NSG 430 Adult Health Nursing II
Questions with Answers, 100% Guarantee Pass
Grand Canyon University
NSG 430 Final Exam Study Guide
1. where can spider like angiomas be seen
Answer: checks, upper neck, shoulders
2. what are complications of liver cirrhosis
Answer: Esophageal varices Ascities
Hepatic encehalopathy
Hepatorenal syndrome
3. what are esophageal varices
Answer: enlarged veins at the lower end of the esophagus
4. what are esophageal varices important to monitor
Answer: fragile, do NOT tolerate HIGH PRESSURE
(risk for bursting.. leading to hemorrhage)
5. Ascities
Answer: Due to the absence of serum albumin
- increased fluid in the interstitial space
- peritoneal edema, peripheral edema
6. how to do we treat peripheral edema
Answer: Tx exogenous albumin
,7. why is it important to manage peripheral edema
Answer: leads to increased BP, more importantly increase portal pressure!
8. What is gross ascites
Answer: increase in and pressure leading to an eversion of the umbilicus
Decrease in osmotic pressure
dehydration
dry skin, sunken eyes, weakness
9. what is gross ascites at risk for
Answer: spontaneous bacterial peritonitis -- due to alternations in the fluid space (Ecoli)
10. what is hepatic encephalopathy
Answer: Neurotoxic effects of ammonia
Liver is unable to convert ammonia ( as it crosses the BBB)
11. what is the cause of ammonia
Answer: when the liver is unable to convert ammonia into urea.. leading to toxic levels in the blood stream
12. What are the s/s of hepatic encephalopathy
Answer: A neuropsychiatric disorder
- AMS, impaired consciousness, inappropriate behavior
13. how soon can hepatic encephalopathy occur
Answer: can occur sunddely!
-important to do your neuro checks
14. what are the prime characteristics of hepatic encephalopathy
Answer: Asterixis , Fetor hepaticicus, apraxia
15. what is asterixis and where is it from
, Answer: hand flapping tremor(occurs when hand are held out and pulled back)
16. what is hepaticicus
Answer: musty, sweet odor from breath
17. what is aprixia
Answer: difficult to perform tasks, or movement, even though they understand what needs to be done
18. Cirrhosis
Answer: End stage liver disease
19. what is cirrhosis
Answer: tensive degeneration and destruction of the liver cells
- replaced with fibrosis and regenerative nodules
20. What is the MC cause of cirrhosis
Answer: MC is hep C ( chronic hep C
& Alcohol-induced liver disease
21. What are the early symptoms of cirrhosis
Answer: fatigue and enlarged
22. what are the late symptoms of LATE manifestations of cirrhosis
Answer: Jaundice, Dark urine,
LOW serum albumin
Clay colored stool ( indications of bile abnormality
23. Other unique s/s (late) liver cirrhosis
Answer: spider angiomas (small bright red center branches)
- palmar erythema
- hematologic disorders
( low WBC, RBC, platelets) --splenomegaly
Questions with Answers, 100% Guarantee Pass
Grand Canyon University
NSG 430 Final Exam Study Guide
1. where can spider like angiomas be seen
Answer: checks, upper neck, shoulders
2. what are complications of liver cirrhosis
Answer: Esophageal varices Ascities
Hepatic encehalopathy
Hepatorenal syndrome
3. what are esophageal varices
Answer: enlarged veins at the lower end of the esophagus
4. what are esophageal varices important to monitor
Answer: fragile, do NOT tolerate HIGH PRESSURE
(risk for bursting.. leading to hemorrhage)
5. Ascities
Answer: Due to the absence of serum albumin
- increased fluid in the interstitial space
- peritoneal edema, peripheral edema
6. how to do we treat peripheral edema
Answer: Tx exogenous albumin
,7. why is it important to manage peripheral edema
Answer: leads to increased BP, more importantly increase portal pressure!
8. What is gross ascites
Answer: increase in and pressure leading to an eversion of the umbilicus
Decrease in osmotic pressure
dehydration
dry skin, sunken eyes, weakness
9. what is gross ascites at risk for
Answer: spontaneous bacterial peritonitis -- due to alternations in the fluid space (Ecoli)
10. what is hepatic encephalopathy
Answer: Neurotoxic effects of ammonia
Liver is unable to convert ammonia ( as it crosses the BBB)
11. what is the cause of ammonia
Answer: when the liver is unable to convert ammonia into urea.. leading to toxic levels in the blood stream
12. What are the s/s of hepatic encephalopathy
Answer: A neuropsychiatric disorder
- AMS, impaired consciousness, inappropriate behavior
13. how soon can hepatic encephalopathy occur
Answer: can occur sunddely!
-important to do your neuro checks
14. what are the prime characteristics of hepatic encephalopathy
Answer: Asterixis , Fetor hepaticicus, apraxia
15. what is asterixis and where is it from
, Answer: hand flapping tremor(occurs when hand are held out and pulled back)
16. what is hepaticicus
Answer: musty, sweet odor from breath
17. what is aprixia
Answer: difficult to perform tasks, or movement, even though they understand what needs to be done
18. Cirrhosis
Answer: End stage liver disease
19. what is cirrhosis
Answer: tensive degeneration and destruction of the liver cells
- replaced with fibrosis and regenerative nodules
20. What is the MC cause of cirrhosis
Answer: MC is hep C ( chronic hep C
& Alcohol-induced liver disease
21. What are the early symptoms of cirrhosis
Answer: fatigue and enlarged
22. what are the late symptoms of LATE manifestations of cirrhosis
Answer: Jaundice, Dark urine,
LOW serum albumin
Clay colored stool ( indications of bile abnormality
23. Other unique s/s (late) liver cirrhosis
Answer: spider angiomas (small bright red center branches)
- palmar erythema
- hematologic disorders
( low WBC, RBC, platelets) --splenomegaly
