Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 41: Liver, Gallbladder, and Pancreatic Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
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