A client with cirrhosis of the liver asks the nurse why the liver ...

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A client with cirrhosis of the liver asks the nurse why the liver is so important to bodily function. How can the nurse respond most accurately?
 
  Standard Text: Select all that apply.
  1. The liver helps the body synthesize bile.
  2. The liver helps the body synthesize plasma proteins.
  3. The liver helps the body retain ammonia.
  4. The liver synthesizes glucose for use by the body.
  5. The liver synthesizes clotting factors.

Question 2

The nurse is planning care for a client with hepatitis. The nurse anticipates that drug metabolism:
 
  1. will not be affected.
  2. will never occur.
  3. might be delayed.
  4. might be accelerated.

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Answer to Question 1

Correct Answer: 1,2,5
Rationale 1: The liver synthesizes bile.
Rationale 2: The liver synthesizes plasma proteins.
Rationale 3: The liver removes harmful substances such as ammonia.
Rationale 4: The liver regulates substances such as glucose. It does not synthesize glucose.
Rationale 5: The liver synthesizes certain clotting factors.
Global Rationale: The liver stabilizes the serum levels of glucose, triglycerides, and cholesterol. It also removes toxic substances and waste products such as ammonia. It serves to synthesize bile, plasma proteins, and certain clotting factors. Iron and fat-soluble vitamins are stored in the liver.

Answer to Question 2

Correct Answer: 3
Rationale 1: Drug metabolism in a client with hepatitis will likely be impaired.
Rationale 2: It is unlikely that drugs would never be metabolized in a client with hepatitis.
Rationale 3: The liver is the organ primarily responsible for the metabolism of drugs. In a client with an inflammatory disease of the liver, drug metabolism might be impaired.
Rationale 4: It is unlikely that drug metabolism would be accelerated in a client with hepatitis.
Global Rationale: The liver is the organ primarily responsible for the metabolism of drugs. In a client with an inflammatory disease of the liver, drug metabolism might be impaired. This metabolism will not be increased or eliminated.

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