Liver & Gallbladder

The nurse reinforces post operative liver biopsy instructions to a client. Which should the nurse tell the client?

Lie on the right side for two hours (splints the puncture site) (bleeding is priority concern)

A nurse is reviewing discharge instructions with a client who is postoperative open cholecystectomy with T tube placement. Which instructions should the nurse include in the teaching?

-Clamp T tube 1 hr before of after meals -expect brown-green drainage from the tube

The nurse is reviewing prescriptions of a client admitted with a diagnosis of acute pancreatitis. Which interventions should the nurse expect to be prescribed?

-antacids -encourage coughing a deep breathing -anticholinergics

A nurse is reviewing nutrition for a Client who has cholecystitis. The nurse should identify that which if the following food choices is most likely to trigger cholecystitis?

Brownie with nuts (foods high in fats trigger)

A nurse is reviewing the lab reports of a client who has suspected cholelithiasis. Which of the following is an expected finding?

Direct bilirubin 2.1 mg/dl

It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is the client most likely experiencing?

Hepatitis A

The nurse is preparing to perform an abdominal examination. Which step should be taken first?

Inspection

The nurse is reviewing the primary health care providers prescriptions written for a client with acute pancreatitis. Which prescription should the nurse verify if noted in the clients chart?

Position client supine & flat

The client has begun taking pancrelipase. The nurse evaluated the medication is having the optimal benefit of which effect is observed?

Reduction of steatorrhea

An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. Which should the nurse explain to the client about this test?

The test requires the client to lie still still fir short intervals

A nurse is reviewing a new prescription for ursodiol with a client who has cholelithiasis. Which of the following information should the nurse include?

This medication dissolved gallstones gradually over a period of up to 2 years

A client with ascites is scheduled for a pats Center's is. The nurse the nurse is assisting the provider with performing the procedure. Which position should she assist the client into fir this procedure?

Upright (allows intestine to flow posterior lay minimizing laceration)

A nurse is reviewing preop teaching with a client scheduled for laparoscopic cholecystectomy. Which should the nurse include?

You may have shoulder pain after the surgery (gas from air inserted into the abdomen during procedure)