MRCP UK EXAMINATIONS

ABDOMINAL

CHRONIC LIVER DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is caring for a client with early encephalopathy due to cirrhosis of the liver. Which factors may contribute to increasedencephalopathy for which the nurse would assess? (Select all that apply.)
A
Infection
B
GI bleeding
C
Irritable bowel syndrome
D
Constipation
E
Hypovolemia
Explanation: 

Detailed explanation-1: -You should call your doctor if you have liver disease and you notice signs of hepatic encephalopathy. Symptoms include impaired thinking, mood changes, sleep problems and hand flapping. You should also notify your doctor if you have liver disease and become constipated. Bowel movements help rid the body of toxins.

Detailed explanation-2: -Conclusion: Infection, gastrointestinal bleeding and constipation being the most important precipitating factors must be prevented and hospital funds, medicines and human efforts should lay emphasis, on these factors to decrease the incidence of hepatic encephalopathy.

Detailed explanation-3: -Nursing management for the patient with cirrhosis of the liver should focus on promoting rest, improving nutritional status, providing skin care, reducing risk of injury, and monitoring and managing complications.

There is 1 question to complete.