What therapeutic intervention provides the best chance of survival for a child with cirrhosis?
a. Nutritional support
b. Liver transplantation
c. Blood component therapy
d. Treatment with corticosteroids
ANS: B
The only successful treatment for end-stage liver disease and liver failure may be liver transplantation, which has improved the prognosis for many children with cirrhosis. Liver transplantation reflects the failure of other medical and surgical measures to prevent or treat cirrhosis. Nutritional support is necessary for the child with cirrhosis, but it does not stop the progression of the disease. Blood components are indicated when the liver can no longer produce clotting factors. It is supportive therapy, not curative. Corticosteroids are not used in end-stage liver disease.
You might also like to view...
Early physiologic jaundice in the breastfeeding newborn is managed by
a. giving glucose water within 1 hour after birth b. encouraging early and frequent breastfeeding c. supplementing with formula until breast milk is established d. withdrawing all breast milk since it is asso-ciated with this abnormality
Which of the following clients exhibits the most realistic perception of his or her present crisis?
A) A woman whose daughter will soon graduate from high school experiences chronic insomnia due to worrying about her daughter's future. B) A man believes that his business would have failed no matter what action he had taken to operate it differently. C) A woman with uncontrolled diabetes states that it is a waste of time to monitor her blood sugar levels because "whatever happens was supposed to happen." D) A woman newly diagnosed with lung cancer laments the fact that she has never made a sincere effort to quit smoking.
A man states that he would like to change his dietary habits to decrease his risk of developing cancer in the future. Which of the following statements would be the best response for the nurse?
a. Consume at least cups of fruits and vegetables each day. b. Dietary habits have minimal effect in reducing your risk of developing cancer. c. A glass of red wine should be consumed daily. d. Dietary supplements of specific nutrients will maximize the effects of dietary changes.
A 22-year-old presents with chronic bronchitis. Tests reveal closure of the airway during expira-tion. This condition is most likely caused by:
a. thick mucus from hypertrophied glands. b. ventilation-perfusion mismatch. c. hyperventilation. d. thinning smooth muscle in the bronchioles.