Cirrhosis case - Study guides, Class notes & Summaries

Which information about cirrhosis should the nurse remember when responding to Frank's wife? - Answer There are several types of cirrhosis with differing causes. Which question is most important for the nurse to include when assessing the client for etiologic factors related to cirrhosis? - Answer Have you been exposed to toxic substances where you work? When nursing intervention is important prior to a paracentesis? - Answer Instruct the client to empty his bladder. Maintaining ...

Which information provided by the nurse is accurate? - Answer There are several types of cirrhosis Which question is most important for the nurses to include when assessing the client for etiologic factors related to cirrhosis? - Answer Have you been exposed to toxic substances where you work which nursing interventions are important prior to a paracentesis? - Answer Instruct the client to empty bladder apply sphygmomanometer to monitor the BP Ensure the client has a signed co...

Describe the pathophysiology of acute hepatitis B infection. - Answer Hepatitis refers to the inflammation of the liver, Hep B., from a viral infection. Considered to result from infection by a virus (HBV) that specifically targets the hepatocytes. Transmission by blood and body fluids. The liver cells are damaged by the cell-mediated immune response to the virus. Cell injury à Inflammation à necrosis in the liver. (pg. 461). Becomes chronic when persistent inflammation and necrosis of the l...

Mr. Garcia is a 43 year old male who presented to the ED complaining of nausea and vomiting x 3 days. The nurse notes a large, distended abdomen and yellowing of the patient's skin and eyes. The patient reports a history of alcoholic cirrhosis. *What initial nursing assessments should be performed?* - ANS ⇨ Full abdominal assessment, including assessing for ascites ⇨ Heart and lung sounds ⇨ Skin assessment (color, turgor, etc.) ⇨ Full set of vital signs ⇨ Neurological as...

Absolute Contraindications for liver transplant - Severe cardiopulmonary disease, uncontrolled HIV, poorly controlled Psych illness, noncompliance, anatomical abnormalities precluding adequate surgical reconstruction Reason for not accepted for liver TX - Hepatocellular Carcinoma (HCC) outside Milan Criteria What is NAFLD? - Nonalcoholic Fatty Liver Disease- caused by obesity, hyperglycemia, elevated serum lipids, and high BP What is NASH? - Non-alcoholic steatohepatitis. Can lead to cirrh...

HESI Cirrhosis Case Study; with Questions & Answers. A client is brought to the Emergency Department following an automobile accident. The car the client was driving swerved off the road into the median, where the car's front end hit a highway bridge. The client is treated for minor injuries, and several lab tests are ordered. The client's blood alcohol level (ethyl alcohol) is 20 mg/dL (4.34 mmol/L), and liver enzymes are elevated. Assessment findings include lethargy, an enlarged liver o...

John Richards, 45 years old Primary Concept Nutrition Interrelated Concepts (In order of emphasis) 1. Fluid and Electrolyte Balance 2. Perfusion 3. Cognition 4. Addiction 5. Clinical

John Richards, 45 years old Cirrhosis Case Study with complete solution John Richards is a 45-year-old male who presents to the emergency department (ED) with abdominal pain and worsening nausea and vomiting the past three days that have not resolved. He is feeling more fatigued and has had a poor appetite the past month. He denies any ETOH (alcohol) intake the past week, but admits to episodic binge drinking on most weekends. John weighs 150 pounds (68.2 kg) and is 6'0

HESI Cirrhosis Case Study; with Questions & Answers. A client is brought to the Emergency Department following an automobile accident. The car the client was driving swerved off the road into the median, where the car's front end hit a highway bridge. The client is treated for minor injuries, and several lab tests are ordered. The client's blood alcohol level (ethyl alcohol) is 20 mg/dL (4.34 mmol/L), and liver enzymes are elevated. Assessment findings include lethargy, an enlarged liver o...

John Richards, 45 years old Cirrhosis Case Study with complete solution John Richards is a 45-year-old male who presents to the emergency department (ED) with abdominal pain and worsening nausea and vomiting the past three days that have not resolved. He is feeling more fatigued and has had a poor appetite the past month. He denies any ETOH (alcohol) intake the past week, but admits to episodic binge drinking on most weekends. John weighs 150 pounds (68.2 kg) and is 6'0