Hepatic & Bililary Practice Questions Assessment ATI

A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make? () "You should decrease your caloric intake when abdominal pain is present." () "You should increase your daily intake of protein." () "You should increase fat when experiencing loose stools." () "You should limit alcohol intake to 2-3 drinks per week."

() "You should increase your daily intake of protein."

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? () Calcium. () RBC count. () Magnesium. () Amylase.

() Amylase.

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan? () Include foods high in starch and proteins. () Include foods high in fiber. () Avoid foods high in fat. () Avoid foods high in sodium.

() Avoid foods high in fat.

A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation? () Avoid covering sores with bandages. () Avoid handwashing after eating. () Avoid foods prepared with tap water. () Avoid eating meat.

() Avoid foods prepared with tap water.

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid? () Noodles. () Vegetable soup. () Baked fish. () Cheddar cheese.

() Cheddar cheese.

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action? () Place the client in a supine position postoperatively. () Encourage ambulation once fully awake. () Offer the client ice cream postoperatively. () Instruct the client not to lift over 4.5 kg (10 lb).

() Encourage ambulation once fully awake.

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan? () Administer antibiotics. () Provide a diet high in fat. () Restrict fluids. () Encourage short periods of ambulation.

() Encourage short periods of ambulation.

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history? () Gallstones. () Hypolipidema. () COPD. () Diabetes Mellitus.

() Gallstones.

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see? () Decreased WBC. () Increased serum amylase. () Decreased serum lipase. () Increased serum calcium.

() Increased serum amylase.

A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include? () A family history increases your risk for acquiring hepatitis A. () Hepatitis A infects the kidneys. () Manifestations of the virus are similar to flu-like symptoms. () The incubation of the virus is 5 days.

() Manifestations of the virus are similar to flu-like symptoms.

A nurse is assessing a client's bowel sounds. At which of the following points in the assessment should the nurse auscultate the client's abdomen? () After palpating the abdomen. () Prior to percussing the abdomen. () After assessing for kidney tenderness. () Prior to inspecting the abdomen.

() Prior to precussing the abdomen.

A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care? () Provide a high carbohydrate diet. () Administer acetaminophen for pain. () Encourage eating three large meals daily. () Include high protein snacks.

() Provide a high carbohydrate diet.

A nurse is teaching self-management to a client who has hepatitis B. Which of the following Instructions should the nurse include in the teaching? () You may donate blood 6 months after completing the medication regimen. () Consume a high-protein diet. () Rest frequently throughout the day. () Take acetaminophen every 4 hr, as needed, for discomfort

() Rest frequently throughout the day.