A nurse assesses a male client who has symptoms of cirrhosis. ...

[ts19998]

A nurse assesses a male client who has symptoms of cirrhosis. Which questions should the nurse ask to identify potential factors contributing to this laboratory result? (Select all that apply.)
 
  a. How frequently do you drink alcohol?
  b. Have you ever had sex with a man?
  c. Do you have a family history of cancer?
  d. Have you ever worked as a plumber?
  e. Were you previously incarcerated?

Question 2

A nurse plans care for a client who has hepatopulmonary syndrome. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
 
  a. Oxygen therapy
  b. Prone position
  c. Feet elevated on pillows
  d. Daily weights
  e. Physical therapy

[Bsand8]

Answer to Question 1

ANS: A, B, E
When assessing a client with suspected cirrhosis, the nurse should ask about alcohol consumption, including amount and frequency; sexual history and orientation (specifically men having sex with men); illicit drug use; history of tattoos; and history of military service, incarceration, or work as a firefighter, police officer, or health care provider. A family history of cancer and work as a plumber do not put the client at risk for cirrhosis.

Answer to Question 2

ANS: A, C, D
Care for a client who has hepatopulmonary syndrome should include oxygen therapy, the head of bed elevated at least 30 degrees or as high as the client wants to improve breathing, elevated feet to decrease dependent edema, and daily weights. There is no need to place the client in a prone position, on the client's stomach. Although physical therapy may be helpful to a client who has been hospitalized for several days, physical therapy is not an intervention specifically for hepatopulmonary syndrome.