Deck 47: Caring for Clients With Disorders Oftheliver, Gallbladder, or Pancreas

Question 1

A nurse is preparing a presentation for a local community group about hepatitis. Which of the following would the nurse include?

A) Hepatitis B is transmitted primarily by the oral-fecal route.
B) Hepatitis A is frequently spread by sexual contact.
C) Hepatitis C increases a person's risk for liver cancer.
D) Infection with hepatitis G is similar to hepatitis

Answer 1

Hepatitis C increases a person's risk for liver cancer.

Question 2

The nurse would expect to observe which of the following when assessing a client with cholelithiasis?

A) Stools that contain blood and mucus.
B) Bowel sounds that are absent.
C) Stools that appear small and dry.
D) Urine that appears dark brown.

Answer 2

Urine that appears dark brown.

Question 3

Which of the following would be most appropriate for a client who is experiencing biliary colic?

A) Ensure that the client rests.
B) Ensure that the client has eaten a full meal.
C) Avoid administering antispasmodics.
D) Avoid administering analgesics.

Answer 3

Ensure that the client rests.

Question 4

Which of the following symptoms would indicate that a client with chronic pancreatitis has developed secondary diabetes?

A) Increased appetite and thirst
B) Vomiting and diarrhea
C) Low blood pressure and pulse
D) Decreased urination and constipation

Question 5

A female client with chronic hepatitis B has been prescribed recombinant interferon alpha-2b in combination with ribavirin. Which of the following instructions should a nurse provide this client?

A) Avoid calcium-rich foods.
B) Maintain an exercise regimen.
C) Use strict birth control methods.
D) Avoid hot water baths or soaks.

Question 6

A client returns to the nursing unit after an open cholecystectomy. During the surgery a T-tube was inserted. The nurse measures the bile drainage and calculates the daily output for the T-tube. The nurse would notify the physician if the daily amount was which of the following?

A) 125 mL
B) 310 mL
C) 450 mL
D) 575 mL

Question 7

A client is being prepared to undergo laboratory and diagnostic testing to confirm the diagnosis of cirrhosis. Which test would the nurse expect to be used to provide definitive confirmation of the disorder?

A) Coagulation studies
B) Magnetic resonance imaging
C) Radioisotope liver scan
D) Liver biopsy

Question 8

A client being treated for pancreatitis faces the risk of atelectasis. Which of the following interventions would be important to implement to minimize this risk?

A) Monitor pulse oximetry every hour.
B) Withhold oral feedings for the client.
C) Instruct the client to avoid coughing.
D) Reposition the client every 2 hours.

Question 9

A central venous catheter is inserted for a client being treated for acute pancreatitis. Which of the following would the nurse need to monitor closely?

A) Serum electrolyte values
B) Urine volume
C) Pressure measurements
D) Lung sounds

Question 10

When performing a physical examination on a client with cirrhosis, a nurse notices that the client's abdomen is enlarged. Which of the following interventions should the nurse consider?

A) Report the condition to the physician immediately.
B) Measure abdominal girth according to a set routine.
C) Provide the client with nonprescription laxatives.
D) Ask the client about food intake.Add Question Here

Question 11

A client with esophageal varices is scheduled to undergo injection sclerotherapy. Which of the following client statements indicates that the teaching was successful?

A) "The physician will use a balloon to compress the vessels."
B) "I might need to have this procedure done again."
C) "It's seems odd that a rubber band can block off the vessels."
D) "A catheter will be inserted through my belly to fix the vessels."

Question 12

The physician orders cholestyramine (Questran) for a client with cirrhosis. The nurse determines that the drug is effective when the clientexhibits which of the following?

A) Reduced serum ammonia levels
B) Improved clotting ability
C) Decreased complaints of pruritus
D) Improved serum protein levels

Question 13

When reviewing the history of a client with pancreatic cancer, the nurse would identify which of the following as a possible risk factor?

A) History of pancreatitis
B) Ingestion of a low fat diet
C) One-time exposure to petrochemicals
D) Ingestion of caffeinated coffee

Question 14

A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the following should a nurse administer to the client before surgery?

A) Potassium
B) Vitamin K
C) Vitamin B
D) Oral bile acids

Question 15

Which of the following interventions would be most appropriate for a client who has undergone surgery for a liver disorder and has started shivering?

A) Provide the client with warm fluids.
B) Cover the client with a light blanket.
C) Ensure that the room temperature is below 70°F.
D) Place the client on a hypothermia blanket.

Question 16

When inspecting the abdomen of a client with cirrhosis, the nurse observes that the veins over the abdomen are dilated. The nurse documents this finding as which of the following?

A) Gynecomastia
B) Cutaneous spider angiomata
C) Caput medusae
D) Palmar erythema

Question 17

A client is admitted to the healthcare facility suspected of having acute pancreatitis and undergoes laboratory testing. Which of the following would the nurse expect to find?

A) Increased serum calcium levels
B) Elevated urine amylase levels
C) Decreased liver enzyme levels
D) Decreased white blood cell count

Question 18

Which of the following medications would the nurse expect the physician to order for a client with cirrhosis who develops portal hypertension?

A) Spironolactone (Aldactone)
B) Kanamycin (Kantrex)
C) Lactulose (Cephulac)
D) Cyclosporine (Sandimmune)

Question 19

Which of the following laboratory test results would the nurse associate with obstructive jaundice?

A) Increased indirect bilirubin
B) Decreased unconjugated bilirubin
C) Decreased conjugated bilirubin
D) Increased direct bilirubin

Question 20

The nurse is caring for a client with hepatitis. Which of the following would lead the nurse to suspect that the client is in the prodromal phase?

A) Jaundice
B) Clay -colored stools
C) Liver function tests approaching normal
D) Rash

Question 21

A client with hepatitis who has not responded to medical treatment is scheduled for a liver transplant. Which of the following most likely would be ordered?

A) Chenodiol
B) Ursodiol
C) Tacrolimus
D) Interferon alfa-2b, recombinant

Question 22

Which of the following would the nurse expect to assess in a client with hepatic encephalopathy?

A) Increased motor activity
B) Asterixis
C) Negative Babinski reflex
D) Irritability

Question 23

A group of students is reviewing information about the liver and associated disorders. The group demonstrates understanding of the information when they identify which of the following as a primary function of the liver?

A) Breakdown amino acids
B) Convert urea into ammonia
C) Excrete bile
D) Break down coagulation factors