Biliary/Hepatic Practice Test NUR212

A nurse is caring for a client who has hepatitis A. The client asks the nurse how he might have contracted the virus. Which of the following is a question the nurse should ask the client?

"Have you been to a third world country in the past?"

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 client's abdominal girth

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 preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle?

Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm

A nurse is teaching a client who has hepatitis A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching?

Practice effective hand hygiene

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

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

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 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 assessing a client who has cirrhosis. Which is an expected finding for this client?

Spider angiomas

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement?

Standard -Hep C is a bloodborne pathogen commonly spread by needle stick injury

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

obstruction of the bile duct

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?

Alcohol

A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?

Ammonia

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 preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following info should the nurse include in the presentation?

Avoid foods prepared with tap water -need to use purified water

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

Dark and foamy

A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?

Decrease the client's fluid intake

A nurse is administering an IM injection to a client who has hepatitis C. Before placing the syringe and needle in a puncture-resistant container, which of the following actions should the nurse take?

Dispose of the needle uncapped

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in 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