Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders

Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A patient with possible viral hepatitis reports recent intake of raw shellfish. Which type of hepatitis should the nurse consider the patient is experiencing?

a.	Hepatitis A virus
b.	Hepatitis B virus
c.	Hepatitis C virus
d.	Hepatitis D virus

 

 

____     2.   The employee health nurse is preparing vaccines to administer to patient care staff to permanently protect them from hepatitis. For which types of hepatitis does the nurse have vaccines?

a.	HAV
b.	HBV
c.	HCV
d.	Both HAV and HBV

 

 

____     3.   A patient with hepatic encephalopathy is required to consume 50 grams of protein each day. Which item should be provided to the patient for a mid-afternoon snack?

a.	Apple
b.	Crackers
c.	Peanut butter
d.	Whole grain bread

 

 

____     4.   The nurse is caring for a patient after a liver transplant. Which symptom should the nurse report immediately as a possible indication of rejection of the liver?

a.	Pulse rate of 80 beats per minute
b.	Prothrombin time (PT) of 14 seconds
c.	Decreased alanine aminotransferase (ALT)
d.	A temperature greater than 101°F (38.3°C)

 

 

____     5.   The nurse is reinforcing teaching provided to a patient with chronic liver failure. What should the patient be instructed to help prevent injury?

a.	“Drink plenty of clear fluids.”
b.	“Brush your teeth with a soft-bristled brush.”
c.	“Be sure to get 20 minutes of exercise daily.”
d.	“Take an aspirin a day to prevent heart complications.”

 

MULTIPLE CHOICE

 

1. ANS:  A

Hepatitis A is spread by oral–fecal contamination of water, shellfish, eating utensils, or equipment. B. C. D. These types of hepatitis are spread through blood and body fluids.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis

 

2. ANS:  D

Vaccines against HBV are available and provide permanent, active immunity to HBV. A vaccine for HAV has also been developed. C. A vaccine for hepatitis C does not exist.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

 

3. ANS:  C

Only in cases of severe protein intolerance should protein be restricted and then for as short a time as possible with supplemental branched-chain amino acids administered until normal protein intake is resumed. Of the food choices, peanut butter has the most protein. A. B. D. An apple is protein free. Crackers and whole grain bread are carbohydrates.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Basic Care and Comfort | Cognitive Level: Application

 

4. ANS:  D

A fever is associated with immune system activity and possible rejection. C. Decreased ALT is desirable in liver disease. B. Normal PT is 8.8 to 11.6 seconds, so 14 seconds is near normal. A. Pulse of 80 beats/min is normal.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis

 

5. ANS:  B

Patients with chronic liver failure often have deficient clotting factors, and a firm toothbrush can cause bleeding gums. A. C. Fluids and exercise will not prevent injury and may be contraindicated. D. Aspirin has antiplatelet properties and can increase bleeding risk.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application