Question 1

The nurse assesses a dropping bilirubin level in a patient with hepatitis to mean that the:

Accepted Answer

A)  Red blood cell destruction is decreasing. 
B)  Liver function is improving. 
C)  Kidneys are compensating for liver dysfunction. 
D)  Kupffer cell damage is continuing. 
A)  Red blood cell destruction is decreasing. 
B)  Liver function is improving. 
C)  Kidneys are compensating for liver dysfunction. 
D)  Kupffer cell damage is continuing. B

Question 2

The patient with ascites is scheduled for a LeVeen peritoneal-venous shunt.The patient asks why this needs to be done instead of the paracentesis.The nurse replies:

Accepted Answer

A)  "It helps the kidneys retain needed sodium." 
B)  "It will decrease the need for analgesics." 
C)  "This procedure will prevent the loss of protein." 
D)  "The risk of infection is lessened with this procedure." 
A)  "It helps the kidneys retain needed sodium." 
B)  "It will decrease the need for analgesics." 
C)  "This procedure will prevent the loss of protein." 
D)  "The risk of infection is lessened with this procedure." C

Question 3

A patient in acute pain is admitted with pancreatitis.The nurse sees a laboratory report showing an elevation that is diagnostic for acute pancreatitis,which is:

Accepted Answer

A)  Serum bilirubin 
B)  Serum calcium 
C)  Serum lipids 
D)  Serum amylase 
A)  Serum bilirubin 
B)  Serum calcium 
C)  Serum lipids 
D)  Serum amylase D

Question 4

The nurse will evaluate whether the dietary teaching is successful when the patient on a low-sodium diet selects:

Accepted Answer

A)  Bologna sandwich with tomato juice 
B)  Hot dog on a bun with pickle relish and skim milk 
C)  Baked chicken, white rice, and apple juice 
D)  Peanut butter and jelly sandwich with tomato soup 
A)  Bologna sandwich with tomato juice 
B)  Hot dog on a bun with pickle relish and skim milk 
C)  Baked chicken, white rice, and apple juice 
D)  Peanut butter and jelly sandwich with tomato soup

Question 5

In assessing the patient with jaundice,who has been diagnosed for impaired skin integrity,the nurse should:

Accepted Answer

A)  Sedate the patient. 
B)  Apply mittens or socks to the hands. 
C)  Restrain the hands. 
D)  Distract the patient with conversation. 
A)  Sedate the patient. 
B)  Apply mittens or socks to the hands. 
C)  Restrain the hands. 
D)  Distract the patient with conversation.

Question 6

Before discharge after a laparoscopic procedure for cholelithiasis,the patient is advised to:

Accepted Answer

A)  Take water-soluble vitamins. 
B)  Follow a low-fat diet. 
C)  Expect light-colored stools for several days. 
D)  Keep dressing over T-tube dry. 
A)  Take water-soluble vitamins. 
B)  Follow a low-fat diet. 
C)  Expect light-colored stools for several days. 
D)  Keep dressing over T-tube dry.

Question 7

The complication for which the nurse would monitor after a liver biopsy is:

Accepted Answer

A)  Headache 
B)  Muscle cramps 
C)  Bleeding 
D)  Respiratory distress 
A)  Headache 
B)  Muscle cramps 
C)  Bleeding 
D)  Respiratory distress

Question 8

The nurse reminds the patient with liver disease that the level of ____________________ in the blood is an indicator of the how well the liver is functioning.

Accepted Answer

Bilirubin
The level of indirec

Question 9

The patient was positive for hepatitis B virus,although she had the disease 4 years ago and now is symptom-free.The nurse explains that the patient:

Accepted Answer

A)  Is likely to have hepatitis B again. 
B)  Now has noninfectious hepatitis. 
C)  Is an infectious carrier and always will be. 
D)  Is at risk for hepatitis E. 
A)  Is likely to have hepatitis B again. 
B)  Now has noninfectious hepatitis. 
C)  Is an infectious carrier and always will be. 
D)  Is at risk for hepatitis E.

Question 10

The nurse is alert for bleeding in a patient with hepatic disorders because the inflamed liver may not be able to synthesize two clotting factors,which are ____________________ and ____________________.

Accepted Answer

Prothrombin; fibrinogen
Prothr

Question 11

The goal of medical treatment for patients with cirrhosis is to prevent complications and limit cell damage.A major approach is to promote rest.The reason for this is to:

Accepted Answer

A)  Allow time for a transplant. 
B)  Allow the liver to regenerate. 
C)  Prevent red cell destruction. 
D)  Decrease the risk of trauma. 
A)  Allow time for a transplant. 
B)  Allow the liver to regenerate. 
C)  Prevent red cell destruction. 
D)  Decrease the risk of trauma.

Question 12

The nursing measure that takes priority in relation to the care of a patient with an gastroesophageal balloon tube is to:

Accepted Answer

A)  Deflate the balloon periodically. 
B)  Advance the tube as instructed. 
C)  Monitor respirator status. 
D)  Withhold medications that could decrease restlessness. 
A)  Deflate the balloon periodically. 
B)  Advance the tube as instructed. 
C)  Monitor respirator status. 
D)  Withhold medications that could decrease restlessness.

Question 13

The nurse explains that with the continued rise in ammonia levels in the patient with cirrhosis,the diet will be modified to restrict:

Accepted Answer

A)  Protein 
B)  Carbohydrates 
C)  Fats 
D)  Water-soluble vitamins 
A)  Protein 
B)  Carbohydrates 
C)  Fats 
D)  Water-soluble vitamins

Question 14

In planning the care for the patient with pancreatitis,the nurse assigns the highest priority to:

Accepted Answer

A)  Patient claims satisfaction with pain control. 
B)  Patient states an understanding of medications needed on discharge. 
C)  Patient's activity level tolerance shows an increase. 
D)  Patient can maintain a normal bowel pattern. 
A)  Patient claims satisfaction with pain control. 
B)  Patient states an understanding of medications needed on discharge. 
C)  Patient's activity level tolerance shows an increase. 
D)  Patient can maintain a normal bowel pattern.

Question 15

The nurse assures the patient that the Occupational Health and Safety Administration (OSHA)has a requirement that all health care providers have the vaccination for:

Accepted Answer

A)  Hepatitis A 
B)  Hepatitis B 
C)  Hepatitis C 
D)  All strains of hepatitis. 
A)  Hepatitis A 
B)  Hepatitis B 
C)  Hepatitis C 
D)  All strains of hepatitis.

Question 16

The nurse caring for a patient with hepatitis B should initiate the precaution of:

Accepted Answer

A)  Reverse isolation 
B)  Standard precautions 
C)  Respiratory precautions 
D)  Enteric precautions 
A)  Reverse isolation 
B)  Standard precautions 
C)  Respiratory precautions 
D)  Enteric precautions

Question 17

The nurse makes a list of drugs and herbal remedies that are harmful to the liver,which includes:

Accepted Answer

A)  Comfrey (herbal remedy) 
B)  Promethazine (Phenergan) 
C)  Acetaminophen (Tylenol) 
D)  Oral contraceptive (Yaz) 
E)  Lavender (herbal remedy) 
A)  Comfrey (herbal remedy) 
B)  Promethazine (Phenergan) 
C)  Acetaminophen (Tylenol) 
D)  Oral contraceptive (Yaz) 
E)  Lavender (herbal remedy)

Question 18

The sign that would be a contraindication for the need of increased fluid intake for the patient with a hepatic disorder is:

Accepted Answer

A)  Low blood pressure 
B)  Increased urinary output 
C)  Signs of edema 
D)  Bradycardia 
A)  Low blood pressure 
B)  Increased urinary output 
C)  Signs of edema 
D)  Bradycardia

Question 19

The nurse explains that pruritus in the patient with hepatitis is related to:

Accepted Answer

A)  Decreased fat intake 
B)  Poor appetite and therefore poor protein intake 
C)  Accumulation of bile salts under the skin 
D)  Altered urinary output of bile 
A)  Decreased fat intake 
B)  Poor appetite and therefore poor protein intake 
C)  Accumulation of bile salts under the skin 
D)  Altered urinary output of bile

Question 20

The nurse would assess the progress of ascites on a daily basis by:

Accepted Answer

A)  Daily weights and abdominal girth measurements. 
B)  Intake-output and electrolyte levels. 
C)  Blood pressure and pulse. 
D)  Daily temperatures and oxygen levels. 
A)  Daily weights and abdominal girth measurements. 
B)  Intake-output and electrolyte levels. 
C)  Blood pressure and pulse. 
D)  Daily temperatures and oxygen levels.

Exam 39: Disorders of the Liver, gallbladder, and Pancreas

The nurse assesses a dropping bilirubin level in a patient with hepatitis to mean that the:

The patient with ascites is scheduled for a LeVeen peritoneal-venous shunt.The patient asks why this needs to be done instead of the paracentesis.The nurse replies:

A patient in acute pain is admitted with pancreatitis.The nurse sees a laboratory report showing an elevation that is diagnostic for acute pancreatitis,which is:

The nurse will evaluate whether the dietary teaching is successful when the patient on a low-sodium diet selects:

In assessing the patient with jaundice,who has been diagnosed for impaired skin integrity,the nurse should:

Before discharge after a laparoscopic procedure for cholelithiasis,the patient is advised to:

The complication for which the nurse would monitor after a liver biopsy is:

The nurse reminds the patient with liver disease that the level of ____________________ in the blood is an indicator of the how well the liver is functioning.

The patient was positive for hepatitis B virus,although she had the disease 4 years ago and now is symptom-free.The nurse explains that the patient:

The nurse is alert for bleeding in a patient with hepatic disorders because the inflamed liver may not be able to synthesize two clotting factors,which are ____________________ and ____________________.

The goal of medical treatment for patients with cirrhosis is to prevent complications and limit cell damage.A major approach is to promote rest.The reason for this is to:

The nursing measure that takes priority in relation to the care of a patient with an gastroesophageal balloon tube is to:

The nurse explains that with the continued rise in ammonia levels in the patient with cirrhosis,the diet will be modified to restrict:

In planning the care for the patient with pancreatitis,the nurse assigns the highest priority to:

The nurse assures the patient that the Occupational Health and Safety Administration (OSHA)has a requirement that all health care providers have the vaccination for:

The nurse caring for a patient with hepatitis B should initiate the precaution of:

The nurse makes a list of drugs and herbal remedies that are harmful to the liver,which includes:

The sign that would be a contraindication for the need of increased fluid intake for the patient with a hepatic disorder is:

The nurse explains that pruritus in the patient with hepatitis is related to:

The nurse would assess the progress of ascites on a daily basis by:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

Filters

The nurse is alert for bleeding in a patient with hepatic disorders because the inflamed liver may not be able to synthesize two clotting factors,which are and .