Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 47, Caring for Clients With Disorders of the Liver
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 47. | When performing a physical examination on a client with cirrhosis, a nurse notices that the client’s abdomen is enlarged. Which of the following interventions should the nurse consider? |
| A) | Report the condition to the physician immediately. |
| B) | Measure abdominal girth according to a set routine. |
| C) | Provide the client with nonprescription laxatives. |
| D) | Ask the client about food intake. |
| Ans: | B |
| Feedback: | |
| If the abdomen appears enlarged, the nurse measures it according to a set routine. Measuring the abdominal girth is the most accurate method of determining an increase or decrease in abdominal distention. It is not essential for the client to take laxatives unless prescribed. The client’s food intake does not affect the size of the abdomen in case of cirrhosis. The nurse would report to the physician about abdominal enlargement along with other parameters of the assessment. |
| 2. | A female client with chronic hepatitis B has been prescribed recombinant interferon alfa-2b (Intron A, Roferon-A) in combination with ribavirin (Rebetol). Which of the following instructions should a nurse provide this client? |
| A) | Avoid calcium-rich foods. |
| B) | Maintain an exercise regimen. |
| C) | Use strict birth control methods. |
| D) | Avoid hot water baths or soaks. |
| Ans: | C |
| Feedback: | |
| A female client who has been prescribed recombinant interferon alpha-2b in combination with ribavirin should be instructed to use strict birth control methods. This is because ribavirin may cause birth defects. It is not essential for the client to avoid calcium-rich foods or hot baths or soaks. The client needs to maintain physical rest during therapy. |
| 3. | Which of the following interventions would be appropriate for a client who has undergone surgery for a liver disorder and has started shivering? |
| A) | Provide the client with warm fluids. |
| B) | Cover the client with a light blanket. |
| C) | Ensure that the room temperature is below 70° F. |
| D) | Place the client on a hypothermia blanket. |
| Ans: | B |
| Feedback: | |
| When the client is shivering, the nurse should cover the client with a light blanket. This will prevent the client from shivering. This is because the client who has undergone surgery for liver disorder also faces the risk of hyperthermia related to infection, rejection, or both. Providing the client with warm fluids will not control shivering. The client is covered with a hypothermia blanket if the temperature rises to 105º F. The room temperature need not be below 70° F. |
| 4. | The nurse would expect to observe which of the following when assessing a client with cholelithiasis? |
| A) | Stools that contain blood and mucus |
| B) | Bowel sounds that are absent |
| C) | Stools that appear small and dry |
| D) | Urine that appears dark brown |
| Ans: | D |
| Feedback: | |
| When a client is being assessed for cholelithiasis, the urine appears dark brown, whereas the stools may be light colored. Bowel sounds are present because cholelithiasis does not cause lack of bowel motility. The stool does not contain blood or mucus. |
| 5. | Which of the following symptoms would indicate that a client with chronic pancreatitis has developed secondary diabetes? |
| A) | Increased appetite and thirst |
| B) | Vomiting and diarrhea |
| C) | Low blood pressure and pulse |
| D) | Decreased urination and constipation |
| Ans: | A |
| Feedback: | |
| When secondary diabetes develops in a client with chronic pancreatitis, the client experiences increased appetite, thirst, and urination. Vomiting, diarrhea, low blood pressure and pulse, and constipation do not indicate the development of secondary diabetes. |
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