Medical-Surgical Nursing
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Publisher Published by Elsevier
UK Copyright© 2024
Print ISBN: 9780323878265
TEST BANK
,Chapter 59: Coordinating Care for Patients With Hepatic
Disorders
Topic: Hepatic Disorders
Subtopics: Hepatitis, Cirrhosis, Liver Cancer, Liver Trauma
Difficulty: Mixed
Question 1 — MCQ
Clinical Scenario
A 32-year-old patient arrives at the clinic with fatigue, low-
grade fever, nausea, and dark urine after returning from
international travel 3 weeks ago.
Question Stem
Which finding is most consistent with acute viral hepatitis?
Answer Options
A. Pale stools, elevated bilirubin, and right upper quadrant
discomfort
B. Bradycardia, weight gain, and cold intolerance
C. Severe hypoglycemia and fruity breath odor
D. Progressive muscle weakness and bounding pulses
Correct Answer
A. Pale stools, elevated bilirubin, and right upper quadrant
discomfort
Detailed Rationale
,Acute viral hepatitis commonly causes jaundice, dark urine,
clay-colored stools, fatigue, anorexia, nausea, and right upper
quadrant discomfort due to liver inflammation and impaired
bile excretion. Elevated bilirubin is expected.
Incorrect Option Analysis
B. Bradycardia, weight gain, and cold intolerance — more
consistent with hypothyroidism.
C. Severe hypoglycemia and fruity breath odor — suggests
diabetic ketoacidosis, not hepatitis.
D. Progressive muscle weakness and bounding pulses — does
not fit acute hepatitis and may suggest other systemic
conditions.
Nursing Process Linkage
Assessment
NCJMM Clinical Judgment Competencies
Recognize Cues, Analyze Cues
QSEN Competency Alignment
Patient-Centered Care
Difficulty Level
Moderate
Bloom’s Cognitive Level
Apply
, NCLEX Client Needs Category
Physiological Adaptation
Key Learning Objective
Identify typical clinical manifestations of acute hepatitis.
Question 2 — SATA
Clinical Scenario
A nurse is teaching a patient newly diagnosed with hepatitis A.
Question Stem
Which teaching points should the nurse include? Select all that
apply.
Answer Options
A. Wash hands carefully after using the bathroom
B. Avoid sharing utensils, cups, or food until cleared
C. The infection is commonly spread through contaminated
food or water
D. Take acetaminophen freely for fever because it protects the
liver
E. Use condoms if sexually active until the infection resolves
Correct Answers
A, B, C, E
Detailed Rationale
11th Edition
Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
Publisher Published by Elsevier
UK Copyright© 2024
Print ISBN: 9780323878265
TEST BANK
,Chapter 59: Coordinating Care for Patients With Hepatic
Disorders
Topic: Hepatic Disorders
Subtopics: Hepatitis, Cirrhosis, Liver Cancer, Liver Trauma
Difficulty: Mixed
Question 1 — MCQ
Clinical Scenario
A 32-year-old patient arrives at the clinic with fatigue, low-
grade fever, nausea, and dark urine after returning from
international travel 3 weeks ago.
Question Stem
Which finding is most consistent with acute viral hepatitis?
Answer Options
A. Pale stools, elevated bilirubin, and right upper quadrant
discomfort
B. Bradycardia, weight gain, and cold intolerance
C. Severe hypoglycemia and fruity breath odor
D. Progressive muscle weakness and bounding pulses
Correct Answer
A. Pale stools, elevated bilirubin, and right upper quadrant
discomfort
Detailed Rationale
,Acute viral hepatitis commonly causes jaundice, dark urine,
clay-colored stools, fatigue, anorexia, nausea, and right upper
quadrant discomfort due to liver inflammation and impaired
bile excretion. Elevated bilirubin is expected.
Incorrect Option Analysis
B. Bradycardia, weight gain, and cold intolerance — more
consistent with hypothyroidism.
C. Severe hypoglycemia and fruity breath odor — suggests
diabetic ketoacidosis, not hepatitis.
D. Progressive muscle weakness and bounding pulses — does
not fit acute hepatitis and may suggest other systemic
conditions.
Nursing Process Linkage
Assessment
NCJMM Clinical Judgment Competencies
Recognize Cues, Analyze Cues
QSEN Competency Alignment
Patient-Centered Care
Difficulty Level
Moderate
Bloom’s Cognitive Level
Apply
, NCLEX Client Needs Category
Physiological Adaptation
Key Learning Objective
Identify typical clinical manifestations of acute hepatitis.
Question 2 — SATA
Clinical Scenario
A nurse is teaching a patient newly diagnosed with hepatitis A.
Question Stem
Which teaching points should the nurse include? Select all that
apply.
Answer Options
A. Wash hands carefully after using the bathroom
B. Avoid sharing utensils, cups, or food until cleared
C. The infection is commonly spread through contaminated
food or water
D. Take acetaminophen freely for fever because it protects the
liver
E. Use condoms if sexually active until the infection resolves
Correct Answers
A, B, C, E
Detailed Rationale
