Focus on Adult Health Medical-Surgical Nursing Psc Edition by Linda
Focus on Adult Health Medical-Surgical Nursing Psc Edition by Linda
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Chapter 25- Patients With Hepatic and Biliary Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A patient with portal hypertension has been admitted to the medical floor. What will the nurse assess for related to portal hypertension? | |
| A) | Bowel obstruction | |
| B) | Vitamin A deficiency | |
| C) | Ascites | |
| D) | Hepatic encephalopathy | |
| 2. | A patient who has undergone liver transplantation is ready to be discharged home. The nurse is providing discharge teaching. Which topic will the nurse emphasize most related to discharge teaching? | |
| A) | The patient will obtain measurement of drainage from the T-tube. | |
| B) | The patient will exercise three times a week. | |
| C) | The patient will take immunosuppressive agents as required. | |
| D) | The patient will monitor for signs of liver dysfunction. | |
| 3. | The nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. What will the nurse document this condition as in the patient’s chart? | |
| A) | Asterixis | |
| B) | Constructional apraxia | |
| C) | Fetor hepaticus | |
| D) | Palmar erythema | |
| 4. | A nurse is performing health education with the family member of a patient who has ascites. The nurse should be cognizant of which physiologic processes that cause ascites? Select all that apply. | |
| A) | Sodium and water retention | |
| B) | A damaged liver | |
| C) | Insufficient renal flow | |
| D) | Increased lymphatic flow | |
| E) | Decreased synthesis of immunoglobulin G | |
| 5. | A patient is brought to the emergency department by ambulance. He has hematemesis and alteration in mental status. The patient has tachycardia, cool clammy skin, and hypotension. The patient has a history of alcohol abuse. What would the nurse suspect the patient has? | |
| A) | Hemolytic jaundice | |
| B) | Hepatic insufficiency | |
| C) | Bleeding esophageal varices | |
| D) | Portal hypertension | |
Answer Key
| 1. | C |
| 2. | C |
| 3. | A |
| 4. | A, B, D |
| 5. | C |
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