ATI Liver/Biliary for EXAM 3 FOR 211 SINGER

A Nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse notices that the solution bag is almost empty and there is not another bag of TPN to administer. Which of the following IV solutions should the nurse administer until the next bag of TPN solution is available?

10% dextrose in water (D10W)

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 in the plan? (Select all that apply)

Administer furosemide, implement a low sodium diet, measure the clients abdominal girth.

A Nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find a elevation of which of the following values?

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?

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

While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen, and painful and that the surrounded tissues are hard. Which of the following actions should the nurse take first?

Discontinue the existing IV line.

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 clients GI tract is digesting and absorbing blood?

Elevated blood urea nitrogen (BUN)

A Nurse is providing care for a client who has had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?

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?

Encourage short periods of ambulation

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

Fatty stools

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

Gallstones

A Nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the clients lunch tray. Which of the following items should the nurse identify as contraindicated for the client?

Ham sandwich

A Nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure?

High fowlers

A Nurse admits a client to the emergency department who reports n/v that worsens when he lies down. Antacids did 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 teaching a client who has hepatitis A. Which of the following information should the nurse include?

Manifestations of the virus are similar to flu like symptoms.

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

A Nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect?

Petechiae

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?

Rest frequently throughout the day.

A Nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?

Spider angiomas

A client is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client?

Upright

A Nursing is planning care for a client who is to start receiving TPN. Which of the following interventions should the nurse include in the plan of care?

Use a 1.2 micron filter when infusing TPN with fat emulsions added.

A Nurse is caring for a client following an esophagogastroduodenoscopy procedure. Which of the following assessments is the nurses priority?

gag reflex