NSG 430 Adult Health Nursing II Questions with Answers, 100% Guarantee Pass Grand Canyon University NSG 430 Final Exam Study Guide

NSG 430 Adult Health Nursing II
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Questions with Answers, 100% Guarantee Pass
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Grand Canyon University ss ss ss




NSG 430 Final Exam Study Guide
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1. where can spider like angiomas be seen
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Answer> checks, upper neck, shoulders
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2. what are complications of liver cirrhosis
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Answer> Esophageal varices Ascities
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Hepatic
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syndrome
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3. what are esophageal varices
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Answer> enlarged veins at the lower end of the esophagus
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4. what are esophageal varices important to monitor
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Answer> fragile, do NOT tolerate
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HIGH PRESSURE
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(risk for bursting.. leading to hemorrhage)
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,6. how to do we treat peripheral edema
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Answer> Tx exogenous albumin ss ss ss




7. why is it important to manage peripheral edema
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Answer> leads to increased BP, more importantly increase portal pressure!
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8. What is gross ascites ss ss ss




Answer> increase in and pressure leading to an eversion of the umbilicus
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Decrease in osmotic pressure ss ss ss




dehydration
dry skin, sunken eyes, weakness
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9. what is gross ascites at risk for
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Answer> spontaneous bacterial peritonitis -- due to alternations in the fluid
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space (Ecoli)
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10. what is hepatic encephalopathy
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Answer> Neurotoxic effects of ammonia
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Liver is unable to convert ammonia ( as it crosses the BBB)
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11. what is the cause of ammonia
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Answer> when the liver is unable to convert ammonia into urea.. leading to
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,13. how soon can hepatic encephalopathy occur
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Answer> can occur sunddely!
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-important to do your neuro checks
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14. what are the prime characteristics of hepatic encephalopathy
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Answer> Asterixis , Fetor hepaticicus, apraxia
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15. what is asterixis and where is it from
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Answer> hand flapping tremor(occurs when hand are held out and pulled back)
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16. what is hepaticicus
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Answer> musty, sweet odor from breath
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17. what is aprixia
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Answer> difficult to perform tasks, or movement, even though they
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ss understand what needs to be done
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18. Cirrhosis
Answer> End stage liver disease
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19. what is cirrhosis
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Answer> tensive degeneration and destruction
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- replaced with fibrosis and regenerative nodules
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, Answer> fatigue and enlarged
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22. what are the late symptoms of LATE manifestations of cirrhosis
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Answer> Jaundice, Dark urine,
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LOW serum albumin ss ss




Clay colored stool ( indications of bile abnormality
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23. Other unique s/s (late) liver cirrhosis
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Answer> spider angiomas (small bright red center branches)
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- palmar erythema ss




- hematologic disorders ss




( low WBC, RBC, platelets) --splenomegaly
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- peripheral neuropathies ss




- gynecomastia



24. What is used to treat high levels of ammonia
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Answer> Lactulose! & antibiotics (rifax- imin)
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25. what is hepatorenal syndrome
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Answer> Renal failure due to decreased blood flow to the kidneys ( from
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ss constricted BV in the kidneys) ss ss ss ss 4 ss/
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