Hepatobiliary Powerpint quiz

What manifestation in the patient does the nurse recognize as an early sign of hepatic encephalopathy? A. Is irritable and lethargic B. Has increasing oliguria C. Becomes unconscious D. Asterixis

B. Is irritable and lethargic

To prevent the spread of hepatitis A virus (HAV) infection the nurse is especially careful when A. changing IV tubing B. Taking an oral temperature C. Emptying the bed pan D. Disposing of food trays

C.Emptying the bed pan

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. Withhold analgesics unless necessary. B. Monitor pulse oximetry every hour. C. Use incentive spirometry every hour. D. Instruct the client to cough only when necessary.

D. Use incentive spirometry every hour

The client with chronic pancreatitis needs information on dietary modification to manage the health problem. The nurse teaches the client to limit which item in the diet? A. Fat B. Water-soluble vitamins C. Protein D. Carbohydrate

B. Fat

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

C. Elevated serum amylase levels

You are caring for a post-operative cholecystectomy client. What should be reported immediately to the physician? A. The client reports severe RUQ tenderness. B. Output does not equal input for the first few hours. C. The client reports shoulder pain. D. The client cannot void 4 hours post-operatively.

A. The client reports severe RUQ tenderness.

The nurse provides discharge instructions for a patient with ascites and peripheral edema related to cirrhosis. Which statement if made by the patient indicates teaching was effective? A. "It is safe to take acetaminophen up to three or four times a day for pain." B. "Herbs and other spices should be used to season foods instead of salt." C. "Lactulose (Cephulac) should be taken every day to prevent constipation." D. "I will eat foods high in potassium while taking spironolactone (Aldactone)."

B. "Herbs and other spices should be used to season foods instead of salt."

Which nursing action will be included in the plan of care for a patient with cirrhosis who has ascites and 4+ edema of the feet and legs? A. Reposition the patient every 4 hours B. Perform passive range of motion QID C. Restrict dietary protein intake D. Use a pressure-relieving mattress

B. Use a pressure-relieving mattress

The health care provider orders lactulose for a patient with hepatic encephalopathy. The nurse will monitor for effectiveness of this medication for this patient by assessing what? A. Relief of constipation B. Decreased ammonia levels C. Relief of abdominal pain D. Decreased liver enzymes

B. Decreased ammonia levels

A client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening? A. Esophageal varices B. Asterixis C. Peripheral edema D. Ascites

C. Esophageal varices