Question 1

In a cirrhotic liver, portal hypertension is the result of

Accepted Answer

A) increased pressure in the hepatic artery. 
B) increased pressure in the portal vein. 
C) normal pressure. 
D) blood flow through the liver. 
A) increased pressure in the hepatic artery. 
B) increased pressure in the portal vein. 
C) normal pressure. 
D) blood flow through the liver.

Question 2

All of the following are consequences of metabolic disorders that can cause cirrhosis except

Accepted Answer

A) excessive accumulation of iron. 
B) excessive accumulation of copper. 
C) excessive accumulation of zinc. 
D) excessive accumulation of fat. 
A) excessive accumulation of iron. 
B) excessive accumulation of copper. 
C) excessive accumulation of zinc. 
D) excessive accumulation of fat.

Question 3

When signs and symptoms of hepatic encephalopathy appear, the nurse should anticipate

Accepted Answer

A) a moderate-protein diet, spread throughout the day. 
B) a high-protein diet. 
C) the use of agents to slow peristalsis. 
D) a reduction of dietary branched-chain amino acids. 
A) a moderate-protein diet, spread throughout the day. 
B) a high-protein diet. 
C) the use of agents to slow peristalsis. 
D) a reduction of dietary branched-chain amino acids.

Question 4

Which of the following herbal remedies is reported to cause hepatitis?

Accepted Answer

A) Chaparral 
B) Germander 
C) Ma haung 
D) a and c 
E) All of the above 
A) Chaparral 
B) Germander 
C) Ma haung 
D) a and c 
E) All of the above

Question 5

Typical drug therapy used to treat cirrhosis includes

Accepted Answer

A) antibiotics to alter bacterial populations. 
B) lactulose to reduce ammonia production and absorption. 
C) diuretics to control portal hypertension. 
D) a and c 
E) all of the above 
A) antibiotics to alter bacterial populations. 
B) lactulose to reduce ammonia production and absorption. 
C) diuretics to control portal hypertension. 
D) a and c 
E) all of the above

Question 6

All of the following are symptoms of hepatitis except

Accepted Answer

A) jaundice. 
B) anorexia. 
C) kidney failure. 
D) nausea. 
A) jaundice. 
B) anorexia. 
C) kidney failure. 
D) nausea.

Question 7

Which of the following individuals is the least likely to develop gallstones?

Accepted Answer

A) A woman with diabetes 
B) A woman taking birth control pills 
C) A 35-year-old man who is physically active 
D) A 60-year-old man with poor appetite 
A) A woman with diabetes 
B) A woman taking birth control pills 
C) A 35-year-old man who is physically active 
D) A 60-year-old man with poor appetite

Question 8

The roles of the liver include which of the following?

Accepted Answer

A) Production of bile 
B) Detoxification of drugs and alcohol 
C) Excretion of metabolic wastes 
D) a and b 
E) All of the above 
A) Production of bile 
B) Detoxification of drugs and alcohol 
C) Excretion of metabolic wastes 
D) a and b 
E) All of the above

Question 9

_____ is the abnormal accumulation of fluid in the abdominal cavity.

Accepted Answer

A) Edema 
B) Ascites 
C) Cirrhosis 
D) Sludge 
A) Edema 
B) Ascites 
C) Cirrhosis 
D) Sludge

Question 10

Nisha has had her gallbladder removed.Which of the following complications may arise?

Accepted Answer

A) Diarrhea 
B) Abdominal pain 
C) Vomiting 
D) a and b 
E) b and c
Questions for Section 25.5 Anemia in Illness 
A) Diarrhea 
B) Abdominal pain 
C) Vomiting 
D) a and b 
E) b and c
Questions for Section 25.5 Anemia in Illness

Question 11

Which of these statements by an adult male with alcoholic cirrhosis of the liver indicates the greatest need for further education?

Accepted Answer

A) "I will not eat an 8-oz.steak every night." 
B) "I will eat hard candy and drink soft drinks for extra calories." 
C) "I will limit my drinking to a glass of wine a few times per week." 
D) "I will limit my sodium intake if I develop ascites." 
A) "I will not eat an 8-oz.steak every night." 
B) "I will eat hard candy and drink soft drinks for extra calories." 
C) "I will limit my drinking to a glass of wine a few times per week." 
D) "I will limit my sodium intake if I develop ascites."

Question 12

Normal values for serum albumin are

Accepted Answer

A) 1.5 to 2.5 g/dL. 
B) 3.4 to 4.8 g/dL. 
C) 5.0 to 6.2 g/dL. 
D) none of the above 
A) 1.5 to 2.5 g/dL. 
B) 3.4 to 4.8 g/dL. 
C) 5.0 to 6.2 g/dL. 
D) none of the above

Question 13

Which of the following findings would be unexpected in a client with cirrhosis?

Accepted Answer

A) Portal hypertension 
B) Esophageal varices 
C) Hypoammonemia 
D) Ascites 
A) Portal hypertension 
B) Esophageal varices 
C) Hypoammonemia 
D) Ascites

Question 14

Where does the synthesis of erythropoietin occur?

Accepted Answer

A) Kidneys 
B) Pancreas 
C) Liver 
D) a and b 
A) Kidneys 
B) Pancreas 
C) Liver 
D) a and b

Question 15

A client with a fatty liver is at risk for developing:

Accepted Answer

A) heart disease. 
B) diabetes. 
C) kwashiorkor. 
D) cirrhosis. 
A) heart disease. 
B) diabetes. 
C) kwashiorkor. 
D) cirrhosis.

Question 16

Which of the following nutrients is not one of the nutrient deficiencies that most frequently upsets red blood cell production?

Accepted Answer

A) Iron 
B) Vitamin E 
C) Folate 
D) Vitamin B12 
A) Iron 
B) Vitamin E 
C) Folate 
D) Vitamin B12

Question 17

Where does erythropoiesis take place?

Accepted Answer

A) In the stomach 
B) In the small intestines 
C) In the bone marrow 
D) In the large intestine 
A) In the stomach 
B) In the small intestines 
C) In the bone marrow 
D) In the large intestine

Question 18

Veronica Riley-O’Brien is a 30-year-old mother of two young boys (Tyler, 4 years old, and Ethan, 6 weeks old). Veronica is 5 feet, 4 inches tall and weighs 186 pounds. She is having difficulty sleeping due to pain in her abdomen and back. She calls her doctor this morning as the pain has intensified.
-Which of the following risk factors puts Veronica at risk for gallstones?

Accepted Answer

A) Ethnicity 
B) Weight 
C) Gender 
D) a and b 
E) b and c 
A) Ethnicity 
B) Weight 
C) Gender 
D) a and b 
E) b and c

Question 19

A diet plan for a malnourished person with hepatitis would be

Accepted Answer

A) a low-kcalorie, low-protein diet. 
B) a high-kcalorie, low-protein diet. 
C) a high-kcalorie, high-protein diet. 
D) not required. 
A) a low-kcalorie, low-protein diet. 
B) a high-kcalorie, low-protein diet. 
C) a high-kcalorie, high-protein diet. 
D) not required.

Question 20

Case Studies
Karen Bauman is a 27 year old employed in the cosmetic and fashion industry.Lately, she has reported feeling fatigued.But, she feels her long hours and hectic schedule are the main contributors.Her past medical history includes type 1 diabetes.She returns to her doctor due to abnormal lab results from her last physical.
-Karen is surprised to be diagnosed with fatty liver disease.Which laboratory value would you expect to be elevated?

Accepted Answer

A) Potassium 
B) Triglycerides 
C) Albumin 
D) Essential fatty acids 
A) Potassium 
B) Triglycerides 
C) Albumin 
D) Essential fatty acids

Exam 25: Liver Disease and Gallstones

In a cirrhotic liver, portal hypertension is the result of

All of the following are consequences of metabolic disorders that can cause cirrhosis except

When signs and symptoms of hepatic encephalopathy appear, the nurse should anticipate

Which of the following herbal remedies is reported to cause hepatitis?

Typical drug therapy used to treat cirrhosis includes

All of the following are symptoms of hepatitis except

Which of the following individuals is the least likely to develop gallstones?

The roles of the liver include which of the following?

_____ is the abnormal accumulation of fluid in the abdominal cavity.

Nisha has had her gallbladder removed.Which of the following complications may arise?

Which of these statements by an adult male with alcoholic cirrhosis of the liver indicates the greatest need for further education?

Normal values for serum albumin are

Which of the following findings would be unexpected in a client with cirrhosis?

Where does the synthesis of erythropoietin occur?

A client with a fatty liver is at risk for developing:

Which of the following nutrients is not one of the nutrient deficiencies that most frequently upsets red blood cell production?

Where does erythropoiesis take place?

A diet plan for a malnourished person with hepatitis would be

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Parenteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

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