Material
A patient is diagnosed with chronic liver cirrhosis. The nurse expects which assessment finding
when examining the abdomen?
a. liver dullness
b. hard, enlarged liver
c. rebound tenderness
d. absence of liver dullness - ANS✔✔ b
A patient's blood test report reveals a lipase level of 200 U/L and an amylase level of 150 U/L.
Which complication does the nurse suspect based on the findings?
a. acute pancreatitis
b. hemolytic problem
c. obstructive jaundice
d. hepatic encephalopathy - ANS✔✔ a
A patient with chronic hepatitis C virus infection is admitted to the hospital. Which factors
contribute to this patient's high risk for development of cirrhosis? (select all)
a. diabetes mellitus
b. alcohol consumption
c. history of regular smoking
d. elevated total cholesterol level
,e. diet high in sodium and fatty foods - ANS✔✔ a,b,d
A nurse is caring for a patient who has cirrhosis of the liver. Which clinical manifestations would
the nurse expect to find? (select all)
a. white patches on skin
b. deposits of dark pigments
c. small areas of bleeding into the skin
d. vascular lesions formed by small blood vessels
e. small dilated blood vessels with spiderlike branches - ANS✔✔ c,d,e
Which precautions would the nurse follow while caring for a patient with both hepatitis A and B
infections? (select all)
a. keep the patient in a private room, and close the door
b. carefully dispose of the needles and syringes used for the patient
c. wear gloves while handling articles contaminated by urine or feces
d. always wear a mask, gown, and gloves when entering the patient's room
e. follow procedures while injecting the patient and avoid getting stuck by the used needle -
ANS✔✔ b,c,e
Which condition would the nurse suspect when a patient's assessment findings include
asterixis, hyperventilation, fetor hepaticus, and continuous lip smacking?
a. hepatitis
b. liver cirrhosis
c. hepatorenal syndrome
, d. hepatic encephalopathy - ANS✔✔ d
Which hepatitis virus is transmitted from mother to fetus?
a. A
b. B
c. C
d. E - ANS✔✔ b
Which statement by a student nurse indicates a need for further teaching about nutritional
therapy in patients with acute pancreatitis?
a. "I should feed the patient through a nasojejunal tube"
b. "I will monitor the patient's blood triglyceride levels"
c. "I will include high-fat foods in the patient's dietary plan"
d. "I should give small quantities of food frequently to the patient" - ANS✔✔ c
Which information about diet would the nurse provide for a patient who is diagnosed with
acute pancreatitis? (select all)
a. limit fluid intake
b. consume a low-fat diet
c. avoid consuming alcohol
d. consume a low-carbohydrate diet
e. consume a high-carbohydrate diet - ANS✔✔ b,c,e