N110 - EXAM 4 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++ LATEST UPDATE
portal vein
The majority of blood supply to the liver, which is rich in nutrients from the
gastrointestinal tract, comes from the ...
acute or chronic cirrhosis of the liver
hepatic dysfunction is defined as ...
malnutrition r/t alcoholism
cirrhosis is mostly commonly caused by ...
jaundice, nutritional deficiencies, portal HTN, ascites and varices, and hepatic
encephalopathy or coma
what are the clinical manifestations of hepatic dysfunction?
Hepatocellular and obstructive
name the two kinds of jaundice most commonly associated with hepatic dysfunction
increased serum bilirubin levels
what causes jaundice?
obstructed blood flow through the liver; Ascites and Esophageal varices
portal HTN is usually due to .... ; and results in what two pathological processes?
bed rest, ow sodium diet, diuretics, paracentesis, admin of salt-poor albumin and
TIPS (Transjugular intrahepatic portosystemic shunt)
treatment of ascites might include: (6)
Spironolactone (Aldactone)
, Which diuretic medication would most often be used for a patient with ascites?
Spironolactone (Aldactone)
most often the first-line therapy in patients with ascites from cirrhosis.
because of the possibility of precipitating hepatic coma.
why are Ammonium chloride and acetazolamide (Diamox) contraindicated for diuretic
treatment of ascites?
lactulose
used to promote excretion of ammonia from the body through the stool
beta-blocking agent
class of medications used when pt have varices, to prevent bleeding.
poorly functioning livers are typically unable to convert ammonia (and other
waste products) to a less toxic form. These products can then travel up to the
brain and cause life threatening complications, such as hepatic encephalopathy
and coma. Lactulose reduces ammonia levels in the body, and therefore is
prescribed to avoid serious complications in a pt with hepatic dysfunction.
explain why lactulose would be prescribed to a pt with hepatic dysfunction
minimize protein catabolism
IV glucose is administered to pt's with hepatic dysfunction to ..
Hypokalemia (electrolyte levels), Asterixis, Lactulose administration, and
Orientation (level of consciousness)
When caring for a pt with hepatic encephalopathy, the nurse should be monitoring what
4 key elements? (HALO)
to detect if they have developed esophageal varices
SOLUTIONS GRADED A++ LATEST UPDATE
portal vein
The majority of blood supply to the liver, which is rich in nutrients from the
gastrointestinal tract, comes from the ...
acute or chronic cirrhosis of the liver
hepatic dysfunction is defined as ...
malnutrition r/t alcoholism
cirrhosis is mostly commonly caused by ...
jaundice, nutritional deficiencies, portal HTN, ascites and varices, and hepatic
encephalopathy or coma
what are the clinical manifestations of hepatic dysfunction?
Hepatocellular and obstructive
name the two kinds of jaundice most commonly associated with hepatic dysfunction
increased serum bilirubin levels
what causes jaundice?
obstructed blood flow through the liver; Ascites and Esophageal varices
portal HTN is usually due to .... ; and results in what two pathological processes?
bed rest, ow sodium diet, diuretics, paracentesis, admin of salt-poor albumin and
TIPS (Transjugular intrahepatic portosystemic shunt)
treatment of ascites might include: (6)
Spironolactone (Aldactone)
, Which diuretic medication would most often be used for a patient with ascites?
Spironolactone (Aldactone)
most often the first-line therapy in patients with ascites from cirrhosis.
because of the possibility of precipitating hepatic coma.
why are Ammonium chloride and acetazolamide (Diamox) contraindicated for diuretic
treatment of ascites?
lactulose
used to promote excretion of ammonia from the body through the stool
beta-blocking agent
class of medications used when pt have varices, to prevent bleeding.
poorly functioning livers are typically unable to convert ammonia (and other
waste products) to a less toxic form. These products can then travel up to the
brain and cause life threatening complications, such as hepatic encephalopathy
and coma. Lactulose reduces ammonia levels in the body, and therefore is
prescribed to avoid serious complications in a pt with hepatic dysfunction.
explain why lactulose would be prescribed to a pt with hepatic dysfunction
minimize protein catabolism
IV glucose is administered to pt's with hepatic dysfunction to ..
Hypokalemia (electrolyte levels), Asterixis, Lactulose administration, and
Orientation (level of consciousness)
When caring for a pt with hepatic encephalopathy, the nurse should be monitoring what
4 key elements? (HALO)
to detect if they have developed esophageal varices
