Hepatic Practice Questions

Question 1

Referred pain patterns with hepatic and biliary pathologic conditions produce musculoskeletal symptoms in the

Answer 1

Right shoulder

Question 2

Clients with significant elevation in serum bilirubin legels caused by biliary obstruction wil have which of the following associated signs?

Answer 2

Dark urine, clay colored stools, jaundice
And
Yellow tinged sclera

Question 3

Preventing falls and trauma to soft tissues would be of utmost importance in the client with liver failure. Which of the follow- ing laboratory parameters would give you the most information about potential tissue injury?

Answer 3

Prolonged coagulation times

Question 4

Decreased level of consciousness, impaired function of periph- eral nerves, and asterixis (flapping tremor) would probably indicate an increase in the level of:

Answer 4

Serum ammonia

Question 5

An inpatient who has had a total hip replacement with a sig- nificant history of alcohol use/abuse has a positive test for asterixis. This may signify:

Answer 5

Hepatic encephalopathy

Question 6

A decrease in serum albumin is common with a pathologic condition of the liver because albumin is produced in the liver. The reduction in serum albumin results in some easily identifi- able signs. Which of the following signs might alert the therapist to the condition of decreased albumin?

Answer 6

Peripheral edema and ascites