Exam 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems

A patient with cancer of the liver has severe ascites, and the health care provider plans a paracentesis to relieve the fluid pressure on the diaphragm. To prepare the patient for the procedure, the nurse

A patient who is admitted with acute hepatic encephalopathy and ascites receives instructions about appropriate diet. The nurse determines that the teaching has been effective when the patient's choice of foods from the menu includes

Which data obtained by the nurse during the assessment of a patient with cirrhosis will be of most concern?

In planning care for a patient with acute pancreatitis, the nurse assigns the highest priority to the patient outcome of

When lactulose (Cephulac) 30 ml QID is ordered for a patient with advanced cirrhosis, the patient complains that it causes diarrhea. The nurse explains to the patient that it is still important to take the drug because the lactulose will

A patient with severe cirrhosis has a new prescription for propranolol (Inderal). The nurse will teach the patient that the medication is ordered to

During evaluation of a patient at an outpatient clinic, the nurse determines that administration of hepatitis B vaccine has been effective when a specimen of the patient's blood reveals

An appropriate collaborative problem for the nurse to include in the care plan for a patient with cholelithiasis and obstruction of the common bile duct is

A patient with acute hepatitis B asks the nurse if treatment is available for the condition. The nurse explains to the patient that

When caring for a patient following an incisional cholecystectomy for cholelithiasis, the nurse places the highest priority on assisting the patient to

Combination therapy of a-interferon and ribavirin (Rebetol) is being used to treat hepatitis C in a patient with human immunodeficiency virus (HIV). The nurse will plan to monitor

When the nurse is caring for the patient with pancreatic cancer, which nursing diagnosis is a priority?

A patient hospitalized with possible acute pancreatitis has severe abdominal pain and nausea and vomiting. The nurse would expect the diagnosis to be confirmed with laboratory testing that reveals elevated serum

A patient contracts hepatitis from contaminated food. During the acute (icteric) phase of the patient's illness, the nurse would expect serologic testing to reveal

When teaching a patient recovering from hepatitis B about management of the illness, the nurse determines that additional teaching is needed when the patient says

A patient with acute pancreatitis has a nasogastric (NG) tube to suction and is NPO. The nurse explains to the patient that the major purpose of this treatment is

A patient in the outpatient clinic has positive serologic testing for anti-HCV. Which action by the nurse is appropriate?

When taking a health history for a new patient, which information given by the patient would indicate that screening for hepatitis C is appropriate?

A patient with cirrhosis has 4+ pitting edema of the feet and legs and massive ascites. The data indicate that it is most important for the nurse to monitor the patient's

When the nurse is caring for a patient with acute pancreatitis, which of these assessment data should be of most concern?