Pancreas & Liver ATI

A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation? a. Avoid covering sores with bandages. b. Avoid handwashing after eating. c. Avoid foods prepared with tap water. d. Avoid eating meat.

Avoid foods prepared with tap water.

A nurse is providing teaching to a client who has a history of chronic pancreatitis. Which of the following food choices should the nurse instruct the client to avoid? a. Noodles b. Vegetable soup c. Baked fish d. Cheddar cheese

Cheddar cheese

A nurse is assessing a client who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia? a. Bradycardia b. Cool, clammy skin c. Vomiting d. Fruity odor on the client's breath

Cool, clammy skin

A nurse is caring for a client who has acute pancreatitis with pain 9/10 (0-10 scale) and severe nausea and vomiting. After treating the client's pain, which of the following should the nurse address as the priority intervention? a. Auscultate the client's lungs. b. Assist the client to a side-lying position. c. Provide oral hygiene. d. Withhold oral fluids and food.

Withhold oral fluids and food.

A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding? a. "I should expect tremors to start less than 24 hours after I stop drinking." b. "Disulfiram will block my cravings for alcohol." c. "My symptoms should last about 5 to 7 days once they begin." d. "It is important that I take vitamin C to prevent cirrhosis or other liver damage."

"I should expect tremors to start less than 24 hours after I stop drinking."

A nurse is teaching a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching? a. "I will feel shaky." b. "I will be more thirsty than usual." c. "My skin will be warm and moist." d. "My appetite will be decreased."

"I will feel shaky."

A nurse is evaluating teaching with a client who is receiving continuous subcutaneous insulin via an external insulin pump. Which of the following statements by the client indicates a need for further teaching? a. "I will change the needle every 3 days." b. "I should store all unused insulin in the refrigerator." c. "If I skip lunch, I will skip my mealtime dose of insulin." d. "I will use insulin glargine in my insulin pump."

"I will use insulin glargine in my insulin pump."

A nurse is providing education about insulin management to a client newly diagnosed with type 1 diabetes mellitus. Which of the following statements by the nurse about injection site selection is accurate? a. "Injections will work most quickly when given in the upper arm." b. "Injections will work most quickly when given in the thigh." c. "Injections will work most quickly when given in the buttocks." d. "Injections will work most quickly when given in the abdomen."

"Injections will work most quickly when given in the abdomen."

A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include? a. "Pull back on the plunger after injecting the insulin." b. "Massage the injection site after removing the needle." c. "Store the current bottle of insulin at room temperature." d. "Use each syringe up to six times."

"Store the current bottle of insulin at room temperature."

A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make? a. "You should decrease your caloric intake when abdominal pain is present." b. "You should increase your daily intake of protein." c. "You should increase fat intake when experiencing loose stools." d. "You should limit alcohol intake to 2-3 drinks per week."

"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. A client who eats raw shellfish b. A client who has multiple tattoos c. A client who works in a child care center d. A client who has recently traveled to a underdeveloped country

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.)(Select All that Apply.) a. Administer furosemide. b. Encourage weight lifting during physical therapy. c. Implement a low-sodium diet. d. Administer warfarin. e. Measure the client's abdominal girth.

Administer furosemide. Implement a low-sodium diet. Measure the client's abdominal girth.

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? a. Alcohol b. Caffeine c. Cocaine d. Inhalants

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? a. Glucose b. Ammonia c. Potassium d. Bicarbonate

Ammonia

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 following values? a. Calcium b. RBC count c. Magnesium d. Amylase

Amylase

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? a. Decrease the client's fluid intake. b. Increase the client's saturated fat intake. c. Increase the client's sodium intake. d. Decrease the client's carbohydrate intake.

Decrease the client's fluid intake.

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? a. Decreased sodium level b. Decreased phosphate level c. Decreased potassium level d. Decreased chloride level

Decreased sodium level

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer? a. Methadone b. Disulfiram c. Diazepam d. Buprenorphine

Diazepam

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include? a. Draw up the NPH insulin into the syringe first. b. Inject air into the regular insulin first. c. Shake the NPH insulin until it is well mixed. d. Discard regular insulin that appears cloudy.

Discard regular insulin that appears cloudy.

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? a. Recap the needle. b. Place the cap on the bedside table and slide the needle into the cap. c. Wrap the needle with gauze. d. Dispose of the needle uncapped.

Dispose of the needle uncapped

A nurse is assessing a client who has suspected acute respiratory distress syndrome (ARDS). The nurse should identify that which of the following is the most common presenting manifestation of ARDS? a. Somnolence b. Dyspnea c. Cyanosis d. Diaphoresis

Dyspnea

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 gastrointestinal (GI) tract is digesting and absorbing blood? a. Elevated blood urea nitrogen (BUN) b. Elevated HbA1c c. Decreased chloride d. Decreased bilirubin

Elevated blood urea nitrogen (BUN)

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan? a. Administer antibiotics. b. Provide a diet high in fat. c. Restrict fluids. d. Encourage short periods of ambulation.

Encourage short periods of ambulation.

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history? a. Gallstones b. Hypolipidemia c. COPD d. Diabetes mellitus

Gallstones

A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take? a. Gently roll the insulin vial to mix. b. Inject the insulin 2.5 cm (1 in) from the client's naval. c. Administer the insulin into a muscle. d. Aspirate the injection after inserting the needle.

Gently roll the insulin vial to mix

A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0800. After checking the client's morning glucose level, which of the following actions should the nurse take? a. Give the insulin at 0700. b. Give the insulin when the breakfast tray arrives. c. Give the insulin 30 min after breakfast with the client's other routine medicines. d. Give the insulin at 0730.

Give the insulin at 0730.

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 for the client? a. Baked potato b. Stewed tomatoes c. Ham sandwich d. Milkshake

Ham sandwich

A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? a. Hand tremors b. Stuporous level of consciousness c. Bradycardia d. Hypotension

Hand tremors

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see? a. Decreased WBC b. Increased serum amylase c. Decreased serum lipase d. Increased serum calcium

Increased serum amylase

A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take? a. Assess for hypoglycemia 4 hr after the insulin injection. b. Inject the insulin 15 min before a meal. c. Monitor for polyuria. d. Administer with short-acting insulin

Inject the insulin 15 min before a meal.

A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include? a. A family history increases your risk for acquiring hepatitis A. b. Hepatitis A infects the kidneys. c. Manifestations of the virus are similar to flu-like symptoms. d. The incubation of the virus is 5 days.

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? a. Excessive alcohol consumption b. Hepatitis C c. Hepatotoxic medications d. Obstruction of the bile duct

Obstruction of the bile duct

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate? a. Initiate a low-residue diet. b. Pantoprazole 80 mg IV bolus twice daily c. Ambulate twice daily. d. Pancrelipase 500 units/kg PO three times daily with meals

Pantoprazole 80 mg IV bolus twice daily

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect? a. Petechiae b. Hypertension c. Osteoarthritis d. Peripheral ulcers

Petechiae

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? a. Locate the center of the arm between the elbow and the shoulder. b. Find the center of the anterior aspect of the thigh. c. Locate the middle third of the anterior thigh between the greater trochanter of the femur and the lateral femoral condyle. d. 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.

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 caring for a client who acquired hepatitis A from consuming contaminated food. The client's mouth is an example of which of the following links in the chain of infection? a. Portal of entry b. Infectious agent c. Reservoir d. Susceptible host

Portal of entry

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? a. Avoid eating at fast food restaurants. b. Avoid serving raw foods. c. Practice effective hand hygiene. d. Wear barrier protection during vaginal intercourse.

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? a. Provide a high carbohydrate diet. b. Administer acetaminophen for pain. c. Encourage eating three large meals daily. d. Include high protein snacks.

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? a. Administer diuretics. b. Restrict the client's intake of fluids. c. Reduce the client's intake of protein. d. Administer vitamin K.

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? a. You may donate blood 6 months after completing the medication regimen. b. Consume a high-protein diet. c. Rest frequently throughout the day. d. Take acetaminophen every 4 hr, as needed, for discomfort

Rest frequently throughout the day.

A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect? a. Hyperactive bowel sounds b. Increased urinary output c. Rigid abdomen d. Frequent bowel movements

Rigid abdomen

A nurse is caring for a client who has acute respiratory distress syndrome (ARDS). The nurse should identify that which of the following conditions is the most common cause of ARDS? a. Aspiration b. Sepsis c. Motor vehicle accident trauma d. Pneumonia

Sepsis

A nurse is providing care to a client who has peritonitis. Which of the following conditions is the highest priority for the nurse to monitor? a. Diabetes b. Sepsis c. Respiratory failure d. Heart attack

Sepsis

A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client? a. Moist skin b. Spider angiomas c. Tarry stools d. Blood in the urine

Spider angiomas

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement? a. Droplet b. Contact c. Airborne d. Standard

Standard

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? a. Vitamin A b. Vitamin B1 c. Vitamin C d. Vitamin B12

Vitamin A

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer? a. Vitamin K b. Heparin c. Warfarin d. Ferrous sulfate

Vitamin K

A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication? a. Dry mouth b. Vomiting c. Headache d. Peripheral edema

Vomiting