Exam 40: Nursing Management: Liver,pancreas and Biliary Tract Problems

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

For a patient with cirrhosis,which of the following nursing actions can the registered nurse (RN)delegate to unlicensed assistive personnel (UAP)?

To prepare a 56-year-old male patient with ascites for paracentesis,the nurse

A 67-year-old male patient with acute pancreatitis has a nasogastric (NG)tube to suction and is NPO.Which information obtained by the nurse indicates that these therapies have been effective?

A 38-year-old patient with cirrhosis has ascites and 4+ edema of the feet and legs.Which nursing action will be included in the plan of care?

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 is caring for a 36-year-old patient with pancreatic cancer.Which nursing action is the highest priority?

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

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

After an unimmunized individual is exposed to hepatitis B through a needle-stick injury,which actions will the nurse plan to take (select all that apply)?

A 49-year-old female patient with cirrhosis and esophageal varices has a new prescription for propranolol (Inderal).Which finding is the best indicator that the medication has been effective?

A 23-year-old has been admitted with acute liver failure.Which assessment data are most important for the nurse to communicate to the health care provider?

Which laboratory test result will the nurse monitor when evaluating the effects of therapy for a 62-year-old female patient who has acute pancreatitis?

Which topic is most important to include in patient teaching for a 41-year-old patient diagnosed with early alcoholic cirrhosis?

When taking the blood pressure (BP)on the right arm of a patient with severe acute pancreatitis,the nurse notices carpal spasms of the patient's right hand.Which action should the nurse take next?

A 53-year-old patient is being treated for bleeding esophageal varices with balloon tamponade.Which nursing action will be included in the plan of care?

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

Which assessment information will be most important for the nurse to report to the health care provider about a patient with acute cholecystitis?

A nurse is considering which patient to admit to the same room as a patient who had a liver transplant 3 weeks ago and is now hospitalized with acute rejection.Which patient would be the best choice?

Administration of hepatitis B vaccine to a healthy 18-year-old patient has been effective when a specimen of the patient's blood reveals