Review Questions - Exam 3 NC II
A client's provider has ordered a "liver panel" in response to the client's development of jaundice. When reviewing the results of the lab tests, the nurse should expect to review what blood tests? (select all that apply):
ALT- alanine aminotransferase AST- aspartate aminotransferase ALP- alkaline phosphatase
What is the term for involuntary flapping of the hands which may be evident in stage 2 hepatic encephalopathy?
Asterixis
A client with portal hypertension has been admitted to the medical floor. The nurse should prioritize which assessments?
Daily weights and abdominal girth measurements
The nurse is caring for a client with advanced hepatic cirrhosis. What serum lab result is expected?
Elevated prothrombin time
A client reports severe pain and bleeding while having a bowel movement. Upon inspection, the healthcare provider notes a linear tear in the anal canal tissue. The client is diagnosed with a:
Fissure (longitudinal tear in lining of anal tissue canal)
A client with a history of IV drug use is being treated for hepatitis, and presents today with jaundice and arthralgias. What type of hepatitis does the client most likely have?
Hepatitis B
What is the term that refers to the inability of damaged liver cells to clear normal amounts of bilirubin?
Hepatocellular jaundice
Diet therapy for clients diagnosed with irritable bowel syndrome (IBS) includes:
High-fiber diet
When reviewing the history of a client with pancreatic cancer, the nurse would identify which of the following as a possible risk factor?
History of pancreatitis
A student nurse is preparing a plan of care for a client with chronic pancreatitis. What priority nursing diagnosis is related to the care of a client with chronic pancreatitis?
Impaired nutrition: less than body requirements
A client with hepatic cirrhosis is disoriented, and the client's hand demonstrated flapping motion. What lab result should the nurse anticipate?
Increased ammonia levels
Crohn's disease is a condition of malabsorption caused by which pathophysiological process?
Inflammation of all layers of intestinal mucosa
When caring for a client with hepatitis B, the nurse should monitor closely for the development of which finding is associated with the decrease in hepatic function?
Irritability and drowsiness
A client with diagnosis of esophageal varices has undergone an EGD to gage progression of liver disease. Following completion of this diagnostic test, what nursing intervention should the nurse perform?
Keep the client NPO until the patient's gag reflex returns
A nurse is providing dietary instructions to a client with a history of pancreatitis. Which instruction is correct?
Maintain a high-carb, low-fat diet
The nurse is caring for a client who has ascites as a result of hepatic dysfunction. What intervention can the nurse provide to determine if the ascites is increasing? (select all that apply):
Measure abdominal girth daily Perform daily weights
The nurse is admitting a patient to the ICU with a diagnosis of acute pancreatitis. What does the nurse expect was the reason the patient came to the hospital?
Severe abdominal pain
What is the term for the obstruction of blood flow through the liver resulting in ascites and esophageal varices?
Portal hypertension
A client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention should the nurse implement?
Rest the client's bowel
In a client with acute appendicitis, rebound tenderness is located where?
Right lower quadrant
What home education should the nurse emphasize to protect the client's family when caring for a client with Hepatitis A?
Using good sanitation with dishes and shared bathrooms