TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 112: Cirrhosis Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient is diagnosed with fibrotic liver disease; a liver biopsy shows micronodular cirrhosis.
What is the most common cause of this form of cirrhosis? a. Alcoholism b. Hepatitis C c. Hepatocellular carcinoma d. Right-sided heart failure ANS: A
Micronodular cirrhosis is often associated with alcoholic liver disease. Viral causes and carcinoma usually cause macronodular cirrhosis. Right-sided heart failure occurs with many other causes as part of the disease development. 2. A patient with a history of chronic alcoholism reports weight loss, pruritis, and fatigue. The
patient’s urine and stools appear normal. What do these findings indicate? a. Early liver cirrhosis b. Late liver cirrhosis c. Liver failure and ascites d. Probably viral hepatitis ANS: A
Early symptoms of cirrhosis are characterized by this patient’s symptoms. As the condition NUcolor RSIand NGTthe B.patient COM develops anorexia, nausea, and worsens, stools and urine change vomiting. Liver failure and ascites are late and will include abdominal pain. Viral hepatitis is a less likely diagnosis in the patient with a history of alcoholism. 3. A patient diagnosed with cirrhosis develops ascites. Which medication will be ordered
initially to improve symptoms? a. Cephalosporin b. Furosemide c. Lactulose d. Spironolactone ANS: D
Spironolactone is the initial diuretic used to improve fluid diuresis in patients with ascites. Furosemide may be used as adjunctive therapy. Cephalosporin is used when infections occur. Lactulose is used to increase stools and reduce encephalopathy.
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