NURS 317 Unit 2 Chapter 38 Path Point Questions Flashcards
A client tells the nurse that he is concerned about developing hepatitis after being exposed to contaminated feces, saliva, and food. The nurse is aware that the client is at risk for:
A) Hepatitis C
B) Hepatitis D
C) Hepatitis A
D) Hepatitis B
C) Hepatitis A
A client has begun to display manifestations of hepatic encephalopathy. The family is concerned and asks the nurse what caused this condition to develop. Which is the best response by the nurse?
A) Lack of hemoglobin in the blood
B) Accumulation of ammonia in the blood
C) Intake of a high-protein, high-fat diet
D) Increase of clotting factors in the blood
B) Accumulation of ammonia in the blood
A nurse reviewing the lab results of a client diagnosed with cholestasis would expect to find which abnormality?
A) Decreased serum bilirubin
B) Increased serum alkaline phosphate
C) Decreased plasma bile salts
D) Increased serum glucose level
B) Increased serum alkaline phosphate
Which diagnosis causes an increased risk of developing intrahepatic jaundice? Select all that apply.
A) Hepatitis
B) Bile duct malformation
C) Cholelithiasis
D) Cirrhosis
E) Liver cancer
A) Hepatitis
D) Cirrhosis
E) Liver cancer
When educating the public about hepatitis A, the nurse will stress which accurate teaching points? Select all that apply.
A) Hepatitis is only transmitted via blood; therefore, just don’t touch anything that looks like it contains blood.
B) The incubation period averages 25 to 26 weeks following exposure.
C) Persons working in various food industries like in a restaurant can pass on hepatitis A if they do not properly wash their hands after going to the toilet.
D) Be careful if traveling to a foreign country since many countries do not require vaccination of their workers.
E) The onset of symptoms include high fever, malaise, abdominal pain, and jaundice.
C) Persons working in various food industries like in a restaurant can pass on hepatitis A if they do not properly wash their hands after going to the toilet.
D) Be careful if traveling to a foreign country since many countries do not require vaccination of their workers.
E) The onset of symptoms include high fever, malaise, abdominal pain, and jaundice.
When caring for the client with hepatic failure, the nurse recognizes that which problem places the client at increased risk for bleeding?
A) Decreased red blood cells
B) Increased platelet count
C) Increased prothrombin time
D) Increased vitamin K
C) Increased prothrombin time
A client who has been taking acetaminophen 1000 mg every 4 hours presents to the Urgent Care Center with increased abdominal pain, elevated ALT, AST, and bilirubin levels. The nurse suspects the client is experiencing:
A) Direct hepatotoxic reaction
B) Idiosyncratic reaction
C) Chronic active hepatitis
D) Cholestatic reaction
A) Direct hepatotoxic reaction
A teenager has been admitted to the emergency department after ingesting 20 g of acetaminophen in a suicide attempt. The nursing team recognizes this client is at risk for acute fulminant hepatitis, with elevated ammonia levels that can be detected by assessing for which manifestations? Select all that apply.
A) Flapping tremor (asterixis)
B) Convulsions
C) Confusion
D) Elevated creatinine levels
E) Photosensitivity
A) Flapping tremor (asterixis)
B) Convulsions
C) Confusion
When caring for clients with alcoholism and cirrhosis, which the nurse recognizes which potential complications of the disease? Select all that apply.
A) Kidney failure
B) Trauma from alcohol-induced accidents
C) Bleeding esophageal varices
D) Liver failure
E) Alcohol poisoning
A) Kidney failure
C) Bleeding esophageal varices
D) Liver failure
When caring for the client with Laennec cirrhosis, the nurse recognizes which pathophysiologic finding to be an expected etiology of jaundice?
A) Increased red cell development
B) Impaired uptake of bilirubin
C) Increased conjugation of bilirubin
D) Decreased oxygen at birth
B) Impaired uptake of bilirubin
The nurse is assessing a client with acute pancreatitis who denies use of alcohol. When teaching the client about additional causes of acute pancreatitis, the nurse includes which of these in the discussion? Select all that apply.
A) Gallstones
B) Hypocalcemia
C) Potassium-sparing diuretics
D) Abdominal trauma
E) Increased cholesterol
A) Gallstones
D) Abdominal trauma
E) Increased cholesterol
The oncology nurse is teaching a group of nursing students about risk factors for pancreatic cancer. Which factors does the nurse include in the teaching session? Select all that apply.
A) Chronic pancreatitis
B) Colon cancer
C) Hypertension
D) Cigarette smoking
E) Age over 50 years
A) Chronic pancreatitis
D) Cigarette smoking
E) Age over 50 years
The nurse is implementing a plan of care for a client who has developed acute pancreatitis. It is most important for the nurse to:
A) increase the amount of fluids by offering oral fluids every hour.
B) initiate gastric suctioning to prevent the synthesis of pancreatic enzymes.
C) withhold pain medications until the location of the pain is identified.
D) encourage intake of a high-protein, high-carbohydrate diet.
B) initiate gastric suctioning to prevent the synthesis of pancreatic enzymes.
What intervention does the nurse suggest to a client experiencing pain associated with pancreatic cancer?
A) Avoiding extremes in temperature change
B) Sleeping in a forward sitting position
C) Applying moist, warm compresses to the back
D) Assuming the supine position whenever possible
B) Sleeping in a forward sitting position
A client has been diagnosed with cholelithiasis. The nurse is aware the client is at risk for developing which manifestations? Select all that apply.
A) Obstruction of bile flow
B) Absence of vitamin B12
C) Chronic cholecystitis
D) Acute cholecystitis
E) Biliary colic
A) Obstruction of bile flow
C) Chronic cholecystitis
D) Acute cholecystitis
E) Biliary colic
