RNSG 2539 Test #2

Calcium

8.5-10

Chloride

98-106

A) Ultrasonography

A 28-year-old pregnant client presents with epigastric pain, back pain, anorexia, nausea, vomiting, and jaundice. What diagnostic test should the nurse expect to be performed on this client to determine the presence of gallstones? A) Ultrasonography B) Endoscopic retrograde cholangiopancreatography (ERCP) C) Contrast-enhanced CT scan D) Percutaneous fine-needle aspiration biopsy

C. Platelets

A client with liver cirrhosis begins to drain bright red blood through the nasogastric tube. Which should the nurse prepare to administer to this client? A) Vitamin K B) Ferrous sulfate C) Platelets D) Folic acid

Phosphorus

2.5-4.5

Amylase

25-125

Hemoglobin

12-18

Albumin

3.5-5.5

GGT

0-30

Bilirubin

0.3-1.0

INR

0.8-1.2

Magnesium

1.8-2.6

AST

10-40

Sodium

135-145

Potassium

3.5-5.0

A. Glucose tolerance test

A patient has a recent diagnosis of chronic pancreatitis and is undergoing diagnostic testing to determine pancreatic islet cell function. The nurse should anticipate what diagnostic test? A) Glucose tolerance test B) ERCP C) Pancreatic biopsy D) Abdominal ultrasonography

A) Position the patient on the right side with a pillow under the costal margin after the procedure.

A patient with a liver mass is undergoing a percutaneous liver biopsy. What action should the nurse perform when assisting with this procedure? A) Position the patient on the right side with a pillow under the costal margin after the procedure. B) Administer 1 unit of albumin 90 minutes before the procedure as ordered. C) Administer at least 1 unit of packed red blood cells as ordered the day before the scheduled procedure. D) Confirm that the patients electrolyte levels have been assessed prior to the procedure.

A) Administering diuretics C) Implementing fluid restrictions E) Enhancing patient positioning

A patient with end-stage liver disease has developed hypervolemia. What nursing interventions would be most appropriate when addressing the patients fluid volume excess? Select all that apply. A) Administering diuretics B) Administering calcium channel blockers C) Implementing fluid restrictions D) Implementing a 1500 kcal/day restriction E) Enhancing patient positioning

C. Blood glucose levels

A student nurse is caring for a patient who has a diagnosis of acute pancreatitis and who is receiving parenteral nutrition. The student should prioritize which of the following assessments? A) Fluid output B) Oral intake C) Blood glucose levels D) BUN and creatinine levels

A) How many alcoholic drinks do you typically consume in a week?

A triage nurse in the emergency department is assessing a patient who presented with complaints of general malaise. Assessment reveals the presence of jaundice and increased abdominal girth. What assessment question best addresses the possible etiology of this patients presentation? A) How many alcoholic drinks do you typically consume in a week? B) To the best of your knowledge, are your immunizations up to date? C) Have you ever worked in an occupation where you might have been exposed to toxins? D) Has anyone in your family ever experienced symptoms similar to yours?

A) Acute Pain C) Deficient Fluid Volume D) Nausea E) Imbalanced Nutrition: Less than Body Requirement

An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which nursing diagnoses are appropriate for this client? Select all that apply. A) Acute Pain B) Impaired Swallowing C) Deficient Fluid Volume D) Nausea E) Imbalanced Nutrition: Less than Body Requirement

A) Measure the patients abdominal girth daily.

An adult patient has been admitted to the medical unit for the treatment of acute pancreatitis. What nursing action should be included in this patients plan of care? A) Measure the patients abdominal girth daily. B) Limit the use of opioid analgesics. C) Monitor the patient for signs of dysphagia. D) Encourage activity as tolerated.

A) Portal hypertension

Restricted blood flow through the liver results in which condition? A) Portal hypertension B) Cirrhosis C) Jaundice D) Biliary atresia

C) The bed automatically moves, so shes less likely to develop pressure sores while shes in bed.

The family of a patient in the ICU diagnosed with acute pancreatitis asks the nurse why the patient has been moved to an air bed. What would be the nurses best response? A) Air beds allow the care team to reposition her more easily while shes on bed rest. B) Air beds are far more comfortable than regular beds and shell likely have to be on bed rest a long time. C) The bed automatically moves, so shes less likely to develop pressure sores while shes in bed. D) The bed automatically moves, so she is likely to have less pain.

A. The Liver

The nurse is assessing a school-age child who complains of severe itching, bruising easily, restlessness, and involuntary jerking of the hands. When considering these manifestations collectively, which organ or system should the nurse anticipate needing to assess further? A) The liver B) The nervous system C) The gastrointestinal tract D) The urinary system

B) Normal serum bilirubin levels

The nurse is caring for a client recovering from a liver transplant necessitated by cirrhosis of the liver. Which postoperative outcome would be a priority for this client? A) Moist membranes of the mouth B) Normal serum bilirubin levels C) Ability to move the legs D) Normal pupil reaction

B) Drinks a six-pack of beer each evening

The nurse is caring for a client who complains of jaundice and pruritus. The healthcare provider suspects that the client has liver disease. What modifiable risk factor for cirrhosis of the liver might the nurse see in the client's history? A) Smokes two packs of cigarettes per day B) Drinks a six-pack of beer each evening C) History of occupational exposure to hepatic toxins D) Family history of fatty liver disease

B) Bleeding and perforation

The nurse is caring for a patient who has just returned from the ERCP removal of gallstones. The nurse should monitor the patient for signs of what complications? A) Pain and peritonitis B) Bleeding and perforation C) Acidosis and hypoglycemia D) Gangrene of the gallbladder and hyperglycemia

A) Increased abdominal girth

The nurse is concerned that a client with potential hepatic failure is at risk for developing ascites. Which assessment finding supports the development of liver failure as manifested by ascites? A) Increased abdominal girth B) Gallbladder pain C) Yellow-tinged skin D) Bleeding and bruising easily

B) Variations in alcohol metabolism C) Stress due to socioeconomic factors

The nurse is identifying risk factors for liver disease among individuals who visit the community health center. Which does the nurse recognize as factors contributing to increased risk among certain ethnic groups? Select all that apply. A) Pollution B) Variations in alcohol metabolism C) Stress due to socioeconomic factors D) Consuming alcohol with food E) Climate

A) Severe epigastric pain B) Nausea and vomiting C) Elevated temperature D) Hypotension

The nurse is providing care to a client admitted with acute pancreatitis. Which data support the client's diagnosis? Select all that apply. A) Severe epigastric pain B) Nausea and vomiting C) Elevated temperature D) Hypotension E) Steatorrhea

A) The pancreas attacks its own tissue.

What is most characteristic of acute pancreatitis? A) The pancreas attacks its own tissue. B) The pancreas becomes distended with fluid. C) The pancreas ceases to produce enzymes. D) The pancreas needs to be removed.

B) Apply a lubricant on the skin to prevent dry skin.

What nursing intervention should be used to decrease pruritus in clients with liver disease? A) Vigorously scrub the skin with soap to prevent infection. B) Apply a lubricant on the skin to prevent dry skin. C) Use hot water rather than cool water when bathing the client. D) Administer an antihistamine as needed to reduce itching.

C) Detoxification

When individuals engage in excessive alcohol consumption, which liver function is impacted, leading to subsequent liver damage? A) Metabolism B) Synthesis C) Detoxification D) Glycogen storage

C) Abdominal distention

A new mother brings her 2-week-old infant in for a checkup because he looks jaundiced and his stools are white. The provider suspects the infant might have biliary atresia. What findings does the nurse anticipate upon assessment of the infant? A) Above average weight gain B) Increased urine output C) Abdominal distention D) Reduced rooting reflex

B. Impaired skin integrity

12. A nurse is preparing a plan of care for a patient with pancreatic cysts that have necessitated drainage through the abdominal wall. What nursing diagnosis should the nurse prioritize? A)Disturbed Body Image B)Impaired Skin Integrity C) Nausea D) Risk for Deficient Fluid Volume

Hematocrit

36-52

Total Protein

6-8.3

Normal Glucose

60-100

ALT

8-40

A) Severe pancreatitis with possible peritonitis

A 37-year-old male patient presents at the emergency department (ED) complaining of nausea and vomiting and severe abdominal pain. The patients abdomen is rigid, and there is bruising to the patients flank. The patients wife states that he was on a drinking binge for the past 2 days. The ED nurse should assist in assessing the patient for what health problem? A) Severe pancreatitis with possible peritonitis B) Acute cholecystitis C) Chronic pancreatitis D) Acute appendicitis with possible perforation

D) The enzymes that your pancreas produces have damaged the pancreas itself.

A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted to the acute medical unit. How should the nurse most likely explain the pathophysiology of this patients health problem? A) Toxins have accumulated and inflamed your pancreas. B) Bacteria likely migrated from your intestines and became lodged in your pancreas. C) A virus that was likely already present in your body has begun to attack your pancreatic cells. D) The enzymes that your pancreas produces have damaged the pancreas itself.

B) IV fluid administration

A 63-year-old client is diagnosed with chronic pancreatitis. In planning care for this patient, which of the following treatments should the nurse expect to increase the patient's risk for edema? A) Pancrelipase administration B) IV fluid administration C) Nasogastric tube insertion D) Total parenteral nutrition

A) The client experiences reduction or elimination of pain. B) The client is free from alterations in nutritional status. C) The client remains free from alterations in fluid balance. E) The client is free from nausea.

A client was discharged after hospitalization for acute pancreatitis with instructions on the use of analgesics, cautions on the importance of avoiding alcohol and smoking, and recommendations for a low-fat diet. Which outcomes would indicate that the client has implemented the recommendations? Select all that apply. A) The client experiences reduction or elimination of pain. B) The client is free from alterations in nutritional status. C) The client remains free from alterations in fluid balance. D) The client returns to work. E) The client is free from nausea.

A) Presence of portal hypertension D) Sodium and water retention

A client with liver disease presents to the hospital with severe ascites. What pathophysiologic changes does the nurse recognize as contributing to the development of ascites? Select all that apply. A) Presence of portal hypertension B) Presence of hyperalbuminemia C) Increased colloidal osmotic pressure D) Sodium and water retention E) Presence of hypoaldosteronism

C) Arrange for the patient to be transported to the hospital.

A community health nurse is caring for a patient whose multiple health problems include chronic pancreatitis. During the most recent visit, the nurse notes that the patient is experiencing severe abdominal pain and has vomited 3 times in the past several hours. What is the nurses most appropriate action? A) Administer a PRN dose of pancreatic enzymes as ordered. B) Teach the patient about the importance of abstaining from alcohol. C) Arrange for the patient to be transported to the hospital. D) Insert an NG tube, if available, and stay with the patient.

D) Malabsorption and hyperglycemia

A home health nurse is caring for a patient discharged home after pancreatic surgery. The nurse documents the nursing diagnosis Risk for Imbalanced Nutrition: Less than Body Requirements on the care plan based on the potential complications that may occur after surgery. What are the most likely complications for the patient who has had pancreatic surgery? A) Proteinuria and hyperkalemia B) Hemorrhage and hypercalcemia C) Weight loss and hypoglycemia D) Malabsorption and hyperglycemia

C) Have the patient assessed by the physician due to the risk of internal bleeding.

A nurse has entered the room of a patient with cirrhosis and found the patient on the floor. The patient states that she fell when transferring to the commode. The patients vital signs are within reference ranges and the nurse observes no apparent injuries. What is the nurses most appropriate action? A) Remove the patients commode and supply a bedpan. B) Complete an incident report and submit it to the unit supervisor. C) Have the patient assessed by the physician due to the risk of internal bleeding. D) Perform a focused abdominal assessment in order to rule out injury.

D) Administration of diuretics as ordered

A nurse is amending a patients plan of care in light of the fact that the patient has recently developed ascites. What should the nurse include in this patients care plan? A) Mobilization with assistance at least 4 times daily B) Administration of beta-adrenergic blockers as ordered C) Vitamin B12 injections as ordered D) Administration of diuretics as ordered

A) Excess Fluid Volume

A nurse is caring for a client who was recently admitted for treatment of cirrhosis. The client is currently experiencing ascites, +3 pitting edema, and oliguria. Which nursing diagnosis should the nurse select as a priority for this client? A) Excess Fluid Volume B) Ineffective Peripheral Tissue Perfusion C) Deficient Fluid Volume D) Impaired Skin Integrity

B) Decreased clotting factor levels due to impaired clotting factor production C) Hyperglycemia due to disrupted glucose metabolism

A nurse is caring for a client with end-stage liver disease. Which alterations should the nurse anticipate with this client? Select all that apply. A) Elevated serum albumin levels due to increased protein synthesis B) Decreased clotting factor levels due to impaired clotting factor production C) Hyperglycemia due to disrupted glucose metabolism D) Increased serum vitamin K due to impaired clearance of fat-soluble vitamins E) Increased plasma oncotic pressure due to impaired protein metabolism

B) Assessment for variceal bleeding

A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse prioritize in this patients plan of care? A) Measurement of abdominal girth and body weight B) Assessment for variceal bleeding C) Assessment for signs and symptoms of jaundice D) Monitoring of results of liver function testing

B. The use of moderate sedation

A nurse is caring for a patient who has been scheduled for endoscopic retrograde cholangiopancreatography (ERCP) the following day. When providing anticipatory guidance for this patient, the nurse should describe what aspect of this diagnostic procedure? A) The need to protect the incision postprocedure B) The use of moderate sedation C) The need to infuse 50% dextrose during the procedure D) The use of general anesthesia

B) Orange and foamy urine

A nurse is caring for a patient with a blocked bile duct from a tumor. What manifestation of obstructive jaundice should the nurse anticipate? A) Watery, blood-streaked diarrhea B) Orange and foamy urine C) Increased abdominal girth D) Decreased cognition

A) Document the presence of normal bile output.

A nurse is caring for a patient with cancer of the liver whose condition has required the insertion of a percutaneous biliary drainage system. The nurses most recent assessment reveals the presence of dark green fluid in the collection container. What is the nurses best response to this assessment finding? A) Document the presence of normal bile output. B) Irrigate the drainage system with normal saline as ordered. C) Aspirate a sample of the drainage for culture. D) Promptly report this assessment finding to the primary care provider.

B) Report this finding to the primary care provider due to the possibility of hepatic encephalopathy.

A nurse is caring for a patient with cirrhosis secondary to heavy alcohol use. The nurses most recent assessment reveals subtle changes in the patients cognition and behavior. What is the nurses most appropriate response? A) Ensure that the patients sodium intake does not exceed recommended levels. B) Report this finding to the primary care provider due to the possibility of hepatic encephalopathy. C) Inform the primary care provider that the patient should be assessed for alcoholic hepatitis. D) Implement interventions aimed at ensuring a calm and therapeutic care environment.

A) Asterixis

A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment,the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease? A) Asterixis B) Constructional apraxia C) Fetor hepaticus D) Palmar erythema

D) Inability of the liver to use vitamin K

A nurse is caring for a patient with liver failure and is performing an assessment in the knowledge of the patients increased risk of bleeding. The nurse recognizes that this risk is related to the patients inability to synthesize prothrombin in the liver. What factor most likely contributes to this loss of function? A) Alterations in glucose metabolism B) Retention of bile salts C) Inadequate production of albumin by hepatocytes D) Inability of the liver to use vitamin K

C) Central nervous system damage

A nurse is caring for a patient with severe hemolytic jaundice. Laboratory tests show free bilirubin to be 24 mg/dL. For what complication is this patient at risk? A) Chronic jaundice B) Pigment stones in portal circulation C) Central nervous system damage D) Hepatomegaly

C. Bed rest lowers the metabolic rate and reduces enzyme production

A nurse is creating a care plan for a patient with acute pancreatitis. The care plan includes reduced activity. What rationale for this intervention should be cited in the care plan? A) Bed rest reduces the patients metabolism and reduces the risk of metabolic acidosis. B) Reduced activity protects the physical integrity of pancreatic cells. C) Bed rest lowers the metabolic rate and reduces enzyme production. D) Inactivity reduces caloric need and gastrointestinal motility.

D) IV administration of octreotide (Sandostatin)

A nurse is participating in the emergency care of a patient who has just developed variceal bleeding. What intervention should the nurse anticipate? A) Infusion of intravenous heparin B) IV administration of albumin C) STAT administration of vitamin K by the intramuscular route D) IV administration of octreotide (Sandostatin)

D) A slightly decreased size of the liver

A nurse is performing an admission assessment for an 81-year-old patient who generally enjoys good health. When considering normal, age-related changes to hepatic function, the nurse should anticipate what finding? A) Similar liver size and texture as in younger adults B) A nonpalpable liver C) A slightly enlarged liver with palpably hard edges D) A slightly decreased size of the liver

C) Place hand under right lower rib cage and press down lightly with the other hand.

A nurse is performing an admission assessment of a patient with a diagnosis of cirrhosis. What technique should the nurse use to palpate the patients liver? A) Place hand under the right lower abdominal quadrant and press down lightly with the other hand. B) Place the left hand over the abdomen and behind the left side at the 11th rib. C) Place hand under right lower rib cage and press down lightly with the other hand. D) Hold hand 90 degrees to right side of the abdomen and push down firmly.

C) A 39-year-old man with chronic alcoholism

A nurse who provides care in a walk-in clinic assesses a wide range of individuals. The nurse should identify which of the following patients as having the highest risk for chronic pancreatitis? A) A 45-year-old obese woman with a high-fat diet B) An 18-year-old man who is a weekend binge drinker C) A 39-year-old man with chronic alcoholism D) A 51-year-old woman who smokes one-and-a-half packs of cigarettes per day

B) Adhere to dosing recommendations of OTC analgesics.

A participant in a health fair has asked the nurse about the role of drugs in liver disease. What health promotion teaching has the most potential to prevent drug-induced hepatitis? A) Finish all prescribed courses of antibiotics, regardless of symptom resolution. B) Adhere to dosing recommendations of OTC analgesics. C) Ensure that expired medications are disposed of safely. D) Ensure that pharmacists regularly review drug regimens for potential interactions.

C) Educating the patient about postdischarge lifestyle modifications

A patient has been admitted to the hospital for the treatment of chronic pancreatitis. The patient has been stabilized and the nurse is now planning health promotion and educational interventions. Which of the following should the nurse prioritize? A) Educating the patient about expectations and care following surgery B) Educating the patient about the management of blood glucose after discharge C) Educating the patient about postdischarge lifestyle modifications D) Educating the patient about the potential benefits of pancreatic transplantation

B) IV hydromorphone (Dilaudid)

A patient has been diagnosed with acute pancreatitis. The nurse is addressing the diagnosis of Acute Pain Related to Pancreatitis. What pharmacologic intervention is most likely to be ordered for this patient? A) Oral oxycodone B) IV hydromorphone (Dilaudid) C) IM meperidine (Demerol) D) Oral naproxen (Aleve)

D. Encourage the patient to connect with a community-based support group

A patient has been treated in the hospital for an episode of acute pancreatitis. The patient has acknowledged the role that his alcohol use played in the development of his health problem, but has not expressed specific plans for lifestyle changes after discharge. What is the nurses most appropriate response? A) Educate the patient about the link between alcohol use and pancreatitis. B) Ensure that the patient knows the importance of attending follow-up appointments. C) Refer the patient to social work or spiritual care. D) Encourage the patient to connect with a community-based support group.

A) Two to 3 soft bowel movements daily

A patient has developed hepatic encephalopathy secondary to cirrhosis and is receiving care on the medical unit. The patients current medication regimen includes lactulose (Cephulac) four times daily. What desired outcome should the nurse relate to this pharmacologic intervention? A) Two to 3 soft bowel movements daily B) Significant increase in appetite and food intake C) Absence of nausea and vomiting D) Absence of blood or mucus in stool

C) Chronic pancreatitis often goes undetected until a large majority of pancreatic function is lost.

A patient has just been diagnosed with chronic pancreatitis. The patient is underweight and in severe pain and diagnostic testing indicates that over 80% of the patients pancreas has been destroyed. The patient asks the nurse why the diagnosis was not made earlier in the disease process. What would be the nurses best response? A) The symptoms of pancreatitis mimic those of much less serious illnesses. B) Your body doesnt require pancreatic function until it is under great stress, so it is easy to go unnoticed. C) Chronic pancreatitis often goes undetected until a large majority of pancreatic function is lost. D) Its likely that your other organs were compensating for your decreased pancreatic function.

C) Undiagnosed chronic pancreatitis

A patient is admitted to the ICU with acute pancreatitis. The patients family asks what causes acute pancreatitis. The critical care nurse knows that a majority of patients with acute pancreatitis have what? A) Type 1 diabetes B) An impaired immune system C) Undiagnosed chronic pancreatitis D) An amylase deficiency

D. Maintain the patient in a semifowlers position whenever possible

A patient is being treated on the acute medical unit for acute pancreatitis. The nurse has identified a diagnosis of Ineffective Breathing Pattern Related to Pain. What intervention should the nurse perform in order to best address this diagnosis? A) Position the patient supine to facilitate diaphragm movement. B) Administer corticosteroids by nebulizer as ordered. C) Perform oral suctioning as needed to remove secretions. D) Maintain the patient in a semi-Fowlers position whenever possible.

C) Fever, increased heart rate and decreased blood pressure

A patient is receiving care in the intensive care unit for acute pancreatitis. The nurse is aware that pancreatic necrosis is a major cause of morbidity and mortality in patients with acute pancreatitis. Consequently, the nurse should assess for what signs or symptoms of this complication? A) Sudden increase in random blood glucose readings B) Increased abdominal girth accompanied by decreased level of consciousness C) Fever, increased heart rate and decreased blood pressure D) Abdominal pain unresponsive to analgesics

C)Death Anxiety

A patient with a diagnosis of cirrhosis has developed variceal bleeding and will imminently undergo variceal banding. What psychosocial nursing diagnosis should the nurse most likely prioritize during this phase of the patients treatment? A) Decisional Conflict B)Deficient Knowledge C)Death Anxiety D)Disturbed Thought Processes

B) Keep patient NPO until the patients gag reflex returns.

A patient with a diagnosis of esophageal varices has undergone endoscopy to gauge the progression of this complication of liver disease. Following the completion of this diagnostic test, what nursing intervention should the nurse perform? A) Keep patient NPO until the results of test are known. B) Keep patient NPO until the patients gag reflex returns. C) Administer analgesia until post-procedure tenderness is relieved. D) Give the patient a cold beverage to promote swallowing ability.

A) How many alcoholic drinks do you typically consume in a week? C) Have you ever been diagnosed with gallstones?

A patients assessment and diagnostic testing are suggestive of acute pancreatitis. When the nurse is performing the health interview, what assessment questions address likely etiologic factors? Select all that apply. A) How many alcoholic drinks do you typically consume in a week? B) Have you ever been tested for diabetes? C) Have you ever been diagnosed with gallstones? D) Would you say that you eat a particularly high-fat diet? E) Does anyone in your family have cystic fibrosis?

B) Pain relief occurs by 6 months in most patients who undergo this procedure, but some people experience a recurrence of their pain.

A patient with chronic pancreatitis had a pancreaticojejunostomy created 3 months ago for relief of pain and to restore drainage of pancreatic secretions. The patient has come to the office for a routine postsurgical appointment. The patient is frustrated that the pain has not decreased. What is the most appropriate initial response by the nurse? A) The majority of patients who have a pancreaticojejunostomy have their normal digestion restored but do not achieve pain relief. B) Pain relief occurs by 6 months in most patients who undergo this procedure, but some people experience a recurrence of their pain. C) Your physician will likely want to discuss the removal of your gallbladder to achieve pain relief. D) You are probably not appropriately taking the medications for your pancreatitis and pain, so we will need to discuss your medication regimen in detail.

D) Volume expanders

A patient with esophageal varices is being cared for in the ICU. The varices have begun to bleed and the patient is at risk for hypovolemia. The patient has Ringers lactate at 150 cc/hr infusing. What else might the nurse expect to have ordered to maintain volume for this patient? A) Arterial line B) Diuretics C) Foley catheter D) Volume expanders

D) Assessing the patency of the drainage catheter

A patient with liver cancer is being discharged home with a biliary drainage system in place. The nurse should teach the patients family how to safely perform which of the following actions? A) Aspirating bile from the catheter using a syringe B) Removing the catheter when output is 15 mL in 24 hours C) Instilling antibiotics into the catheter D) Assessing the patency of the drainage catheter

C) Reduction in sodium intake

A patient with liver disease has developed jaundice; the nurse is collaborating with the patient to develop a nutritional plan. The nurse should prioritize which of the following in the patients plan? A) Increased potassium intake B) Fluid restriction to 2 L per day C) Reduction in sodium intake D) High-protein, low-fat diet

A) Gallbladder B) Part of the stomach C) Duodenum D) Part of the common bile duct

A patient with pancreatic cancer has been scheduled for a pancreaticoduodenectomy (Whipple procedure). During health education, the patient should be informed that this procedure will involve the removal of which of the following? Select all that apply. A) Gallbladder B) Part of the stomach C) Duodenum D) Part of the common bile duct E) Part of the rectum

C) Daily weights and abdominal girth measurement

A patient with portal hypertension has been admitted to the medical floor. The nurse should prioritize which of the following assessments related to the manifestations of this health problem? A) Assessment of blood pressure and assessment for headaches and visual changes B) Assessments for signs and symptoms of venous thromboembolism C) Daily weights and abdominal girth measurement D) Blood glucose monitoring q4h

A) Alanine aminotransferase (ALT) C) Gamma-glutamyl transferase (GGT) D) Aspartate aminotransferase (AST)

A patients physician has ordered a liver panel in response to the patients development of jaundice. When reviewing the results of this laboratory testing, the nurse should expect to review what blood tests? Select all that apply. A) Alanine aminotransferase (ALT) B) C-reactive protein (CRP) C) Gamma-glutamyl transferase (GGT) D) Aspartate aminotransferase (AST) E) B-type natriuretic peptide (BNP)

B) Alcoholism

The nurse is providing care to a client who is being admitted to rule out acute pancreatitis. Which item found in the client's history increases the client's risk for this disease process? A) Systemic lupus B) Alcoholism C) Cystic fibrosis D) Hypertriglyceridemia

B) Eliminating alcoholic beverages C) Properly administering pancrelipase D) Reporting symptoms of infection E) Taking antacids

The nurse is providing care to an older adult client admitted to the medical unit for acute gastric and left upper abdominal pain radiating to the back. The healthcare provider has diagnosed the client with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply. A) Encouraging a high-fat diet B) Eliminating alcoholic beverages C) Properly administering pancrelipase D) Reporting symptoms of infection E) Taking antacids

A) Opioid analgesics C) Total parenteral nutrition D) Nasogastric tube to suction

The nurse is providing care to an older adult client with a history of alcohol abuse who is admitted to the hospital with acute pancreatitis. Which treatment options should the nurse plan for when caring for this client? Select all that apply. A) Opioid analgesics B) High-fat diet C) Total parenteral nutrition D) Nasogastric tube to suction E) Pancrelipase administration

D) Hemorrhoids

The nurse is providing education to the caregivers of a client with cirrhosis of the liver. The caregivers indicate that they've heard of portal hypertension, but they aren't sure which symptoms could indicate that their loved one is experiencing this condition. Which symptoms of portal hypertension should the nurse discuss with the caregivers? A) Muscle wasting B) Hypothermia C) Bleeding gums D) Hemorrhoids