Skip Navigation LinksHome > April 10, 2013 - Volume 38 - Issue 4 > Management of patients with complications of cirrhosis
Nurse Practitioner:
doi: 10.1097/01.NPR.0000428852.22728.41
CE Connection

Management of patients with complications of cirrhosis

Free Access
Article Outline
Collapse Box

Author Information

For more than 105 additional continuing education articles related to advanced nursing practice topics, go to NursingCenter.com/CE.

Earn CE credit online: Go to http://www.nursingcenter.com/CE/NPandreceiveacertificatewithinminutes.

Back to Top | Article Outline

INSTRUCTIONS Management of patients with complications of cirrhosis

TEST INSTRUCTIONS

* To take the test online, go to our secure website at http://www.nursingcenter.com/ce/NP.

* On the print form, record your answers in the test answer section of the CE enrollment form on page 23. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $24.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.

* Registration deadline is April 30, 2015.

Back to Top | Article Outline
DISCOUNTS and CUSTOMER SERVICE

* Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other healthcare facilities on nursingcenter.com. Call 1-800-787-8985 for details.

Back to Top | Article Outline
PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of The Nurse Practitioner journal, will award 2.8 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.8 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223.

Your certificate is valid in all states. This activity has been assigned 1.5 pharmacology credits.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

Management of patients with complications of cirrhosis

General Purpose: To provide information on managing patients with complications of cirrhosis. Learning Objectives: After reading the preceding article and taking this test, you should be able to: 1. Describe the pathophysiology and diagnosis of cirrhosis and the staging of cirrhosis complications. 2. Discuss risk factors for complications of cirrhosis and treatment options.

1. End-stage liver disease is characterized by a(n)

a. increase in cardiac output.

b. increase in arterial BP.

c. decrease in heart rate>.

d. increase in systemic vascular resistance.

2. The splanchnic and peripheral vasodilation from end-stage liver disease results in

a. decreased stimulation of the renin-angiotensin-aldosterone system.

b. reduced secretion of antidiuretic hormone.

c. diminished renal blood flow.

d. increased sodium excretion.

3. Lab results for patients with cirrhosis include

a. hyperalbuminemia.

b. thrombocytosis.

c. decreased PMN count.

d. prolonged INR.

4. Which of the following is not a diagnostic criterion of decompensated cirrhosis?

a. ascites

b. jaundice

c. hepatic encephalopathy

d. variceal bleeding

5. When the SAAG is 1.1 g/dL or greater, ascites is likely related to

a. pancreatitis.

b. nephrotic syndrome.

c. peritoneal carcinomatosis.

d. portal hypertension.

6. Moderate ascites with abdominal distension is classified as

a. stage 1.

b. stage 2.

c. stage 3.

d. refractory.

7. Treatment of ascites commonly involves

a. spironolactone and furosemide.

b. 1 to 1.5 g/day sodium restriction.

c. spironolactone and amiloride.

d. norfloxacin or trimethoprim-sulfamethoxazole.

8. After placement of a TIPS, there is a chance of developing

a. HRS.

b. SBP.

c. hepatic encephalopathy.

d. variceal bleeding.

9. The treatment of choice for SBP is

a. norfloxacin.

b. amoxicillin-clavulanate.

c. neomycin.

d. cefotaxime.

10. The development of hepatic encephalopathy is most often attributed to a high level of

a. sodium.

b. ammonia.

c. potassium.

d. urea.

11. Hepatic encephalopathy characterized by somnolence to semi-stupor is

a. grade 1.

b. grade 2.

c. grade 3.

d. grade 4.

12. A safer and equally effective alternative to neomycin for treating hepatic encephalopathy is

a. rifaximin.

b. cefotaxime.

c. midodrine.

d. octreotide.

13. Malnourished patients with cirrhosis commonly are deficient in all of the following except

a. zinc.

b. selenium.

c. sodium.

d. magnesium.

14. The main treatment for esophageal varices includes

a. amiloride.

b. octreotide.

c. albumin.

d. beta blockers.

15. Immediate treatment of variceal rupture includes

a. liver transplantation.

b. administration of blood products.

c. large volume paracentesis.

d. vigorous resuscitation with 0.9% sodium chloride.

16. An event that may trigger type 1 HRS is

a. nonsteroidal anti-inflammatory drug administration.

b. large volume paracentesis with the administration of albumin.

c. stage 1 ascites.

d. administration of midodrine.

17. Major criteria for the diagnosis of HRS in patients with cirrhosis include

a. hypovolemic shock.

b. recent treatment with nephrotoxic drugs.

c. presence of parenchymal kidney disease.

d. serum creatinine greater than 1.5 mg/dL.

18. A risk factor for HCC is

a. prolonged corticosteroid use.

b. chronic hepatitis C.

c. peritonitis.

d. sepsis.

Figure. No caption a...
Image Tools

© 2013 Lippincott Williams & Wilkins, Inc.

Login