NSG 430 ADULT HEALTH NURSING III Questions with
100% Correct Answers, Guarantee Pass A+ 2025 Grand
Canyon University
1. Other unique s/s (late) liver cirrhosis
Answer> spider angiomas (small bright red center branches)
- palmar erythema
- hematologic disorders
( low WBC, RBC, platelets) --splenomegaly
- peripheral neuropathies
- gynecomastia
2. What is used to treat high levels of ammonia
Answer> Lactulose! & antibiotics (rifax- imin)
3. what is hepatorenal syndrome
Answer> Renal failure due to decreased blood flow to the kidneys ( from constricted
BV in the kidneys)
4. Aztemia
,(the kidneys are being deceived thinking that blood supply is well, due to the
vasodilation, therefore they constrict their vessels, but ultimately theses leads to the
progression to renal failure from a pre renal injury)
6. what can reverse hepatorenal syndrome
Answer> a liver transplant
7. what will need the patient need to follow during the course of their tx of
hepatorenal syndrome
Answer> REST
Avoidance of alcohol
Minimize aspirin, acetaminophen, NSAIDS
Na restriction
Albumin, diuretics
8. what is tolvaptan
Answer> A VP receptor antagonist
- correcting hyponatremia ( increases the secretion Na)
9. Spironloactone
Answer> Potassium Sparing diuretic ( monitor for K intake! )
10. what are some goals for esophageal and
gastric varices
Answer> no increasing intra and pressure
- straining, coughing (bearing down)
,12. A patient is actively bleeding from their varice (what will do you)
Answer> Assess ABC!
Give somatostatin ( vasoconstriction)
- reduces blood flow, decreasing portal HTN
13. What is the medical treatment that can be sure to manage varices if
medication is not working and WHY
Answer> Balloon tamponade
- provides mechanical compression to the varices
14. What are the safety alerts for a ballon tamponade
Answer> label each lumen
secure tube-prevent movement ( could result in occlusion of airway
15. how often do you deflate the ballon and at what frequency.. why do you do
this
Answer> deflate the ballon for 5min q8-12 hrs.. PREVENTION of necrosis ( tissue
ischemia)
16. Nutritional therapy of cirrhosis
Answer> HIGH calorie >3000 Low fat
Low Na ( okay for garlic, onion, lemon juice)
, hemotalogic disorders low
albumin
foul breath, hematemesis , tarry stool
100% Correct Answers, Guarantee Pass A+ 2025 Grand
Canyon University
1. Other unique s/s (late) liver cirrhosis
Answer> spider angiomas (small bright red center branches)
- palmar erythema
- hematologic disorders
( low WBC, RBC, platelets) --splenomegaly
- peripheral neuropathies
- gynecomastia
2. What is used to treat high levels of ammonia
Answer> Lactulose! & antibiotics (rifax- imin)
3. what is hepatorenal syndrome
Answer> Renal failure due to decreased blood flow to the kidneys ( from constricted
BV in the kidneys)
4. Aztemia
,(the kidneys are being deceived thinking that blood supply is well, due to the
vasodilation, therefore they constrict their vessels, but ultimately theses leads to the
progression to renal failure from a pre renal injury)
6. what can reverse hepatorenal syndrome
Answer> a liver transplant
7. what will need the patient need to follow during the course of their tx of
hepatorenal syndrome
Answer> REST
Avoidance of alcohol
Minimize aspirin, acetaminophen, NSAIDS
Na restriction
Albumin, diuretics
8. what is tolvaptan
Answer> A VP receptor antagonist
- correcting hyponatremia ( increases the secretion Na)
9. Spironloactone
Answer> Potassium Sparing diuretic ( monitor for K intake! )
10. what are some goals for esophageal and
gastric varices
Answer> no increasing intra and pressure
- straining, coughing (bearing down)
,12. A patient is actively bleeding from their varice (what will do you)
Answer> Assess ABC!
Give somatostatin ( vasoconstriction)
- reduces blood flow, decreasing portal HTN
13. What is the medical treatment that can be sure to manage varices if
medication is not working and WHY
Answer> Balloon tamponade
- provides mechanical compression to the varices
14. What are the safety alerts for a ballon tamponade
Answer> label each lumen
secure tube-prevent movement ( could result in occlusion of airway
15. how often do you deflate the ballon and at what frequency.. why do you do
this
Answer> deflate the ballon for 5min q8-12 hrs.. PREVENTION of necrosis ( tissue
ischemia)
16. Nutritional therapy of cirrhosis
Answer> HIGH calorie >3000 Low fat
Low Na ( okay for garlic, onion, lemon juice)
, hemotalogic disorders low
albumin
foul breath, hematemesis , tarry stool
