Liver Pancreas and Biliary Tract Problems Essay

Liver Pancreas and Biliary Tract Problems

The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. A patient with hepatitis A is in the acute phase. The nurse plans
care for the patient based on the knowledge that
a. pruritus is a common problem with jaundice in this phase.
b. the patient is most likely to transmit the disease during this
phase.
c. gastrointestinal symptoms are not as severe in hepatitis A as they
are in hepatitis B.
d. extrahepatic manifestations of glomerulonephritis and polyarteritis are common in this phase.
2. A patient with acute hepatitis B is being discharged in 2 days. In
the discharge teaching plan the nurse should include instructions
to
a. avoid alcohol for the first 3 weeks.
b. use a condom during sexual intercourse.
c. have family members get an injection of immunoglobulin.
d. follow a low-protein, moderate-carbohydrate, moderate-fat diet.
3. A patient has been told that she has elevated liver enzymes caused
by nonalcoholic fatty liver disease (NAFLD). The nursing teaching
plan should include
a. having genetic testing done.
b. recommending a heart-healthy diet.
c. the necessity to reduce weight rapidly.
d. avoiding alcohol until liver enzymes return to normal.
4. The patient with advanced cirrhosis asks why his abdomen is so
swollen. The nurse’s response is based on the knowledge that
a. a lack of clotting factors promotes the collection of blood in the
abdominal cavity.
b. portal hypertension and hypoalbuminemia cause a fluid shift
into the peritoneal space.
c. decreased peristalsis in the GI tract contributes to gas formation
and distention of the bowel.
d. bile salts in the blood irritate the peritoneal membranes, causing
edema and pocketing of fluid.
5. In planning care for a patient with metastatic liver cancer, the nurse
should include interventions that
a. focus primarily on symptomatic and comfort measures.
b. reassure the patient that chemotherapy offers a good prognosis.
c. promote the patient’s confidence that surgical excision of the
tumor will be successful.
d. provide information necessary for the patient to make decisions
regarding liver transplantation.

Liver Pancreas and Biliary Tract Problems Essay

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