Chapter 25 Patients With Hepatic and Biliary Disorders

Chapter 25  Patients With Hepatic and Biliary Disorders

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient with portal hypertension has been admitted to the medical floor. What will the nurse assess for related to portal hypertension?
A)
Bowel obstruction
B)
Vitamin A deficiency
C)
Ascites
D)
Hepatic encephalopathy

2.
A patient who has undergone liver transplantation is ready to be discharged home. The nurse is providing discharge teaching. Which topic will the nurse emphasize most related to discharge teaching?
A)
The patient will obtain measurement of drainage from the T-tube.
B)
The patient will exercise three times a week.
C)
The patient will take immunosuppressive agents as required.
D)
The patient will monitor for signs of liver dysfunction.

3.
The nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. What will the nurse document this condition as in the patient’s chart?
A)
Asterixis
B)
Constructional apraxia
C)
Fetor hepaticus
D)
Palmar erythema

4.
A nurse is performing health education with the family member of a patient who has ascites. The nurse should be cognizant of which physiologic processes that cause ascites? Select all that apply.
A)
Sodium and water retention
B)
A damaged liver
C)
Insufficient renal flow
D)
Increased lymphatic flow
E)
Decreased synthesis of immunoglobulin G

5.
A patient is brought to the emergency department by ambulance. He has hematemesis and alteration in mental status. The patient has tachycardia, cool clammy skin, and hypotension. The patient has a history of alcohol abuse. What would the nurse suspect the patient has?
A)
Hemolytic jaundice
B)
Hepatic insufficiency
C)
Bleeding esophageal varices
D)
Portal hypertension

Answer Key

1.
C
2.
C
3.
A
4.
A, B, D
5.
C