19

A client with a 10-year history of drinking has been diagnosed with early alcoholic cirrhosis. What is the priority health promotion information to include when teaching this client?

1

The nurse would anticipate which tests to be ordered on a client with a diagnosis of cholelithiasis? Select all that apply.

1-4

To increase accuracy in taking a daily abdominal girth measurement on a client in the lying position with liver dysfunction and ascites, the nurse should use which landmark?

2

Which position is best for the client who has undergone a traditional abdominal cholecystectomy?

2

A client has just received a liver transplant. A priority nursing problem for this client would be:

3

A client is diagnosed with liver cancer. The nurse understands the following about this client's condition:

3

A client who has returned from a percutaneous liver biopsy should be placed in what position?

3

A client who underwent cholecystectomy 3 days ago has a T-tube that has stopped draining. What is the best nursing action?

3

A client with cirrhosis is receiving neomycin sulfate. The nurse understands that the purpose of this medication is to

3

Clients with liver disease frequently develop a problem with jaundice. What would the nurse identify as the physiologic cause of jaundice?

3

The nurse is assessing a client for risk factors associated with a potential diagnosis of hepatitis. Which information obtained from the client's history would indicate the highest risk factor for the development of hepatitis C (HCV)?

3

Which of the following statements best characterizes hepatitis A in children? Select all that apply.

3,6

The nurse is making a home visit to a client with hepatitis A (HAV). Before assessing the client, the nurse will gather the equipment and perform what action next?

3Q

A client is admitted with severe right upper-quadrant pain. The client is diagnosed with cholecystitis. Which assessment information would indicate the development of a complication?

4

A client with hepatitis B who is convalescing has a headache. Which analgesic(s) would be appropriate for this client?

1

A client has been diagnosed with hepatitis C and begins receiving ribavirin (Rebetol) therapy. The nurse would:

2

The client who has undergone a traditional cholecystectomy has a T-tube in place after surgery. What is the purpose of the T-tube in the care of this client?

3

A client is schedule for an endoscopic retrograde cholangiopancreatography (ERCP) test. In planning the preprocedure nursing care, the nurse would:

4

A 6-year-old client has just received his first vaccination for hepatitis B. The nurse knows the mother understands his discharge instructions when she states she will:

1

A client is diagnosed with hepatitis A (HAV). Nursing measures essential to prevent transmission of the hepatitis A virus include:

1

A client returns from a laparoscopic cholecystectomy. Before discharge from the day surgery recovery room, the client complains of shoulder pain. What would be the best nursing response to this client?

1

A client with a history of cirrhosis is admitted to the hospital with extensive bleeding from esophageal varices. What would be the priority nursing care for this client?

1

A major consideration in the plan of care for a client with severe liver disease would include which of the following?

1

A man comes to the ER complaining of nausea, vomiting, and severe right upper quadrant pain. His temperature is 102.6° F. He is diagnosed with cholecystitis. What is the nursing priority?

1

It is determined that a client is in the early stages of hepatitis A. What will be a characteristic finding on the nursing assessment?

1

The client returns to his room after liver biopsy. The nurse positions the client on his right side and assesses for bleeding. What is a priority nursing assessment?

1

The client returns to his room after liver biopsy. The nurse positions the client on his right side. What is a priority nursing assessment?

1

The nurse is caring for a client with chronic hepatitis B (HBV). What will the teaching plan for this client include?

1

The nurse is caring for a client with hepatitis A. Which type of infection precaution is appropriate for this client?

1

When planning the diet for a client with uncomplicated cirrhosis, the nurse would select which diet as appropriate?

1

When teaching a client with hepatitis C (HCV) who is receiving α-interferon and ribavirin therapy, the nurse would encourage the client to eat:

1

While completing an admission health history, the nurse would identify which information that would indicate the need for additional screening of hepatitis C (HCV)?

1

The nurse would expect which of the following medications to be given to a client during an acute variceal bleed. Select all that apply.

1,2,3,5,6

The nurse is caring for a client with cirrhosis who is experiencing continued problems of bleeding from esophageal varices. With regard to impending complications secondary to the bleeding, what laboratory values would be important for the nurse to monitor? Select all that apply.

1,4,5

A client has been diagnosed with cholecystitis. What menu selection would be appropriate for this client?

2

A client has been diagnosed with hepatitis B. What information is appropriate to teach this client?

2

A client is concerned about how her body can continue to function normally after a laparoscopic cholecystectomy. Which of the following answers demonstrates the client's understanding of the physiologic changes?

2

A client with advanced liver disease frequently experiences a collection of fluid in the peritoneal cavity. The nurse would identify this as:

2

A nurse is reviewing recent physician orders and laboratory results for a client with cirrhosis. The client has spironolactone (Aldactone) and furosemide (Lasix) ordered. The client's morning labs are 9 gm/dL hemoglobin, serum sodium 132 mEq/L, and serum potassium 3.1 mEq/L, and prothrombin time 10 seconds. Which of the following would be the best nursing action?

2

An adult client is being discharged after having an uncomplicated laparoscopic cholecystectomy in the outpatient day surgery center. What diet instruction would the nurse include in the discharge plan?

2

A client with hepatic cirrhosis has an elevated prothrombin time. Which clinical finding should the nurse expect?

3

A client with portal hypertension and ascites has had a paracentesis to relieve respiratory compromise. What medication will the nurse anticipate the client will receive?

3

A new employee at a facility needs to receive the hepatitis vaccine. Which statement reflects accurate understanding of the immunization?

3

After an endoscopic retrograde cholangiopancreatography (ERCP) test, the nurse would anticipate which complication?

3

The nurse admits a client with a diagnosis of cirrhosis and severe ascites. The nurse understands that ascites is:

3

The nurse is planning care for a client during the convalescent period of the client's recovery from hepatitis. With what would the nurse expect the client to have the most difficulty?

3

The nurse would determine that instructions about the long-term consequences of hepatitis A were successful, if the client indicates refraining from:

3

What is the most important nursing intervention for the safety of a client with altered clotting mechanisms caused by hepatic cirrhosis?

3

What is the primary purpose of giving lactulose (Enulose) to a client with advanced liver disease?

3

While talking with a client with a diagnosis of end-stage liver disease, the nurse notices the client is unable to stay awake and seems to fall asleep in the middle of a sentence. The nurse recognizes these symptoms to be indicative of what condition?

3

A client is scheduled for a paracentesis for the ascites. Which statement by the client would indicate to the nurse that the preprocedure teaching has been successful?

4

A client returns from a liver biopsy and the nurse is monitoring for complications after the procedure. Which of the following would reflect these complications?

4

The nurse is assessing a client with a diagnosis of hepatic encephalopathy. To determine the client's neurologic status, what would the nurse ask the client to do?

4

What statement would indicate to the nurse that the client understands the discharge teaching regarding his cirrhosis?

3

Which of the following statements by the client with hepatitis B in the icteric phase would alert the nurse that the client needs more information?

3

A client with cirrhosis has pitting edema of the feet and legs, presacral edema, and ascites. Which laboratory test is most important for the nurse to monitor?

4

After administering diuretics to a client with ascites, which of the following nursing actions most ensures safe care?

4

An obese 44-year-old woman with a history of chronic cholecystitis is to receive vitamin K before surgery. What is the purpose of this medication?

4

The client has advanced cirrhosis of the liver. Which data would the nurse expect to find on the nursing assessment?

4

What important teaching instructions should the nurse relay to the client before discharge following a laparoscopic cholecystectomy?

4