Adult Health Final exam.docx - A client comes to the unit...

A client comes to the unit for management of complications related to liver failure. Which
laboratory value(s) is/are reflective of severe hepatic dysfunction? Select all that apply.
A. elevated cholesterol
B. elevated total bilirubin
C. decreased prothrombin time
D. increased alanine aminotransferase (ALT)
E. increased urobilinogen
ANSWER: A
The hepatic failure client has ascites. Which measure will BEST help the client to decrease build
up of intra-abdominal fluid?
The LPN tells the nurse that the client diagnosed with liver is getting more confused. Which
intervention should the nurse implement first?
The nurse reviews the laboratory results for a client with cirrhosis and notes that the ammonia
level is elevated. Which diet does the nurse anticipate to be prescribed for this client?
Asterixis may occur in the liver failure client due to:
A. decreased clotting factor production
B. decreased cholesterol production
C. increased bilirubin levels
D. Increased ammonia levels
ANSWER: D
In a client with hepatic failure, which of the following lab values are likely to be increased?

total bilirubin (both direct and indirect)
blood urea nitrogen and albumin
ALT and AST
Prothrombin and partial thromboplastin times
ANSWER: A
A client with hepatic encephalopathy is prescribed lactulose. A spouse asks for information
about this medication. Which of the following statements are true? Select all that apply.