Question 1

The nurse clarifies that deterioration progresses through stages before presenting with liver disease.The first stage is destruction.What is the last stage?

Accepted Answer

The answer of The nurse clarifies that deterioration progresses through...

Question 2

Which factors may increase a patient's risk of developing cancer of the pancreas?

Accepted Answer

Cigarette smoking and diabetes mellitus are well-documented risk factors for the development of pancreatic cancer. Smoking is one of the most significant risk factors, and diabetes mellitus has been associated with an increased risk of pancreatic cancer in numerous studies.

Question 3

Which factors are most commonly associated with pancreatitis?

Accepted Answer

Alcoholism and biliary tract disease are the two most common causes of pancreatitis. Alcoholism can lead to chronic pancreatitis, while gallstones from biliary tract disease can block the pancreatic duct, leading to acute pancreatitis.

Question 4

Why is morphine contraindicated in the patient with pancreatitis?

Accepted Answer

Morphine can cause spasms of the sphincter of Oddi, which can exacerbate pain and potentially worsen the condition in patients with pancreatitis by increasing the pressure in the pancreatic duct.

Question 5

Viral hepatitis may be treated at home.What should be taught to the patient's family? (Select all that apply. )

Accepted Answer

A) Clothes potentially contaminated with the virus should be laundered separately in hot water to kill the virus. B) Sharing personal items and drinking glasses can spread the virus, so it's important to avoid this. D) Proper hand hygiene, especially after using the toilet, is crucial in preventing the spread of viral hepatitis.

Question 6

A patient with a T tube for an open cholecystectomy has resumed oral intake.The T tube is clamped 2 hours before meals and unclamped 2 hours after meals to aid in the digestion of fat.During the time the tube is clamped the patient complains of abdominal pain and nausea.Which intervention is most appropriate?

Accepted Answer

Unclamping the tube immediately is the most appropriate intervention because the patient's symptoms of abdominal pain and nausea could be due to the accumulation of bile since it cannot flow into the intestine when the tube is clamped. Unclamping the tube would allow the bile to flow, potentially relieving the symptoms.

Question 7

The nurse is aware that the hepatitis A immunization provides immunity in:

Accepted Answer

The hepatitis A immunization typically provides immunity about 30 days after the vaccine is administered.

Question 8

What should the nurse monitor in caring for the patient undergoing a paracentesis?

Accepted Answer

Fluid removal over at least 30 minutes is a critical parameter to monitor during a paracentesis to prevent fluid overload and potential complications.

Question 9

A patient with pancreatitis is NPO.The patient asks the nurse why he is unable to have anything by mouth.Which of the following is the best response?

Accepted Answer

The pancreas is stimulated by eating or drinking, which can exacerbate pain and inflammation in pancreatitis. Keeping the patient NPO (nothing by mouth) minimizes pancreatic stimulation, helping to manage symptoms and prevent further damage.

Question 10

What is the challenge in encouraging coughing and deep breathing for a postoperative patient who had an open cholecystectomy?

Accepted Answer

The high placement of the incision in an open cholecystectomy can cause pain when the patient coughs or takes deep breaths, making it challenging to encourage these activities.

Question 11

The nurse would make provisions in the plan of care for a person who has had a liver transplant to prevent:

Accepted Answer

Infection is a primary concern for someone who has had a liver transplant due to the immunosuppressive medications required to prevent organ rejection, which can increase the risk of infections.

Question 12

A family member of a patient asks the nurse about the protein-restricted diet ordered because of advanced liver disease with hepatic encephalopathy.What statement by the nurse would best explain the purpose of the diet?

Accepted Answer

The liver is responsible for removing toxins from the blood, including ammonia, which is a byproduct of protein metabolism. In advanced liver disease, such as hepatic encephalopathy, the liver's ability to detoxify ammonia is compromised, leading to an accumulation of ammonia in the blood, which can affect brain function. Restricting dietary protein helps reduce the production of ammonia, thereby reducing its potential toxic effects on the brain.

Question 13

What are the indications for a liver transplant? (Select all that apply. )

Accepted Answer

The answer of What are the indications for a liver...

Question 14

When caring for an extremely jaundiced patient with cirrhosis,what should the nurse include provisions for in the plan of care?

Accepted Answer

Jaundice can cause pruritus (itching), so skin care is important to relieve discomfort. The other options are not specifically related to the care of a jaundiced patient with cirrhosis.

Question 15

Which assessment would indicate possible gallbladder disease in an older adult?

Accepted Answer

The answer of Which assessment would indicate possible gallbladder disease...

Question 16

The nurse is aware that an elevated serum amylase is diagnostic of pancreatitis at an early stage as an elevation can be assessed as early as _____ after the onset of pancreatic disease.

Accepted Answer

Serum amylase levels can rise as early as 2 hours after the onset of pancreatic disease, making it a useful early marker for conditions such as acute pancreatitis.

Question 17

The 100 lb patient who has been exposed to hepatitis A is to receive an injection of immune serum globulin.What should the dose (.02 mL/kg)be?

Accepted Answer

The answer of The 100 lb patient who has been...

Question 18

What is the second step in the normal process of protein metabolism?

Accepted Answer

The answer of What is the second step in the...

Question 19

Why is it advantageous for a live person to be a liver donor?

Accepted Answer

A live liver donor donates only a part of their liver, which can regenerate and grow back to near its original size, making it a viable option for donation without severely compromising the donor's health.

Question 20

A male patient states that he returned from a 2-week camping trip a few days ago.He complains of nausea and anorexia,and dark urine.What additional information would assist in diagnosing hepatitis A?

Accepted Answer

Recent ingestion of raw fish can be associated with hepatitis A, as the virus is often transmitted through the consumption of contaminated food or water.

Quiz 46: Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder