Nursing Questions: Liver Diseases and Interventions

Which statement by a patient with hepatitis A indicates correct teaching?

• I can donate blood when I feel better.

• I should avoid preparing food for others while contagious.

• I can resume alcohol after two weeks.

• It is safe for me to share utensils.

A patient with hepatitis A asks about transmission. The nurse explains:

• It spreads through contaminated food and water.

• It spreads only through blood transfusion.

• It is transmitted through airborne droplets.

• It is sexually transmitted only.

A client with end-stage liver failure is noted to have confusion, tremors, and musty breath odor. Which intervention should the nurse prioritize?

• Administer lactulose as prescribed

• Monitor intake and output

• Prepare the client for paracentesis

• Provide high-protein snacks

During assessment, which finding in a client with cirrhosis requires the most immediate intervention?

• Spider angiomas on the chest

• Jaundice and pruritus

• Hematemesis

• Abdominal ascites

Which laboratory finding best indicates that treatment for hepatic encephalopathy has been effective?

• Decreased total bilirubin

• Increased serum albumin

• Decreased serum ammonia

• Increased prothrombin time

Which statement by a client recovering from pancreatitis indicates further teaching is required?

• I will avoid alcohol completely.

• I should eat small, low-fat meals.

• I can drink socially.

• I need to monitor for symptoms of diabetes.

Which assessment finding best indicates improvement in a client with acute hepatitis?

• Resolution of jaundice

• Decrease in fatigue

• Normalization of ALT/AST levels

• Increased appetite

A client with suspected gallstones reports severe RUQ pain, nausea, and vomiting. Which provider order should the nurse carry out first?

• Keep the client NPO

• Administer antiemetic

• Start IV antibiotics

• Apply a heating pad to the abdomen

The nurse is assessing a client post-cholecystectomy. Which finding requires immediate intervention?

• Shoulder pain

• Bile-colored drainage from the T-tube

• Rigid, board-like abdomen, absence of bowel sounds

• Output of 60 mL from the T-tube in 2 hours

A client with gallstones is prescribed a low-fat diet. Which food choice indicates correct understanding?

• Fried chicken and mashed potatoes with gravy

• Steamed fish with rice and vegetables

• Cheeseburger and French fries

• Pepperoni pizza with salad