Chapter 49: Assessment and Management of Patients With Hepatic Disorders

High-dose corticosteroids

A client has developed drug-induced hepatitis from a drug reaction to antidepressants. What treatment does the nurse anticipate the client will receive to treat the reaction?

On the right side

A client has undergone a liver biopsy. Which postprocedure position is appropriate?

Octreotide

A client is admitted to the hospital with acute hemorrhage from esophageal varices. What medication should the nurse anticipate administering that will reduce pressure in the portal venous system and control esophageal bleeding?

Ineffective breathing pattern

A client is admitted with increased ascites related to cirrhosis. Which nursing diagnosis should receive top priority?

The digestion of dietary and blood proteins.

Ammonia, the major etiologic factor in the development of encephalopathy, inhibits neurotransmission. Increased levels of ammonia are damaging to the body. The largest source of ammonia is from:

Spironolactone (Aldactone)

Gynecomastia is a common side effect of which of the following diuretics?

radical pancreatoduodenectomy

A client who was recently diagnosed with carcinoma of the pancreas and is having a procedure in which the head of the pancreas is removed. In addition, the surgeon will remove the duodenum and stomach, redirecting the flow of secretions from the stomach, gallbladder, and pancreas into the middle section of the small intestine. What procedure is this client having performed?

Vitamin K

A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the following should a nurse administer to the client before surgery?

Watery diarrhea

The nurse is administering Cephulac (lactulose) to decrease the ammonia level in a patient who has hepatic encephalopathy. What should the nurse carefully monitor for that may indicate a medication overdose?

Alpha-interferon

The single modality of pharmacologic therapy for chronic type B viral hepatitis is:

cannot tolerate high-glucose concentration.

Total parental nutrition (TPN) should be used cautiously in clients with pancreatitis because such clients:

Radioisotope liver scan

Which liver function study is used to show the size of the liver and hepatic blood flow and obstruction?

change in mental status signs of GI bleeding

When caring for a client with cirrhosis, which symptoms should a nurse report immediately? Select all that apply.

Reduce fluid accumulation and venous pressure.

A client with cirrhosis has portal hypertension, which is causing esophageal varices. What is the goal of the interventions that the nurse will provide?

Albumin

A client with liver and renal failure has severe ascites. On initial shift rounds, his primary nurse finds his indwelling urinary catheter collection bag too full to store more urine. The nurse empties more than 2,000 ml from the collection bag. One hour later, she finds the collection bag full again. The nurse notifies the physician, who suspects that a bladder rupture is allowing the drainage of peritoneal fluid. The physician orders a urinalysis to be obtained immediately. The presence of which substance is considered abnormal?

wash her hands after touching the client.

A client with viral hepatitis A is being treated in an acute care facility. Because the client requires enteric precautions, the nurse should:

tachycardia and tachypnea

A nurse is assessing a postoperative client for hemorrhage. What responses associated with the compensatory stage of shock should be reported to the healthcare provider?

Hepatitis C increases a person's risk for liver cancer.

A nurse is preparing a presentation for a local community group about hepatitis. Which of the following would the nurse include?

The amount of protein is not restricted in the diet.

A nurse is educating a client who has been treated for hepatic encephalopathy about dietary restrictions to prevent ammonia accumulation. What should the nurse include in the dietary teaching?

Ultrasound of liver and abdomen

Which of the following diagnostic studies definitely confirms the presence of ascites?