40. What instructions should the patient be given before undersoing paracentesis

Question

40. What instructions should the patient be given before undersoing paracentesis? Empty bladder B. Remove dentures C. Take nothing by mouth D. Cleanse bowel with enemas 41. Which laboratory value is most indicative of hepatic disease? A. Cholesterol 200 mg/di B. Albumin 3.3 g/dl C. Partial thrombin time 85 seconds D. Elevated alanine aminotransferase 42. Which of the following findings is indicative of advanced liver disease? A. Nausea and vomiting B. Abdominal pain C. Anorexia D.) Ascites 43. Which criterion is most critical in determining protein intake for the patient a resection? A. Protein/albumin level B. Ammonia level C. Weight loss D. Muscle tone 44. The nurse anticipates which dietary restrictions to help prevent ascites i advanced liver disease? A.) Sodiunm B. Potassium C. Thiamine D. Folic acid

Explanation / Answer

40) The main instruction should be given to the patient who undergoes paracentesis is to come with empty stomach.This should be followed because doctors cannot perform the activity for the person who consumes belly full food.So i think option A is correct.

41) Hepatitis is an inflammatory disease which occurs in the liver and the most effective blood test that checks the liver damage is ALT test.During the damage of liver,it releases ALT in to the blood in huge amounts and will increase the blood levels.ALT test is also known as SGPT (Serum Gultamic pyruvate transaminase). So i think option D is correct.

42) The most advanced liver disease is Ascites which is caused due to the cirrhosis.Ascites is the accumulation of ascitic fluid within the abdomen and the most common disorder of the ascites is high blood pressure.The symptoms include abdominal swelling,weight gain,indigestion,vomiting,nausea etc..So i think option D is correct.

44) The person who suffers with the Advanced liver disease should skip the intake of salt in their foods because,intake of sodium may leads to increase of this disease.So the physician will suggest to avoid the intake of soidum.So i think option A is correct.

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