STUDY FOR FINAL LIVER AND URINARY Flashcards
- The nurse anticipates the preferred treatment for a patient with acute hepatitis A infection will include
a. interferon.
b. supportive care.
c. hepatitis A vaccine.
d. direct-acting antivirals.
b. supportive care.
- A person needs postexposure prophylaxis for hepatitis B with hepatitis B immune globulin (HBIG). When should HBIG be given after exposure?
a. Within 24 hours
b. Between 1 and 2 weeks
c. At 1 month and 6 months
d. At 1 month, 4 months, and 6 months
a. Within 24 hours
- A patient with late-stage cirrhosis develops portal hypertension. Which complications can develop from this condition? (select all that apply)
a. Ascites
b. Esophageal varices
c. Decreased bilirubin
d. Decreased spleen size
e. Increased albumin levels
a. Ascites
b. Esophageal varices
- A patient with cancer that has metastasized to the liver has symptoms of fluid retention, including edema and ascites. To determine the effectiveness of diuretic therapy on ascites, what should the nurse assess?
a. Bowel sounds
b. Abdominal girth
c. Recent blood work
d. Mucous membranes
b. Abdominal girth
- Which intervention would the nurse expect for a patient admitted with acute pancreatitis?
a. Keep the patient NPO
b. Abdominal paracentesis
c. Start enteral feedings to prevent malnutrition
d. Administer acetaminophen every 4 hours for pain relief
a. Keep the patient NPO
- The patient diagnosed with pancreatic cancer underwent a Whipple procedure 2 days ago. Which clinical problem has the highest priority?
a. Anticipatory grieving
b. Fluid volume imbalance
c. Impaired tissue integrity
d. Nutritionally compromised
b. Fluid volume imbalance
- Which finding can indicate gallstones and gallbladder obstruction?
a. Dark colored stools
b. Pain in the left lower abdomen
c. Referred pain to the right shoulder
d. Improved symptoms with high-fat meals
c. Referred pain to the right shoulder
- Discharge teaching for the patient who underwent laparoscopic cholecystectomy should include the need to
a. abstain from alcohol.
b. avoid eating low-fat meals.
c. obtain hepatitis A vaccine.
d. call if there are changes in stool or urine color.
d. call if there are changes in stool or urine color.
- A patient with kidney disease has oliguria and a creatinine clearance of 40 mL/min. These findings most directly reflect abnormal function of
a. tubular secretion.
b. glomerular filtration.
c. capillary permeability.
d. concentration of filtrate.
b. glomerular filtration.
- A renal stone in the pelvis of the kidney will change the patient’s kidney function by interfering with the
a. structural support of the kidney.
b. regulation of the concentration of urine.
c. entry and exit of blood vessels at the kidney.
d. collection and drainage of urine from the kidney.
d. collection and drainage of urine from the kidney.
- The nurse identifies a risk for urinary stones in a patient who relates a health history that includes
a. dehydration.
b. hyperaldosteronism.
c. serotonin deficiency.
d. adrenal insufficiency.
a. dehydration.
- Diminished ability to concentrate urine, associated with aging of the urinary system, is due to
a. a decrease in bladder sensory receptors.
b. a decrease in the number of functioning nephrons.
c. decreased function of the loop of Henle and tubules.
d. thickening of the basement membrane of Bowman capsule.
c. decreased function of the loop of Henle and tubules.
- During physical assessment of the urinary system, the nurse
a. performs fist percussion to detect tenderness in the flank area.
b. expects a dull percussion sound when 100 mL of urine is present in the bladder.
c. percusses above the symphysis pubis to determine the level of urine in the bladder.
d. palpates the lower pole of the right kidney as a smooth mass that descends on expiration.
a. performs fist percussion to detect tenderness in the flank area.
- A diagnostic study that evaluates renal blood flow, glomerular filtration, tubular function, and excretion is a(n)
a. IVP.
b. VCUG.
c. renal scan.
d. loopogram.
c. renal scan.
- Normal findings expected on physical assessment of the urinary system include (select all that apply)
a. nonpalpable bladder.
b. nonpalpable left kidney.
c. auscultation of renal artery bruit.
d. no CVA tenderness elicited by a kidney punch.
e. full bladder percusses as dullness above the symphysis pubis.
a. nonpalpable bladder.
b. nonpalpable left kidney.
d. no CVA tenderness elicited by a kidney punch.
e. full bladder percusses as dullness above the symphysis pubis.
- On reading the urinalysis results of a dehydrated patient, the nurse would expect to find
a. a pH of 8.4.
b. RBCs of 4/hpf.
c. color: yellow, cloudy.
d. specific gravity of 1.035.
d. specific gravity of 1.035.
- The nurse teaches the female patient who has frequent UTIs to
a. take tub baths with bubble bath.
b. void before and after sexual intercourse.
c. take prophylactic sulfonamides for the rest of her life.
d. restrict fluid intake to prevent the need for frequent voiding.
b. void before and after sexual intercourse.