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?

____     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?

____     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?

____     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?

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

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