Author Question: A nurse assesses a client who has liver disease. Which laboratory findings should the nurse ... (Read 56 times)

jake · **on:** Jun 25, 2018

A nurse assesses a client who has liver disease. Which laboratory findings should the nurse recognize as potentially causing complications of this disorder? (Select all that apply.)

a. Elevated aspartate transaminase
b. Elevated international normalized ratio (INR)
c. Decreased serum globulin levels
d. Decreased serum alkaline phosphatase
e. Elevated serum ammonia
f.
Elevated prothrombin time (PT)

Question 2

An infection control nurse develops a plan to decrease the number of health care professionals who contract viral hepatitis at work. Which ideas should the nurse include in this plan? (Select all that apply.)

a. Policies related to consistent use of Standard Precautions
b. Hepatitis vaccination mandate for workers in high-risk areas
c. Implementation of a needleless system for intravenous therapy
d. Number of sharps used in client care reduced where possible
e. Postexposure prophylaxis provided in a timely manner

tanna.moeller · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B, E, F
Elevated INR and PT are indications of clotting disturbances and alert the nurse to the increased possibility of hemorrhage. Elevated ammonia levels increase the client's confusion. The other values are abnormal and associated with liver disease but do not necessarily place the client at increased risk for complications.

Answer to Question 2

ANS: A, C, D, E
Nurses should always use Standard Precautions for client care, and policies should reflect this. Needleless systems and reduction of sharps can help prevent hepatitis. Postexposure prophylaxis should be provided immediately. All health care workers should receive the hepatitis vaccinations that are available.