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

During change-of-shift report, the nurse learns about the following four patients. Which patient requires the most rapid assessment?

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

Which nursing action will be included in the plan of care for a patient who has recently been diagnosed with asymptomatic nonalcoholic fatty liver disease ( NAFLD )?

A patient who has advanced cirrhosis is receiving lactulose ( Cephulac ). Which finding by the nurse indicates that the medication is effective?

A patient is admitted with an abrupt onset of jaundice, nausea, and abnormal liver function studies. Serologic testing is negative for viral causes of hepatitis. Which question by the nurse is most appropriate?

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

A 32-year-old patient is diagnosed with early alcoholic cirrhosis. Which topic is most important to include in patient teaching?

Which information given by a patient when the nurse is taking a health history indicates that screening for hepatitis C should be done?

When combination therapy of a-interferon and ribavirin (Rebetol) is being used to treat chronic hepatitis C, the nurse will plan to monitor for

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

The nurse determines that administration of hepatitis B vaccine to a patient has been effective when a specimen of the patient's blood reveals

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 educating a patient with chronic pancreatitis about the prescribed pancrelipase (Viokase), the nurse will teach the patient to take the medication

When assessing a patient who had a liver transplant a week previously, the nurse obtains the following data. Which finding is most important to communicate to the health care provider?

When obtaining a health history from a patient with acute pancreatitis, the nurse asks the patient specifically about a history of

To evaluate the effectiveness of treatment for a patient who has hepatic encephalopathy, which action should the nurse take?

A patient who was admitted with acute bleeding from esophageal varices asks the nurse the purpose for the ordered ranitidine ( Zantac ). Which response by the nurse is most appropriate?

A patient with cirrhosis who has been vomiting blood is admitted to the emergency department. Which action should the nurse take first?

Which nursing action is a priority when the nurse is caring for a patient with pancreatic cancer?

When the nurse is caring for a patient with acute pancreatitis, which assessment finding is of most concern?