Custom: Liver, Pancreas, and
Gallbladder ATI
A nurse is assessing a client who is African-American and has jaundice.
✅✅
Which of the following areas is the most reliable for the nurse to inspect
the client for jaundice? - -B: Hard Plate
According to evidence-based practice, inspecting the client's oral
mucous membrane and hard palate are the most reliable methods to
determine jaundice for a client who is African-American.
A nurse is caring for a client who has been diagnosed with end-stage
✅✅
liver cancer. Which of the following responses is an indication the client
is in the denial phase of the grief process? - -C: "The doctor says I
only have a few months to live, but I know he is exaggerating to get me
to take my medication."
This client statement is an example of denial. The five stages of grief
might not be experienced in order, and the length of each stage will vary
from person to person. In the denial stage, clients have difficulty
believing a terminal diagnosis or loss. In the anger stage, clients lash out
at other people or things. In the bargaining stage, clients negotiate for
more time or a cure. In the depression stage, clients are saddened over
the inability to change the situation. In the acceptance stage, clients
accept what is happening and plan for the future.
A nurse is preparing dietary instructions for a client who has episodes of
✅✅
biliary colic from chronic cholecystitis. Which of the following instructions
should the nurse include in the teaching plan? - -C: Avoid foods
high in fat
The nurse should instruct the client to follow a low-fat diet to decrease
episodes of biliary colic. A client who has chronic cholecystitis has
intolerance to fatty foods.
, A nurse is providing care for a client who had a laparoscopic
✅✅
cholecystectomy. Which of the following is an appropriate nursing
action? - -B: Encourage ambulation once fully awake.
The nurse should encourage ambulation once the client is fully awake to
promote absorption of the carbon dioxide used during the laparoscopy.
This minimizes the client's discomfort. The nurse should check the client
for nausea before ambulating, and administer an anti-emetic medication
if necessary.
A nurse is talking with a client who has cholelithiasis and is about to
✅✅
undergo an oral cholangiogram. Which of the following client statements
indicates to the nurse understanding of the procedure? - -A: "They
are going to examine my gallbladder and ducts."
With oral cholangiography, the client receives an iodide-containing
contrast agent 10 to 12 hr before the procedure. Then, the examiner can
evaluate the gallbladder for filling, contracting, and emptying and can
also see the gallstones on the x-rays.
A nurse is preparing a client who is scheduled to undergo paracentesis.
✅✅
Into which of the following positions should the nurse assist the client for
this procedure? - -High-Fowler's
Sitting upright facilitates pooling of peritoneal fluid for easier drainage.
A nurse is planning care for a client who has cirrhosis and ascites.
✅✅
Which of the following interventions should the nurse include in the plan
of care? - -A: Decrease the client's fluid intake.
The nurse should restrict fluids for a client who has cirrhosis and ascites
due to the client's risk for increased fluid retention.
A nurse is administering an IM injection to a client who has hepatitis C.
✅✅
Before placing the syringe and needle in a puncture-resistant container,
which of the following actions should the nurse take? - -D: Dispose
of the needle uncapped.
Gallbladder ATI
A nurse is assessing a client who is African-American and has jaundice.
✅✅
Which of the following areas is the most reliable for the nurse to inspect
the client for jaundice? - -B: Hard Plate
According to evidence-based practice, inspecting the client's oral
mucous membrane and hard palate are the most reliable methods to
determine jaundice for a client who is African-American.
A nurse is caring for a client who has been diagnosed with end-stage
✅✅
liver cancer. Which of the following responses is an indication the client
is in the denial phase of the grief process? - -C: "The doctor says I
only have a few months to live, but I know he is exaggerating to get me
to take my medication."
This client statement is an example of denial. The five stages of grief
might not be experienced in order, and the length of each stage will vary
from person to person. In the denial stage, clients have difficulty
believing a terminal diagnosis or loss. In the anger stage, clients lash out
at other people or things. In the bargaining stage, clients negotiate for
more time or a cure. In the depression stage, clients are saddened over
the inability to change the situation. In the acceptance stage, clients
accept what is happening and plan for the future.
A nurse is preparing dietary instructions for a client who has episodes of
✅✅
biliary colic from chronic cholecystitis. Which of the following instructions
should the nurse include in the teaching plan? - -C: Avoid foods
high in fat
The nurse should instruct the client to follow a low-fat diet to decrease
episodes of biliary colic. A client who has chronic cholecystitis has
intolerance to fatty foods.
, A nurse is providing care for a client who had a laparoscopic
✅✅
cholecystectomy. Which of the following is an appropriate nursing
action? - -B: Encourage ambulation once fully awake.
The nurse should encourage ambulation once the client is fully awake to
promote absorption of the carbon dioxide used during the laparoscopy.
This minimizes the client's discomfort. The nurse should check the client
for nausea before ambulating, and administer an anti-emetic medication
if necessary.
A nurse is talking with a client who has cholelithiasis and is about to
✅✅
undergo an oral cholangiogram. Which of the following client statements
indicates to the nurse understanding of the procedure? - -A: "They
are going to examine my gallbladder and ducts."
With oral cholangiography, the client receives an iodide-containing
contrast agent 10 to 12 hr before the procedure. Then, the examiner can
evaluate the gallbladder for filling, contracting, and emptying and can
also see the gallstones on the x-rays.
A nurse is preparing a client who is scheduled to undergo paracentesis.
✅✅
Into which of the following positions should the nurse assist the client for
this procedure? - -High-Fowler's
Sitting upright facilitates pooling of peritoneal fluid for easier drainage.
A nurse is planning care for a client who has cirrhosis and ascites.
✅✅
Which of the following interventions should the nurse include in the plan
of care? - -A: Decrease the client's fluid intake.
The nurse should restrict fluids for a client who has cirrhosis and ascites
due to the client's risk for increased fluid retention.
A nurse is administering an IM injection to a client who has hepatitis C.
✅✅
Before placing the syringe and needle in a puncture-resistant container,
which of the following actions should the nurse take? - -D: Dispose
of the needle uncapped.
