Nur324 Biliary Disorders

Which clinical manifestations are seen with hepatitis? Select all that apply. A. Hepatomegaly B. Low grade fever C. Elevated liver enzymes D. Decreased sense of taste E. Jaundice

A, B, C, E

A client experiences occasional right upper quadrant pain attributed to cholecystitis. To prevent or minimize dyspepsia, the nurse would instruct the client to avoid which food items? A. Nuts and popcorn B. Meatloaf and baked potato C. Chocolate and boiled shrimp D. Fried chicken and buttered popcorn

D

EMS transports a known IV drug user to the ED. The client reports flu-like symptoms for the last week, jaundice, and inability to keep food down. What safety precautions should the nurse utilize? A. Droplet precautions only B. Full gown, gloves, mask with shield C. Report the client to the CDC D. Standard precautions of gloves and handwashing

D

What is Cullen's sign?

discoloration of the abdomen and periumbilical area

What is the main function of the pancreas?

production of insulin

Would someone with acute pancreatitis experience weight gain or weight loss? Why?

weight loss because their body is not moving glucose into cells, instead it is breaking down fat stores for energy

A client is returned to the surgical unit after an abdominal cholecystectomy. Which is the main reason why the nurse would assess for clinical indicators of respiratory complications? A. Client has a history of asthma B. Client is at risk for developing pneumonia C. Client is immunocompromised because bile is in the blood D. The bloodstream is invaded by mircoorganisms from the biliary tract

A

Which information would the nurse emphasize while teaching a patient ways to avoid exposure to hepatitis B infection? Select all that apply. A. Use disposable needles and syringes B. Avoid sharing toothbrushes and razors C. Avoid eating foods prepared in unhygenic ways D. Avoid touching or coming in contact with people with hepatitis B E. Avoid unsafe sex with multiple partners, and always use condoms

A, B, E

Which action is likely to exacerbate the condition of a client who has pancreatitis? A. Checking for fatty stools B. Eating three large meals C. Taking omeprazole 1 hour after meals D. Taking pancreatic enzymes along with meals

B

Which diagnostic test(s) would the nurse anticipate will be prescribed to confirm a client's diagnosis of acute pancreatitis? Select all that apply. A. Liver biopsy B. Serum lipase C. Serum amylase D. CT Scan

B, C, D

Which instruction would the nurse include in the discharge teaching when a client with hepatitis A infection is leaving the hospital? A. Do not share your razors B. Isolate yourself from your family members C. Wash your hands thoroughly after having a bowel movement D. Take acetaminophen every 4 hours if your fever persists

C

A client reports nausea and abdominal pain. The nurse notices bluish discoloration in the area between the client's last rib and the hip and records a body temperature of 99.1°F (37.3°C). The laboratory reports reveal a white blood cell count (WBC) of 12,000 cells/µL. Which condition would the nurse suspect in this client? A. Cirrhosis B. Esophageal varicies C. Cholelithiasis D. Pancreatitis

D

What is Turner's sign?

bluish discoloration of the flanks

How do bile salts help someone with gallstones?

they work to dissolve gallstones

Why can't you remove your entire pancreas?

you would lose your ability to produce insulin