Progressive Care Nursing Certification (PCCN) Practice Exam

When a patient with hepatic failure inquires about their decreasing phosphorus level, what is the best response?

1. Your liver is regenerating

2. Your kidney function has not been affected

3. We can prepare you for a liver biopsy

4. You will start to feel more energy soon

The correct answer is: We can prepare you for a liver biopsy

In a patient with hepatic failure experiencing a decreasing phosphorus level, the best response would be to consider the implications of the changes in their condition. Decreasing phosphorus levels can be indicative of multiple underlying factors, particularly in the context of liver function. Hepatic failure often disrupts metabolic processes, which can include changes to how various electrolytes, including phosphorus, are managed in the body. A liver biopsy is often indicated in cases of hepatic failure to assess the extent of liver damage and to determine the underlying cause of liver dysfunction, which may help explain the changes in phosphorus levels and the patient's overall condition. By proposing preparation for a liver biopsy, you're addressing the potential need for further investigation of the liver—essentially linking the drop in phosphorus levels to the larger picture of the patient’s liver health. This shows an understanding of how hepatic failure can impact metabolic processes and highlights the importance of comprehensive assessment in managing patients with liver disease. The other options do not directly address the clinical significance of the patient's phosphorus level in relation to their liver condition. Therefore, this response adequately connects the inquiry to a potential next step in their care.