WorksheetsNursing Questions: Liver Diseases and Interventions
Total questions: 27
Worksheet time: 41mins
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
After treatment for acute pancreatitis, which lab trend best demonstrates the client is recovering?
Lipase decreasing from 800 to 120 U/L
Amylase increasing from 150 to 200 U/L
Calcium dropping from 8.8 to 7.0 mg/dL
WBC increasing from 12,000 to 14,000/mm³
A client presents with severe epigastric pain radiating to the back, nausea, and vomiting. Which finding best supports a diagnosis of acute pancreatitis?
Lipase 750 U/L (elevated)
AST 90 U/L (elevated)
PT/INR (elevated)
Bilirubin 2.0 mg/dL (elevated)
Which food selection by a client with gallstones indicates the need for further teaching?
Steamed chicken with rice
Fresh fruit salad
Fried fish sandwich with cheese
Vegetable soup
The nurse is teaching a client with chronic hepatitis B about medication safety. Which statement indicates correct understanding?
I should avoid acetaminophen unless my provider approves it.
Over-the-counter pain medicines are safe to take.
If I feel unwell, I can double my antivirals.
Ibuprofen is safe to take daily with hepatitis.
A client with gallstones reports clay-colored stools. Which explanation should the nurse provide?
It means your diet is too low in fiber.
It suggests that bile is not reaching your intestines.
It happens when your pancreas produces fewer enzymes.
It indicates a lack of stomach acid.
A nurse is teaching a client about paracentesis. Which client statement shows correct understanding?
I need to lie flat on my stomach during the procedure.
I should empty my bladder just before the procedure.
I cannot eat or drink for 12 hours before the procedure.
The procedure will require general anesthesia.
A client with acute pancreatitis reports severe epigastric pain radiating to the back. Which position should the nurse assist the client into?
Supine with knees drawn to the chest
High Fowler’s with legs straight
Prone with arms above the head
Side-lying with head flat
A client with GERD complains of epigastric pain after meals. Which position is most comfortable?
Lying flat in supine
Sitting upright in high Fowler’s
Prone with pillow under abdomen
Side-lying with knees bent
A nurse is caring for a client who is 12 hours postoperative following a laparoscopic cholecystectomy. The client is drowsy but arousable, reports mild abdominal pain, and has an oxygen saturation of 94% on room air. Lung sounds are diminished at the bases bilaterally. Which nursing intervention is the priority?
Administer prescribed IV opioid for pain relief
Encourage the client to use the incentive spirometer every hour to prevent atelectasis
Reposition the client from supine to side-lying for pain relief
Notify the healthcare provider of oxygen saturation changes
A nurse is reviewing the characteristics of peptic ulcer disease with a client. Which findings help differentiate a gastric ulcer from a duodenal ulcer? Select all that apply
Gastric ulcer pain is worsened by eating.
Gastric ulcer pain improves with eating
Gastric ulcer pain is often described as a gnawing, burning
A nurse is assessing a client who reports fatigue and dizziness. The nurse notes that the client’s stools are black and tarry. Which condition is the most likely cause of this finding?
bleeding gastric ulcer
gerd
diverticulitis
pernicious anemia
The nurse is explaining the action of pantoprazole to a client with peptic ulcer disease. Which statement best describes the mechanism of action of this medication?
It neutralizes stomach acid after meals.
It reduces acid secretion by blocking histamine receptors in the stomach.
It coats the stomach lining to protect the ulcer from acid irritation.
It suppresses gastric acid secretion by inhibiting the proton pump in the stomach lining.
A nurse is assessing a client with ulcerative colitis. Which of the following is the most characteristic symptom of this condition?
Right lower quadrant pain with non-bloody diarrhea
Bloody diarrhea with abdominal cramping
Constipation alternating with diarrhea
Steatorrhea (fatty, greasy stools)
A nurse is providing discharge teaching to a client newly diagnosed with celiac disease. Which statement by the client indicates a need for further teaching?
I will read food labels carefully and choose products labeled gluten-free.
I can eat regular pasta and bread as long as I take digestive enzymes.
I will avoid wheat, barley, and rye in all foods and drinks.
I will ask about gluten-free options when dining out.
A nurse is assessing a client who has had profuse diarrhea for 2 days. Which signs and symptoms would the nurse expect to find? select all that apply
Muscle weakness and cramps
Dry mucous membranes and poor skin turgor
Bradycardia and hypotension
Hypokalemia
A nurse is assessing a 60-year-old client who reports changes in bowel habits over the past 2 months. Which of the following findings would most likely indicate colon cancer?
Bright red blood per rectum with alternating constipation and diarrhea
Persistent right lower quadrant pain relieved by defecation
Black, tarry stools after taking NSAIDs
Acute abdominal pain with nausea and vomiting
A nurse is providing discharge teaching to a client with gastroesophageal reflux disease (GERD). Which statements by the client indicate correct understanding? select all that apply
I will eat smaller meals and take antacid before bed.
I should elevate the head of my bed 6-8 inches when sleeping.
I can continue to smoke as long as I take my antacids regularly.
I can have a bedtime snack.
I will take histamine antagonist to lower acid production
