Question 1

The nurse is planning care for a 48-year-old woman with acute severe pancreatitis.The highest priority patient outcome is

Accepted Answer

A)  maintaining normal respiratory function. 
B)  expressing satisfaction with pain control. 
C)  developing no ongoing pancreatic disease. 
D)  having adequate fluid and electrolyte balance.

Question 2

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

Accepted Answer

A)  The medication will reduce the risk for aspiration. 
B)  The medication will inhibit development of gastric ulcers. 
C)  The medication will prevent irritation of the enlarged veins. 
D)  The medication will decrease nausea and improve the appetite.

Question 3

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

Accepted Answer

A)  Increased serum albumin level 
B)  Decreased indirect bilirubin level 
C)  Improved alertness and orientation 
D)  Fewer episodes of bleeding varices

Question 4

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

Accepted Answer

A)  Hemoglobin 
B)  Temperature 
C)  Activity level 
D)  Albumin level

Question 5

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?

Accepted Answer

A)  Bowel sounds are present. 
B)  Grey Turner sign resolves. 
C)  Electrolyte levels are normal. 
D)  Abdominal pain is decreased.

Question 6

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

Accepted Answer

A)  The patient's urine is bright yellow. 
B)  The patient's stools are tan colored. 
C)  The patient has increased pain after eating. 
D)  The patient complains of chronic heartburn.

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

The nurse is planning care for a 48-year-old woman with acute severe pancreatitis.The highest priority patient outcome is

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

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

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

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?

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