Chapter 46: Hepatic Problems

Monahan Phipps Medical Surgical 8th Edition By Monahan

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Chapter 46: Hepatic Problems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. After a gunshot wound to the left upper quadrant of the abdomen, a patient presents to the emergency department with tachycardia, hypotension, rebound tenderness, and absent bowel sounds. The physician suspects hepatic trauma. The first priority nursing intervention for this patient will focus on:
1. Controlling intense pain
2. Reducing anxiety and fear
3. Systematic assessment of fluid volume status
4. Educating and preparing the patient for surgery

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Safe Effective Care Environment

 

  1. A patient with which of the following conditions is at greatest risk of developing hepatocellular cancer?
1. Hepatitis A
2. Blunt liver trauma
3. Alcoholic cirrhosis
4. Cancer of the breast

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

  1. Which finding is indicative of advanced liver disease?
1. Nausea and vomiting
2. Abdominal pain
3. Anorexia
4. Ascites

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

  1. Which statement best explains the purpose of AquaMEPHYTON given subcutaneously to the patient being prepared for liver resection?
1. To prolong the bleeding time and prevent diffuse intravascular coagulation
2. To prevent complications such as thrombophlebitis
3. As standard presurgical prophylaxis against hemorrhage
4. To correct bleeding tendencies related to impaired vitamin K absorption

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Drug-related responses

TOP:  Nursing Process: Implementation MSC: Client Needs: Physiological Integrity

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