Question 1

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. B

Question 2

The nurse includes in the teaching plan for a patient with hepatitis A to avoid sharing:

Accepted Answer

A)  Food 
B)  Bodies 
C)  Needles 
D)  Housing 
A)  Food 
B)  Bodies 
C)  Needles 
D)  Housing A

Question 3

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 4

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 5

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 6

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 7

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 8

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 9

A high ammonia level contributes to hepatic encephalopathy.As this level increases,the nursing implementation that needs to be added to the nursing care plan is:

Accepted Answer

A)  Mouth care 
B)  Seizure precautions 
C)  Oxygen saturation monitoring 
D)  Intake and output 
A)  Mouth care 
B)  Seizure precautions 
C)  Oxygen saturation monitoring 
D)  Intake and output

Question 10

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 11

The nurse takes into consideration that persons with liver disease are at an increased risk for:

Accepted Answer

A)  Urinary infections 
B)  Systemic infection 
C)  Drug toxicity 
D)  Drug allergy 
A)  Urinary infections 
B)  Systemic infection 
C)  Drug toxicity 
D)  Drug allergy

Question 12

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 13

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.

Question 14

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 15

The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine,which is:

Accepted Answer

A)  Clay-colored stools 
B)  Jaundice 
C)  High blood pressure 
D)  Tachycardia 
A)  Clay-colored stools 
B)  Jaundice 
C)  High blood pressure 
D)  Tachycardia

Question 16

To prevent complications in a patient with hepatitis who has been prescribed bedrest,the nurse would plan to:

Accepted Answer

A)  Raise the knee gatch to prevent the patient from sliding down in bed. 
B)  Provide undisturbed periods of 6 hours to encourage rest. 
C)  Restrict fluids. 
D)  Encourage turning, coughing, and deep breathing every 2 hours. 
A)  Raise the knee gatch to prevent the patient from sliding down in bed. 
B)  Provide undisturbed periods of 6 hours to encourage rest. 
C)  Restrict fluids. 
D)  Encourage turning, coughing, and deep breathing every 2 hours.

Question 17

In assessing a dark-skinned patient for jaundice,the nurse would assess the ____________________ for a yellow color.

Accepted Answer

Sclera
Jaundice can

Question 18

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."

Question 19

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 20

The nurse makes a list of drugs and herbal remedies that are harmful to the liver,which includes: (Select all that apply.)

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)

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

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

The nurse includes in the teaching plan for a patient with hepatitis A to avoid sharing:

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

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

A high ammonia level contributes to hepatic encephalopathy.As this level increases,the nursing implementation that needs to be added to the nursing care plan is:

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

The nurse takes into consideration that persons with liver disease are at an increased risk for:

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

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

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

The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine,which is:

To prevent complications in a patient with hepatitis who has been prescribed bedrest,the nurse would plan to:

In assessing a dark-skinned patient for jaundice,the nurse would assess the ____________________ for a yellow color.

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:

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: (Select all that apply.)

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 .