Question 1

The nurse caring for a patient who has had an open cholecystectomy with a T-Tube will:

Accepted Answer

A)  open the T-tube to the air so that it will drain freely. 
B)  position and secure the drainage bag at the chest level. 
C)  Place the collection bag so the tube is not kinked. 
D)  Irrigate the T-tube with normal saline to ensure the free flow of bile. 
A)  open the T-tube to the air so that it will drain freely. 
B)  position and secure the drainage bag at the chest level. 
C)  Place the collection bag so the tube is not kinked. 
D)  Irrigate the T-tube with normal saline to ensure the free flow of bile. B

Question 2

A patient with pancreatitis is NPO. The patient asks the nurse why he is unable to have anything by mouth. Which of the following is the best response?

Accepted Answer

A)  "Diagnostic tests depend on you not eating anything." 
B)  "The pancreas is stimulated whenever you eat or drink, and causes pain." 
C)  "Eating causes the need for a bowel movement, which excretes your medication too rapidly." 
D)  "Resting your GI tract will cure your pancreatitis." 
A)  "Diagnostic tests depend on you not eating anything." 
B)  "The pancreas is stimulated whenever you eat or drink, and causes pain." 
C)  "Eating causes the need for a bowel movement, which excretes your medication too rapidly." 
D)  "Resting your GI tract will cure your pancreatitis." B

Question 3

When caring for an extremely jaundiced patient with cirrhosis, what should the nurse include provisions for in the plan of care?

Accepted Answer

A)  Encouraging consumption of a high-fat diet 
B)  Skin care to relieve pruritus 
C)  Offering foods rich in fat-soluble vitamins 
D)  Meticulous foot care 
A)  Encouraging consumption of a high-fat diet 
B)  Skin care to relieve pruritus 
C)  Offering foods rich in fat-soluble vitamins 
D)  Meticulous foot care B

Question 4

___________ is a condition characterized by yellowing of the sclera and the skin.

Accepted Answer

Jaundice
Jaundice is the disco

Question 5

The nurse explains that the use of cyclosporine as an immunosuppressant has been successful in the reduction of rejection of liver transplants because the drug:

Accepted Answer

A)  increases the rate of the regeneration of liver cells. 
B)  can overcome complications presented by hepatitis C. 
C)  increases blood supply to transplant. 
D)  does not suppress bone marrow. 
A)  increases the rate of the regeneration of liver cells. 
B)  can overcome complications presented by hepatitis C. 
C)  increases blood supply to transplant. 
D)  does not suppress bone marrow.

Question 6

Which patient statement indicates that the patient requires additional teaching about an endoscopic retrograde cholangiopancreatography?

Accepted Answer

A)  "Right after the test, I want breakfast with black coffee." 
B)  "The instrument will be put down my throat." 
C)  "I haven't had anything to eat or drink since 9 PM last night." 
D)  "My doctor said I could have medicine to relax me before the test." 
A)  "Right after the test, I want breakfast with black coffee." 
B)  "The instrument will be put down my throat." 
C)  "I haven't had anything to eat or drink since 9 PM last night." 
D)  "My doctor said I could have medicine to relax me before the test."

Question 7

What is an essential nursing measure to prevent injury to the patient who is to receive a paracentesis?

Accepted Answer

A)  Have patient sign a permit 
B)  Pad side rails 
C)  Check for allergy to contrast media or to shellfish 
D)  Have patient void immediately before procedure 
A)  Have patient sign a permit 
B)  Pad side rails 
C)  Check for allergy to contrast media or to shellfish 
D)  Have patient void immediately before procedure

Question 8

What is the most appropriate method used by high-risk health workers to prevent hepatitis B?

Accepted Answer

A)  Hepatitis B vaccine 
B)  Diligent handwashing 
C)  Wearing protective gear 
D)  Hb immune globulin injections 
A)  Hepatitis B vaccine 
B)  Diligent handwashing 
C)  Wearing protective gear 
D)  Hb immune globulin injections

Question 9

A male patient states that he returned from a 2-week camping trip a few days ago. He complains of nausea and anorexia, and dark urine. What additional information would assist in diagnosing hepatitis A?

Accepted Answer

A)  Exposure to blood 
B)  Recent ingestion of raw fish 
C)  History of intravenous drug use 
D)  Multiple sex partners 
A)  Exposure to blood 
B)  Recent ingestion of raw fish 
C)  History of intravenous drug use 
D)  Multiple sex partners

Question 10

Which medical interventions and management systems control the bleeding of esophageal varices? (Select all that apply.)

Accepted Answer

A)  Transfusions 
B)  Sengstaken-Blakemore tube 
C)  Band ligation 
D)  Cryotherapy 
E)  Portocaval shunt
F) Large doses of vitamin B12 
A)  Transfusions 
B)  Sengstaken-Blakemore tube 
C)  Band ligation 
D)  Cryotherapy 
E)  Portocaval shunt
F) Large doses of vitamin B12

Question 11

Which assessment would indicate possible gallbladder disease in an older adult?

Accepted Answer

A)  Dull pain in the right upper quadrant region 
B)  Changes in color of urine or stool 
C)  Distention of veins in upper part of body 
D)  Aching muscles and tenderness in the liver 
A)  Dull pain in the right upper quadrant region 
B)  Changes in color of urine or stool 
C)  Distention of veins in upper part of body 
D)  Aching muscles and tenderness in the liver

Question 12

The nurse clarifies that deterioration progresses through stages before presenting with liver disease. Place the stages in order. (Separate letters by a comma and space as follows: A, B, C, D)
A) Liver disease
B) Inflammation
C) Hepatic insufficiency
D) Destruction
E) Fibrotic regeneration

Accepted Answer

D, B, E, C, A
Liver deteriorat

Question 13

Arrange the normal process of protein metabolism. (Separate letters by a comma and space as follows: A, B, C, D)
A) Protein enters the blood stream
B) Excreted by kidney
C) Portal vein delivers blood to the liver
D) Conversion to urea
E) Ammonia produced in the bowel

Accepted Answer

A, E, C, D, B
Protein products enter the

Question 14

The nurse would make provisions in the plan of care for a person who has had a liver transplant to prevent:

Accepted Answer

A)  fluid congestion. 
B)  fatigue. 
C)  infection. 
D)  urinary retention. 
A)  fluid congestion. 
B)  fatigue. 
C)  infection. 
D)  urinary retention.

Question 15

Why is morphine contraindicated in the patient with pancreatitis?

Accepted Answer

A)  Demerol (meperidine) is less expensive. 
B)  Tylenol is more effective at managing this type of pain. 
C)  Morphine may cause spasms of the sphincter of Oddi. 
D)  These patients do not experience pain. 
A)  Demerol (meperidine) is less expensive. 
B)  Tylenol is more effective at managing this type of pain. 
C)  Morphine may cause spasms of the sphincter of Oddi. 
D)  These patients do not experience pain.

Question 16

The patient with cirrhosis has an albumin of 2.8 g/dL. The nurse is aware that normal is 3.5 g/dL to 5 g/dL. Based on these findings, what would the nurse expect the patient to exhibit?

Accepted Answer

A)  Jaundice 
B)  Edema 
C)  Copious urine output 
D)  Pallor 
A)  Jaundice 
B)  Edema 
C)  Copious urine output 
D)  Pallor

Question 17

Why is it advantageous for a live person to be a liver donor?

Accepted Answer

A)  Because the donor is not at risk for any complication 
B)  Because the recipient is more likely to avoid rejection 
C)  Because the donor donates only a part of the liver 
D)  Because the blood supply is more dependable in the donated liver 
A)  Because the donor is not at risk for any complication 
B)  Because the recipient is more likely to avoid rejection 
C)  Because the donor donates only a part of the liver 
D)  Because the blood supply is more dependable in the donated liver

Question 18

Viral hepatitis may be treated at home. What should be taught to the patient's family? (Select all that apply.)

Accepted Answer

A)  Clothes should be laundered separately with hot water. 
B)  Personal items and drinking glasses should not be shared. 
C)  Articles soiled with feces do not require extra care. 
D)  Hands need to be thoroughly washed after toileting. 
E)  Contaminated items may be disposed of with regular trash. 
A)  Clothes should be laundered separately with hot water. 
B)  Personal items and drinking glasses should not be shared. 
C)  Articles soiled with feces do not require extra care. 
D)  Hands need to be thoroughly washed after toileting. 
E)  Contaminated items may be disposed of with regular trash.

Question 19

The tumor marker that is elevated in patients with pancreatic cancer is______.

Accepted Answer

CA19-9
The tumor mar

Question 20

What should the nurse point out as a significant advantage of the laparoscopic cholecystectomy?

Accepted Answer

A)  Slightly more invasive, but there is less pain 
B)  Can be performed on all patients of any age 
C)  Can be performed even when there are large stones present in the bile duct 
D)  Less invasive procedure 
A)  Slightly more invasive, but there is less pain 
B)  Can be performed on all patients of any age 
C)  Can be performed even when there are large stones present in the bile duct 
D)  Less invasive procedure

Exam 45: Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

The nurse caring for a patient who has had an open cholecystectomy with a T-Tube will:

A patient with pancreatitis is NPO. The patient asks the nurse why he is unable to have anything by mouth. Which of the following is the best response?

When caring for an extremely jaundiced patient with cirrhosis, what should the nurse include provisions for in the plan of care?

___________ is a condition characterized by yellowing of the sclera and the skin.

The nurse explains that the use of cyclosporine as an immunosuppressant has been successful in the reduction of rejection of liver transplants because the drug:

Which patient statement indicates that the patient requires additional teaching about an endoscopic retrograde cholangiopancreatography?

What is an essential nursing measure to prevent injury to the patient who is to receive a paracentesis?

What is the most appropriate method used by high-risk health workers to prevent hepatitis B?

A male patient states that he returned from a 2-week camping trip a few days ago. He complains of nausea and anorexia, and dark urine. What additional information would assist in diagnosing hepatitis A?

Which medical interventions and management systems control the bleeding of esophageal varices? (Select all that apply.)

Which assessment would indicate possible gallbladder disease in an older adult?

The nurse clarifies that deterioration progresses through stages before presenting with liver disease. Place the stages in order. (Separate letters by a comma and space as follows: A, B, C, D) A) Liver disease B) Inflammation C) Hepatic insufficiency D) Destruction E) Fibrotic regeneration

Arrange the normal process of protein metabolism. (Separate letters by a comma and space as follows: A, B, C, D) A) Protein enters the blood stream B) Excreted by kidney C) Portal vein delivers blood to the liver D) Conversion to urea E) Ammonia produced in the bowel

The nurse would make provisions in the plan of care for a person who has had a liver transplant to prevent:

Why is morphine contraindicated in the patient with pancreatitis?

The patient with cirrhosis has an albumin of 2.8 g/dL. The nurse is aware that normal is 3.5 g/dL to 5 g/dL. Based on these findings, what would the nurse expect the patient to exhibit?

Why is it advantageous for a live person to be a liver donor?

Viral hepatitis may be treated at home. What should be taught to the patient's family? (Select all that apply.)

The tumor marker that is elevated in patients with pancreatic cancer is______.

What should the nurse point out as a significant advantage of the laparoscopic cholecystectomy?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

Filters