Chapter 51 Hepatic, Biliary Tract, and Pancreatic Dysfunction: Nursing Management

Chapter 51  Hepatic, Biliary Tract, and Pancreatic Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis?
1.
Hepatitis A
2.
Hepatitis B
3.
Hepatitis C
4.
Hepatitis D

ANS: 1
Hepatitis A virus (HAV) is spread through the fecal-oral route. Child care workers are at greater risk because of potentially poor hygiene practices. Child care workers are not at the same risk for contracting hepatitis B, C, or D.

PTS: 1 DIF: Analyze REF: Table 51-1 Comparison of the Types of Hepatitis

2. An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely cause of this problem is:
1.
being in the military.
2.
traveling to a foreign country.
3.
drinking excessive alcohol.
4.
eating bad food.

ANS: 3
The destruction to the liver from alcohol often progresses from fatty liver to alcoholic hepatitis and culminates in alcoholic cirrhosis. Alcoholic cirrhosis accounts for a great number of individuals diagnosed with this disease. Cirrhosis is not associated with being in the military, traveling to a foreign country, or eating bad food.

PTS: 1 DIF: Analyze REF: Cirrhosis

3. When the liver is seriously damaged, ammonia levels can rise in the body. One of the treatments for this is:
1.
administering intravenous (IV) neomycin.
2.
giving vitamin K.
3.
giving lactulose.
4.
starting the patient on insulin.

ANS: 3
Lactulose is a laxative that works by pulling water into the stool. It also helps pull ammonia from the blood into the colon for expulsion. IV antibiotics do not reduce serum ammonia levels. Vitamin K controls bleeding, but it does not reduce ammonia levels. Insulin is not used to reduce ammonia levels.

PTS: 1 DIF: Analyze
REF: Hepatic Encephalopathy: Planning and Implementation

4. A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is:
1.
infection.
2.
bleeding.
3.
pain.
4.
nausea and vomiting.

ANS: 2
After a liver biopsy, the client is monitored for bleeding or hemorrhage. Infection and pain are of concern, but they are not the most important signs to be monitored. Nausea and vomiting are not typically associated with a liver biopsy.

PTS: 1 DIF: Analyze REF: Nursing Strategy: Complications of a Liver Biopsy