ATI Hepatobiliary and Pancreatic Disorder Questions

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the clients history?

Gallstones

A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make?

"You should increase your daily intake of protein."

A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C?

A client who has multiple tattoos

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include?

Administer furosemide, implement a low-sodium diet, and measure the client's abdominal girth

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?

Avoid foods high in fat

A nurse is teaching a class about preventative care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?

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?

Cheddar cheese - it is too high in fat

A nurse admits a client to the ER who reports nausea and vomiting that worsens when he lies down. Antacids to not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

Increased serum amylase

A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the clients urine to appear which of the following colors?

Dark and foamy

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's GI tract is digesting and absorbing blood?

Elevated BUN = indication of GI bleeding

A nurse is assessing a client who has an obstruction of the CBD resulting from chronic cholecystitis. Which of the following findings should the nurse expect?

Fatty stools

A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated?

Ham Sandwich

A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?

Obstruction of the bile duct. Prolonged obstruction of the CBD is the most common cause of biliary cirrhosis.

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Pantoprazole 80mg IV bolus twice daily

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 due to altered nutrient metabolism

A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Reduce the client's intake of protein - ammonia is formed in the GI tract by the action of bacteria on protein. Limiting dietary protein can assist with decreasing the client's ammonia levels.

A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the clients diet?

Roast turkey

A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?

Vitamin A

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 the following values?

Amylase