Exam 43: Liver, pancreas, and Biliary Tract Problems

Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient with acute pancreatitis?

The nurse is caring for a patient with pancreatic cancer. Which nursing action is the highest priority?

The nurse will ask a patient being admitted with acute pancreatitis specifically about a history of

Which finding indicates to the nurse that lactulose is effective for an older adult who has advanced cirrhosis?

A patient with acute pancreatitis is NPO and has a nasogastric (NG)tube to suction. Which information obtained by the nurse indicates that these therapies have been effective?

Which response by the nurse best explains the purpose of ranitidine (Zantac)for a patient admitted with bleeding esophageal varices?

A 36-yr-old female patient is receiving treatment for chronic hepatitis C with pegylated interferon (PEG-Intron,Pegasys),ribavirin (Rebetol),and telaprevir (Incivek). Which finding is important to communicate to the health care provider to suggest a change in therapy?

Which action will the nurse include in the plan of care for a patient who has been diagnosed with chronic hepatitis B?

A serum potassium level of 3.2 mEq/L (3.2 mmol/L)is reported for a patient with cirrhosis who has scheduled doses of spironolactone (Aldactone)and furosemide (Lasix)due. Which action should the nurse take?

The nurse will teach a patient with chronic pancreatitis to take the prescribed pancrelipase (Viokase)

Which focused data will the nurse monitor in relation to the 4+ pitting edema assessed in a patient with cirrhosis?

Which assessment finding is of most concern for a patient with acute pancreatitis?

Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt (TIPS)placed 3 months ago has been effective?

A patient is being treated for bleeding esophageal varices with balloon tamponade. Which nursing action will be included in the plan of care?

Which action should the nurse in the emergency department take first for a new patient who is vomiting blood?

The nurse is caring for a patient who has cirrhosis. Which data obtained by the nurse during the assessment will be of most concern?

In reviewing the medical record shown in the accompanying figure for a patient admitted with acute pancreatitis,the nurse sees that the patient has a positive Cullen's sign. Indicate the area where the nurse will assess for this change.

A patient with chronic hepatitis C infection has several medications prescribed. Which medication requires further discussion with the health care provider before administration?

The nurse recognizes that teaching a patient following a laparoscopic cholecystectomy has been effective when the patient makes which statement?

Which action should the nurse take to evaluate treatment effectiveness for a patient who has hepatic encephalopathy?