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Exam 30: Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

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Question 1

Multiple Choice

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A patient with advanced cirrhosis develops esophageal varices.The nurse anticipates that this complication will be addressed by which type of medication(s) ?

A) Vasodilators
B) Intravenous (IV) vasopressin (Pitressin)
C) IV iron
D) Beta blockers
E) Vitamin K

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Question 2

Multiple Choice

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The nurse is aware that a definitive diagnosis of cirrhosis is made based on the results of which diagnostic or laboratory test?

A) Liver biopsy
B) Elevated aspartate aminotransferase (AST)
C) Elevated alanine aminotransferase (ALT)
D) Elevated lactate dehydrogenase (LDH)

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Question 3

Short Answer

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The nurse explains that bile salts deposited in the skin cause jaundice and also cause _____.

The nurse is caring for a patient being treated for new onset of gallstones.The patient asks the nurse if he will have to have surgery.How should the nurse respond?

The nurse is caring for a patient with cirrhosis.The nurse is educating the patient about nutritional implications related to his diagnosis.Which statement indicates that the nurse's teaching has been successful?

The nurse is discussing the impact of cirrhosis on liver function with the family of a dying patient.The nurse explains that,when the damage caused by cirrhosis blocks the blood flow through the liver,it can lead to which complication(s) ?

The nurse is caring for a patient who underwent a cholecystectomy 3 days ago.Which assessment finding best indicates to the nurse that the bile flow is no longer obstructed from entering the bowel?

The nurse is caring for a patient with cholelithiasis who is scheduled to undergo a cholescintigraphy (HIDA scan) .Which statement accurately describes the purpose of the HIDA scan?

The nurse is caring for a patient with hepatitis.The nurse explains that jaundice occurs in conjunction with hepatitis based on which underlying pathophysiology?

Match the hepatitis virus (HV) with the characteristics that best describe it. -Fecal-oral transmission,acute onset

The nurse is caring for a patient admitted with suspected acute viral hepatitis.Which laboratory value would best support this diagnosis?

The nurse points out to a patient recently diagnosed with hepatitis B virus (HBV) that the virus is found which type(s) of body fluid(s) or secretions?

The nurse is providing discharge teaching for a patient who underwent a laparoscopic cholecystectomy.Which statement indicates that the nurse's teaching has been successful?

Match the hepatitis virus (HV) with the characteristics that best describe it. -Most likely to lead to cirrhosis

The nurse is caring for a patient diagnosed with acute pancreatitis who complains of significant pain.Which nursing action holds the highest priority for this patient?

The nurse is caring for a patient with esophageal varices with a new order for vasopressin (Pitressin) .The nurse reviews the patient's history and notes that the patient's comorbidities include coronary artery disease (CAD) ,type 2 diabetes,gastroesophageal reflux disease (GERD) ,and fibromyalgia.The nurse should immediately notify the physician about which component of the patient's history?

Match the hepatitis virus (HV) with the characteristics that best describe it. -Transmission by contact with blood and body fluids,perinatal transmission from mother to infant

A nurse is caring for a patient who is 4 hours postoperative after a laparoscopic cholecystectomy.The patient reports abdominal fullness and mild discomfort.After verifying that the patient's vital signs are stable,what action is most important for the nurse to take next?

The nurse caring for a patient recently admitted with acute pancreatitis.Which action(s) should the nurse include in the daily assessments?

The nurse reinforces that the immunization for HBV is believed to provide _____ immunity.