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In a cirrhotic liver, portal hypertension is the result of


A) increased pressure in the hepatic artery.
B) increased pressure in the portal vein.
C) normal pressure.
D) blood flow through the liver.

E) All of the above
F) None of the above

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Which of these statements by an adult male with alcoholic cirrhosis of the liver indicates the greatest need for further education?


A) "I will not eat an 8-oz.steak every night."
B) "I will eat hard candy and drink soft drinks for extra calories."
C) "I will limit my drinking to a glass of wine a few times per week."
D) "I will limit my sodium intake if I develop ascites."

E) All of the above
F) C) and D)

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Which of the following nutrients is not one of the nutrient deficiencies that most frequently upsets red blood cell production?


A) Iron
B) Vitamin E
C) Folate
D) Vitamin B12

E) A) and C)
F) C) and D)

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Nisha has had her gallbladder removed.Which of the following complications may arise?


A) Diarrhea
B) Abdominal pain
C) Vomiting
D) a and b
E) b and c
Questions for Section 25.5 Anemia in Illness

F) B) and D)
G) A) and E)

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Where does erythropoiesis take place?


A) In the stomach
B) In the small intestines
C) In the bone marrow
D) In the large intestine

E) C) and D)
F) B) and D)

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Which of the following individuals is the least likely to develop gallstones?


A) A woman with diabetes
B) A woman taking birth control pills
C) A 35-year-old man who is physically active
D) A 60-year-old man with poor appetite

E) B) and C)
F) A) and D)

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Veronica Riley-O’Brien is a 30-year-old mother of two young boys (Tyler, 4 years old, and Ethan, 6 weeks old) . Veronica is 5 feet, 4 inches tall and weighs 186 pounds. She is having difficulty sleeping due to pain in her abdomen and back. She calls her doctor this morning as the pain has intensified. -Which of the following risk factors puts Veronica at risk for gallstones?


A) Ethnicity
B) Weight
C) Gender
D) a and b
E) b and c

F) C) and E)
G) B) and C)

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Typical drug therapy used to treat cirrhosis includes


A) antibiotics to alter bacterial populations.
B) lactulose to reduce ammonia production and absorption.
C) diuretics to control portal hypertension.
D) a and c
E) all of the above

F) A) and D)
G) A) and C)

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All of the following are symptoms of hepatitis except


A) jaundice.
B) anorexia.
C) kidney failure.
D) nausea.

E) A) and C)
F) A) and B)

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The roles of the liver include which of the following?


A) Production of bile
B) Detoxification of drugs and alcohol
C) Excretion of metabolic wastes
D) a and b
E) All of the above

F) B) and D)
G) B) and C)

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All of the following are consequences of metabolic disorders that can cause cirrhosis except


A) excessive accumulation of iron.
B) excessive accumulation of copper.
C) excessive accumulation of zinc.
D) excessive accumulation of fat.

E) C) and D)
F) A) and B)

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Which of the following herbal remedies is reported to cause hepatitis?


A) Chaparral
B) Germander
C) Ma haung
D) a and c
E) All of the above

F) D) and E)
G) C) and D)

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A diet plan for a malnourished person with hepatitis would be


A) a low-kcalorie, low-protein diet.
B) a high-kcalorie, low-protein diet.
C) a high-kcalorie, high-protein diet.
D) not required.

E) None of the above
F) All of the above

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_____ is the abnormal accumulation of fluid in the abdominal cavity.


A) Edema
B) Ascites
C) Cirrhosis
D) Sludge

E) A) and C)
F) A) and D)

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When signs and symptoms of hepatic encephalopathy appear, the nurse should anticipate


A) a moderate-protein diet, spread throughout the day.
B) a high-protein diet.
C) the use of agents to slow peristalsis.
D) a reduction of dietary branched-chain amino acids.

E) B) and C)
F) A) and D)

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A client with a fatty liver is at risk for developing:


A) heart disease.
B) diabetes.
C) kwashiorkor.
D) cirrhosis.

E) A) and B)
F) None of the above

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Which of the following findings would be unexpected in a client with cirrhosis?


A) Portal hypertension
B) Esophageal varices
C) Hypoammonemia
D) Ascites

E) B) and D)
F) A) and B)

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Where does the synthesis of erythropoietin occur?


A) Kidneys
B) Pancreas
C) Liver
D) a and b

E) A) and C)
F) A) and B)

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Normal values for serum albumin are


A) 1.5 to 2.5 g/dL.
B) 3.4 to 4.8 g/dL.
C) 5.0 to 6.2 g/dL.
D) none of the above

E) A) and D)
F) A) and C)

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Case Studies Karen Bauman is a 27 year old employed in the cosmetic and fashion industry.Lately, she has reported feeling fatigued.But, she feels her long hours and hectic schedule are the main contributors.Her past medical history includes type 1 diabetes.She returns to her doctor due to abnormal lab results from her last physical. -Karen is surprised to be diagnosed with fatty liver disease.Which laboratory value would you expect to be elevated?


A) Potassium
B) Triglycerides
C) Albumin
D) Essential fatty acids

E) B) and C)
F) A) and C)

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