Author Question: A nursing instructor is teaching students about cirrhosis of the liver. Which of the following ... (Read 33 times)

asan beg · **on:** Jul 19, 2018

A nursing instructor is teaching students about cirrhosis of the liver. Which of the following student statements about the complications of hepatic encephalopathy should indicate that further student teaching is needed? Select all that apply.

A. A diet rich in protein will promote hepatic healing.
B. This condition leads to a rise in serum ammonia, resulting in impaired mental functioning.
C. In this condition, blood accumulates in the abdominal cavity.
D. Neomycin and lactulose are used in the treatment of this condition.
E. This condition is caused by the inability of the liver to convert ammonia to urea.

Question 2

Which of the following nursing statements exemplify important insights that will promote effective intervention with clients diagnosed with substance use disorders? Select all that apply.

A. I am easily manipulated and need to work on this prior to caring for these clients.
B. Because of my father's alcoholism, I need to examine my attitude toward these clients.
C. Drinking is legal, so the diagnosis of substance use disorder is an infringement on client rights.
D. Opiate addicts are typically uneducated, unrefined individuals who will need a lot of education and social skills training.
E. I can fix clients diagnosed with substance use disorders as long as I truly care about them.

EAN94 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A, C
The nursing instructor should understand that further teaching is needed if the nursing student states that a diet rich in protein will promote hepatic healing or that this condition causes blood to accumulate in the abdominal cavity (ascites), because these are incorrect statements. The treatment of hepatic encephalopathy requires abstention from alcohol, temporary elimination of protein from the diet, and reduction of intestinal ammonia by means of neomycin or lactulose. This condition occurs in response to the inability of the liver to convert ammonia to urea for excretion.

Answer to Question 2

A, B, D
The nurse should examine personal bias and preconceived negative attitudes prior to caring for clients diagnosed with substance-abuse disorders. A deficit in this area may affect the nurse's ability to establish therapeutic relationships with these clients. A nurse who adopts the attitude that he or she can fix another person may be struggling with codependency issues.