Chapter 47: Caring For Disorders Of The Liver, Gallbladder or P

When Performing A Physical Examination On A Client With Cirrhosis, A Nurse Notices That The Client's Abdomen Is Enlarged. Which Of The Following Interventions Should The Nurseconsider?

• Report The Condition To The Physician Immediately.

• Measure Abdominal Girth According To A Set Routine.

• Provide The Client With Nonprescription Laxatives.

• Ask The Client About Food Intake.

A Female Client With Chronic Hepatitis B Has Been Prescribed Recombinant Interferon Alfa-2b (Intron A, Roferon-A) In Combination With Ribavirin (Rebetol). Which Of The Following Instructions Should A Nurse Provide This Client?

• Avoid Calcium-Rich Foods.

• Maintain An Exercise Regimen.

• Use Strict Birth Control Methods.

• Avoid Hot Water Baths Or Soaks.

Which Of The Following Interventions Would Be Appropriate For A Client Who Has Undergone Surgery For A Liver Disorder And Has Started Shivering?

• Provide The Client With Warm Fluids.

• Cover The Client With A Light Blanket.

• Ensure That The Room Temperature Is Below 70° F.

• Place The Client On A Hypothermia Blanket.

The Nurse Would Expect To Observe Which Of The Following When Assessing A Client With Cholelithiasis?

• Stools That Contain Blood And Mucus

• Bowel Sounds That Are Absent

• Stools That Appear Small And Dry

• Urine That Appears Dark Brown

Which Of The Following Symptoms Would Indicate That A Client With Chronic Pancreatitis Has Developed Secondary Diabetes?

• Increased Appetite And Thirst

• Vomiting And Diarrhea

• Low Blood Pressure And Pulse

• Decreased Urination And Constipation

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?

• Potassium

• Vitamin K

• Vitamin B

• Oral Bile Acids

When Inspecting The Abdomen Of A Client With Cirrhosis, The Nurse Observes That The Veins Over The Abdomen Are Dilated. The Nurse Documents This Finding As Which Of The Following?

• Gynecomastia

• Cutaneous Spider Angiomata

• Caput Medusae

• Palmar Erythema

A Nurse Is Preparing A Presentation For A Local Community Group About Hepatitis. Which Of The Following Would The Nurse Include?

• Hepatitis B Is Transmitted Primarily By The Oral–Fecal Route.

• Hepatitis A Is Frequently Spread By Sexual Contact.

• Hepatitis C Increases A Person's Risk For Liver Cancer.

• Infection With Hepatitis G Is Similar To Hepatitis A.

A Client With Esophageal Varices Is Scheduled To Undergo Injection Sclerotherapy. Which Of The Following Client Statements Indicates That The Teaching Was Successful?

• “The Physician Will Use A Balloon To Compress The Vessels.”

• “I Might Need To Have This Procedure Done Again.”

• “It's Seems Odd That A Rubber Band Can Block Off The Vessels.”

• “A Catheter Will Be Inserted Through My Belly To Fix The Vessels.”

A Client With Hepatitis Who Has Not Responded To Medical Treatment Is Scheduled For A Liver Transplant. Which Of The Following Most Likely Would Be Ordered?

• Chenodiol (Chenix)

• Ursodiol (Actigall)

• Tacrolimus (Prograf, Fk506)

• Interferon Alfa-2b, Recombinant (Intron A, Roferon A)