3.7 mmol/L D.Calcium level of 10.9 mg/dL - CORR ECT ANSWER A. Ammonia level of 68 µ/dL Based on the assessment findings and the fact the client has cirrhosis, the client is experiencing hepatic encephalopathy. This is due to the buildup of toxins in the blood, specifically ammonia. The flapping motion of the hands is called "asterixis". Therefore, an increased ammonia level would confirm these abnormal assessment findings (Normal ammonia: 10 -80) A patient diagnosed with hepatitis develops splenomegaly. When reviewing the laboratory report, which of the following results will the healthcare provider anticipate? A.Polycythemia B.Leukocytosis C.Thrombocytopenia D.Neutrophilia - CORRECT ANSWER C. Thrombocytopenia A nurse reviews a medical record of a client with ascites. What does the nurse identify that may be causing the ascites? A.Portal hypotension B.Kidney malfunction C.Diminished plasma protein level D.Decreased production of potassium - CORRECT ANSWER C. Diminished plasma protein level The liver manufactures albumin, the major plasma protein. A d eficit of this protein lowers the osmotic (oncotic) pressure in the intravascular space, leading to a fluid shift. An enlarged liver compresses the portal system, causing increased, rather than decreased, pressure. The kidneys are not the primary source of the pathologic condition. It is the liver's ability to man A client is admitted to the hospital with ascites. The client reports drinking a quart of vodka mixed in orange juice every day for the past three months. To assess the potential for withdrawal symptoms, which question would be appropriate for the nurse to ask the client? A."When was your last drink of vodka?" B."Why do you mix the vodka with orange juice?" C."What prompts your drinking episodes?" D."Do you also eat when you drink?" - CORRECT ANS WER A. "When was your last drink of vodka?" The nurse must determine when the client had the last drink to gauge when the body may react to lack of alcohol (withdrawal). Factors that prompt drinking are important, but do not affect the body's response to withdrawal from the substance. Whether the client also eats when the client drinks will not influence the body's response to withdrawal from the alcohol. Whether the client mixes vodka with orange juice will not influence the body's withdrawal from the alc ohol. A client with a 20 -year history of excessive alcohol use is admitted to the hospital with jaundice and ascites. A priority nursing action during the first 48 hours after the client's admission is to: A.Determine the client's reasons for drinking. B.Monitor the client's vital signs C.Improve the client's nutritional status. D.Increase the client's fluid intake. - CORRECT ANSWER B. Monitor the client's vital signs A client's vital signs, especially the pulse and temperature, will increase before the client demonstrates any of the more severe symptoms of withdrawal from alcohol. Increasing intake is contraindicated initially because it may cause cerebral edema. Improving nutritional status becomes a priority after the problems of the withdrawal period have subsided. Determining the client's reasons for drinking is not a priority until after the detoxification process. The nurse is providing discharge instructions to a client who is recovering from an acute case of viral hepatitis. Which statement by the client indicate s a need for further education? A. "I will avoid alcohol." B."I will take acetaminophen for pain" C."I will be sure to take naps throughout the day." D."I will eat small frequent meals." - CORRECT ANSWER B. "I will take acetaminophen fo r pain." Acetaminophen is damaging to the liver and is contraindicated in clients with hepatitis. Clients should avoid alcohol, eat small frequent meals, and be sure to get plenty of rest. The nurse is caring for a client who is scheduled to have a percu taneous liver biopsy. Which findings warrant the postponement of the procedure? Select all that apply. A.Hemoglobin less than 9 g/dL B.Platelet count of 160,000/mm3 C.Marked ascites D.Ecchymosis and purpura E.Hepatic cirrhosis - CORRECT ANSWER A. Hemoglob in less than 9 g/dL C. Marked ascites D. Ecchymosis and purpura To do a liver biopsy when a client has marked ascites increases the risk of leakage of ascitic fluid. The liver biopsy should be postponed. A client with a hemoglobin of less than 9 g/dL shou ld not have a liver biopsy because the client cannot take the risk of the puncture of a hepatic blood vessel. A diagnosis of hepatic cirrhosis is not a reason to postpone a liver biopsy, because it is done to detect the presence of hepatic cirrhosis. Altho ugh a platelet count of 160,000/mm3 is within the low range of the expected platelet count for an adult, a liver biopsy is not contraindicated. A count of less than 50,000/mm3 is critical and requires postponement of the test. Ecchymosis and purpura are si gns of bruising and If the client has numerous bruises it may indicate deficient thrombocytes or prolonged clotting; both are contraindications for a percutaneous liver biopsy. A child is diagnosed with hepatitis A. The client's parent expresses concern t hat the other members of the family may get hepatitis because they all share the same bathroom. The nurse's best reply is: A. "All family members, including your child, need to wash their hands after using the bathroom ." B. "I suggest that you buy a commod e exclusively for your child's use."
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