Chapter 41: Liver, Gallbladder, and Pancreatic Disorders

Chapter 41: Liver, Gallbladder, and Pancreatic Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. For which complication should a nurse be careful to monitor a patient after a liver biopsy?

a.	Headache
b.	Muscle cramps
c.	Bleeding
d.	Respiratory distress

 

 

ANS:  C

Liver biopsy places the patient at risk for hemorrhage. Liver disorders make patients especially vulnerable to hemorrhage.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 854-855      OBJ:   2

TOP:   Liver Biopsy                                   KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. What is pruritus related to in the patient diagnosed with hepatitis?

a.	Decreased fat intake
b.	Poor appetite and therefore poor protein intake
c.	Accumulation of bile salts under the skin
d.	Altered urinary output of bile

 

 

ANS:  C

Bile salts accumulate under the skin, causing irritation.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 858             OBJ:   3

TOP:   Hepatitis         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. A young woman with severe jaundice has a nursing diagnosis of “Altered body image, related to jaundice.” The patient says, “Will I always be this horrible color?” What is the best response by the nurse?

a.	“Yes, but your sclera will return to their previous white color.”
b.	“No. The color will fade gradually as liver inflammation decreases.”
c.	“Yes, but cosmetics can disguise the color.”
d.	“No. The color will change to freckles.”

 

 

ANS:  B

Jaundice causes patients to be self-conscious and reclusive because of the change in physical appearance. Patients can be reassured that the color improves as liver function improves, usually in 2 to 4 weeks.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 860             OBJ:   3

TOP:   Hepatitis and Jaundice                     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

4. What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bedrest?

a.	Raise the knee gatch to prevent the patient from sliding down in bed.
b.	Provide undisturbed periods of 6 hours to encourage rest.
c.	Restrict fluids.
d.	Encourage turning, coughing, and deep breathing every 2 hours.

 

 

ANS:  D

The nurse must encourage measures that will prevent pneumonia and improve impaired skin integrity because of the increased risk factors associated with bedrest.

 

DIF:    Cognitive Level: Application           REF:   p. 859             OBJ:   5

TOP:   Bedrest for Hepatitis                        KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease