NUR 201 GI part 2
A client with hepatitis C develops liver failure and GI hemorrhage. The blood products that most likely bring about hemostasis in the client are:
cryoprecipitate and fresh frozen plasma.
A client with severe and chronic liver disease is showing manifestations related to inadequate vitamin intake and metabolism. He reports difficulty driving at night because he cannot see well. Which of the following vitamins is most likely deficient for this client?
Vitamin A
When assessing a client with cirrhosis of the liver, which of the following stool characteristics is the client likely to report?
Clay-colored or whitish
What test should the nurse prepare the client for that will locate stones that have collected in the common bile duct?
ERCP locates stones that have collected in the common bile duct. A colonoscopy will not locate gallstones but only allows visualization of the large intestine. Abdominal x-ray is not a reliable locator of gallstones. A cholecystectomy is the surgical removal of the gallbladder.
Which type of deficiency results in macrocytic anemia?
Folic acid
The nurse identifies which of the following types of jaundice in an adult experiencing a transfusion reaction?
Hemolytic jaundice occurs because, although the liver is functioning normally, it cannot excrete the bilirubin as quickly as it is formed
Which of the following symptoms would indicate that a client with chronic pancreatitis has developed secondary diabetes?
Increased appetite and thirst
A physician orders spironolactone (Aldactone), 50 mg by mouth four times daily, for a client with fluid retention caused by cirrhosis. Which finding indicates that the drug is producing a therapeutic effect?
Loss of 2.2 lb (1 kg) in 24 hours
The most common cause of esophageal varices includes which of the following?
Portal hypertension
The nurse is caring for a client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?
Purpura and petechiae
After undergoing a liver biopsy, a client should be placed in which position?
Right lateral decubitus position
Patients with chronic liver dysfunction have problems with insufficient vitamin intake. Which of the following may occur as a result of vitamin C deficiency?
Scurvy
Why should total parental nutrition (TPN) be used cautiously in clients with pancreatitis?
Such clients cannot tolerate high-glucose concentration
Which of the following medications is used to decrease portal pressure, halting bleeding of esophageal varices?
Vasopressin (Pitressin)
A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the following should a nurse administer to the client before surgery?
Vitamin K
Nonobstructive jaundice
occurs with hepatitis
Hemolytic jaundice
the result of increased destruction of RBC
Hepatocellular jaundice
the result of liver disease
Obstructive jaundice
the result of liver disease
