Chapter 6- Care of Patient with Gallbladder,Liver disorder etc

The nurse is assessing a newly admitted patient which findings are most indicative of the liver abscess

Fever accompanied by chills abdominal pain and tenderness in the right upper quadrant

The nurse is providing care to a patient who underwent an endoscopic retrograde cholangiopancreatography (ERCP) examination. Which is the most common postprocedure complication?

Pancreatitis

The nurse is caring for a patient diagnosed with encephalopathy. Which laboratory finding is consistent with the diagnosis?

52 mcg N/dL ammonia

The nurse is caring for a patient with cholecystitis associated with cholelithiasis which statement by the nurse is most accurate when answering patient questions

A heavy meal with a high fat content may precipitate the signs and symptoms of the disease

A patient is scheduled for surgery for a common bile duct exploration the nurse would expect the patient to return from surgery with which device in place

A t tube connected to gravity drainage

if a patient is scheduled for an ultrasound of the pancreas which two situations would cause the examination to be postponed

Abdomen distended with gas as well as recent barium enema examination

A nurse observes yellowing of the skin when assessing a patient. On studying the blood reports, the nurse finds that the patient's bilirubin and alkaline phosphatase levels are elevated. Based on the assessment findings, the patient may be diagnosed with what? Select all that apply.

Biliary tract obstruction Stones in common bile duct

Inspection of an older patient's mouth reveals the presence of white, curd-like lesions on the patient's tongue. What is the most likely etiology for this abnormal assessment finding?

Candida albicans

While caring for a patient with hepatitis A the nurse expect the stools of the patient to appear what color

Clay colored Stools

The nurse is preparing a presentation on hepatitis types bedding what should the nurse include in the presentation regarding the most common methods of becoming infected with the disease

Contaminated needles and instruments as well as direct contact with body fluids from infected people such as through breast milk and sexual contact

While discharging a patient following a laparoscopic cholecystectomy the patient reports mild shoulder pain the nurse is aware that the pain is likely caused by which factor?

Diaphragmatic irritation secondary to residual carbon dioxide

The nurse is caring for a patient who states, "I am unable to swallow food, and I feel like food gets stuck in my esophagus." What condition is the patient experiencing?

Dysphagia

The nurse is reviewing the function of the liver. Which of these are functions of the liver? Select all that apply.

Glycogenolysis Storage of fat soluble vitamins Synthesis and breakdown of cholesterol

A nurse is assessing a patient diagnosed with chronic liver cirrhosis. Which sign does the nurse expect to find when performing the abdominal examination?

Hard, enlarged liver

A patient's brother asks the nurse why the patient pancreatic cancer is that stage 4 so early after hearing the diagnosis the nurse correctly identifies the late notice and high mortality rates as being attributed to which factors

It is difficult to diagnose pancreatic cancer in early curable stage The majority of cancers have metastasized at a time of diagnosis Early tumors off you mean asymptomatic or silent until their growth is advanced Patients often attribute the veil early symptoms of pancreatic cancer to problems that do not warrant seeking medical attention

After a patient has had an esophagogastroduodenoscopy (EGD), which is the most important nursing action?

Keeping the patient nothing by mouth (NPO) until the gag reflex returns.

A patient has advanced cirrhosis of the liver with an acute exacerbation of hepatic encephalopathy what type of food might be limited in his diet? a. fruits b. veggies c.Meats d. Carbs

Meats

The nurse is caring for a patient with hepatic encephalopathy while assessing the patient the nurse notes rapid irregular flexion and extension of the wrist when the nurses request that the patient stretch out the arm and hyperextend the wrist with finger separated how should the nurse document this finding

Patient demonstrates the presence of asterixis

The emergency department nurse has inspected, auscultated, and palpated the abdomen with no obvious abnormalities, except pain. When the nurse palpates the abdomen for rebound tenderness, there is severe pain. The nurse should know that this could indicate what problem?

Peritoneal inflammation

The student nurse asks the nurse why a patient with Advanced cirrhosis has an abdomen that is so swollen which response by the nurse is correct

Portal hypertension and hypoalbuminemia cause a fluid shift into the peritoneal space

A patient has been admitted with right upper quadrant pain and has been placed on a low fat diet which tray would be acceptable for her?

Skim milk lean fish tapioca pudding and fruit

During an abdominal assessment, the nurse notes that the patient's spleen is palpable. What is the next appropriate action by the nurse?

Stop palpation immediately

The nurse should assist a patient into what position for a liver biopsy test?

Supine

The nurse is performing a focused abdominal assessment of a patient who recently has been admitted. To palpate the patient's liver, where should the nurse palpate the patient's abdomen?

Right upper quadrant

A 78 year old patient is admitted with common bile duct obstruction related to cancer of the pancreas which clinical manifestations would the nurse expect to find

Scleral icterus as well as dark tea colored urine accompanied by jaundice with mid epigastric pain

The health care team is assessing a male patient for acute pancreatitis after he presented to the emergency department with severe abdominal pain. Which laboratory value is the best diagnostic indicator of acute pancreatitis?

Serum amylase

The nurse is caring for a post-operative cholecystectomy patient the nurse includes coughing and deep breathing in the patient's care plan based on what criteria

The patient tends to take shallow breaths due to the placement of the incision

When caring for a patient with acute exacerbation of hepatic encephalopathy the nurse may give a lactulose enema provide a low protein diet and limit physical activity the nurse explains to the patient that these measures are taken for what reason

To decrease ammonia production

The surgical procedure for cancer of the pancreas involves resection of the antrum of the stomach to the gallbladder and the duodenum and varying amounts of the pancreas anastomosis are constructed between the stomach the common bile and pancreatic duct and the jejunum the nurse correctly identifies this procedure with which name

Whipple procedure

Discharge teaching in relation to home management following laparoscopic cholecystectomy should include which instructions

keeping the bandages on the puncture site for 48 hours