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Exemplar 12.3: Liver Disease

Olivia McRitchie 20 preguntas

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Preguntas del test (20)

  1. 1You have a patient who is an alcoholic and doesn't quite understand why she should quit drinking. She asks you "what exactly is going to happen if I don't stop?"

    Select the correct statement you can give to her about cirrhosis.
    1. A"Alcoholic cirrhosis is indirectly related to the amount of alcohol consumed, the number of years of excessive alcohol consumption, and blood alcohol levels."
    2. B"Men will develop cirrhosis faster than women, but that doesn't mean you aren't at risk."
    3. C"Cirrhosis at any stage cannot be reversed."
    4. D"Malnutrition commonly accompanies alcoholic cirrhosis."
  2. 2Select the EARLY clinical manifestations of cirrhosis.
    1. ADull, aching pain in the upper right quadrant
    2. BDull, aching pain in the upper left quadrant.
    3. CWeight loss
    4. DWeakness
    5. EAnorexia
    6. FDiarrhea or constiparion
    7. GPortal systemic encephalopathy.
    8. HEsophageal varices
  3. 3Early in the course of cirrhosis, few manifestations are present. The liver may be palpable and tender. A dull aching pain may be present in the [blank_start]upper right quadrant[blank_end] of the abdomen. Weight loss, weakness, anorexia, and bowel disruption may occur. As cirrhosis progresses, however, manifestations relate to liver cell failure and portal hypertension.

    [blank_start]Portal hypertension[blank_end] is the shunting of blood to lower-pressure vessels. Some of the collateral veins that are affected are located in the esophagus, causing large, thin-walled, esophageal [blank_start]varices[blank_end]. These vessels can rupture and cause massive hemorrhaging, especially if the liver damage causes [blank_start]thrombocytopenia[blank_end] and impaired production of [blank_start]clotting factors[blank_end].

    In addition to being shunted to the esophagus, blood can be shunted to the [blank_start]spleen[blank_end], causing it to enlarge. Enlargement of the [blank_start]spleen[blank_end] can lead to anemia, leukopenia, and thombocytopenia due to increased destruction of blood cells.

    Because portal hypertension increases hydrostatic pressure, it can also cause [blank_start]ascites[blank_end], which is the accumulation of plasma-rich fluid in the abdominal cavity. In relation to this is the ability to develop [blank_start]spontaneous bacterial peritonitis[blank_end].

    Cirrhosis can even cause psychological manifestations. Without functioning liver tissue, [blank_start]ammonia[blank_end] is not converted to uera, causing it to build up in the blood and cause [blank_start]portal systemic encephalopathy[blank_end]. The primary manifestation of this is [blank_start]asterixis[blank_end], which is a muscle tremor that interferes with the ability to maintain a fixed position of the extremities.
    1. Aupper right quadrant
    2. Bupper left quadrant
    3. Clower right quadrant
    4. Dlower left quadrant
    5. EPortal hypertension
    6. FAscites
    7. Gvarices
    8. Hascites
    9. Ianeurysms
    10. Jbreaks
    11. Kthrombocytopenia
    12. Lleukopenia
    13. Manemia
    14. Nclotting factors
    15. Oplatelets
    16. Pspleen
    17. Qkidneys
    18. Rabdominal wall
    19. Sheart
    20. Tspleen
    21. Ukidneys
    22. Vlungs
    23. Wheart
    24. Xascites
    25. Yvarices
    26. Zspontaneous bacterial peritonitis
    27. AAspontaneous hyperthermia
    28. ABacute kidney failure
    29. ACammonia
    30. ADbilirubin
    31. AEportal systemic encephalopathy
    32. AFportal systemic neuropathy
    33. AGportal systemic peritonitis
    34. AHportal systemic meningitis
    35. AIasterixis
    36. AJParkinsonism
    37. AKTourette's
    38. ALaphasia
  4. 4Edema and ascites are manifestations of what issues caused by cirrhosis?
    1. AHypoalbuminemia
    2. BDisrupted hormone balance and fluid retention
    3. CIncreased pressure in portal venous system
    4. DDecreased clotting factor synthesis
    5. EImpaired vitamin K absorption
  5. 5Decreased clotting factor synthesis, increased platelet destruction by enlarged spleen, and impaired vitamin K absorption and storage cause what clinical manifestations of liver disease?
    1. ABleeding and bruising
    2. BEdema
    3. CAscites
    4. DEsophageal varices
  6. 6What are esophageal varices caused by?
    1. APortal hypertension causing collateral vessel development
    2. BImpaired vitamin K absorption and storage
    3. CThrombocytopenia
    4. DDecreased clotting factor synthesis
  7. 7Gastritis, anorexia, and diarrhea are caused by what?
    1. AEngorged veins in the gastrointestinal system
    2. BAlcohol ingestion
    3. CImpaired bile synthesis and fat absorption
    4. DImpaired bilirubin metabolism and secretion
    5. EAscites
  8. 8Jaundice is caused by impaired bilirubin metabolism and excretion
    1. AVerdadero
    2. BFalso
  9. 9Malnutrition and muscle wasting are caused by impaired nutrient metabolism, impaired fat absorption, and impaired hormone metabolism.
    1. AVerdadero
    2. BFalso
  10. 10Select the clinical manifestations of accumulated metabolic toxins and impaired ammonia metabolism and secretion.
    1. AAsterixis
    2. BEncephalopathy
    3. CJaundice
    4. DGastritis
    5. EHepatorenal syndrome

Información

Descripción
NCLEX (Medical-Surgical) Nursing Test sobre Exemplar 12.3: Liver Disease, creado por Olivia McRitchie el 10/12/2018.
Idioma
English
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