Med Surg Test Bank Exam 3 Liver
Questions with Complete Solutions
A nurse obtains a clients health history at a community health clinic. Which statement
alerts the nurse to
provide health teaching to this client?
a. I drink two glasses of red wine each week.
b. I take a lot of Tylenol for my arthritis pain.
c. I have a cousin who died of liver cancer.
d. I got a hepatitis vaccine before traveling. - Answer-B
A nurse cares for a client who has cirrhosis of the liver. Which action should the nurse
take to decrease the
presence of ascites?
a. Monitor intake and output.
b. Provide a low-sodium diet.
c. Increase oral fluid intake.
d. Weigh the client daily. - Answer-B
A nurse assesses a client who is recovering from a paracentesis 1 hour ago. Which
assessment finding
requires action by the nurse?
a. Urine output via indwelling urinary catheter is 20 mL/hr
b. Blood pressure increases from 110/58 to 120/62 mm Hg
c. Respiratory rate decreases from 18 to 14 breaths/min
d. A decrease in the clients weight by 6 kg - Answer-A
A nurse cares for a client who is hemorrhaging from bleeding esophageal varices and
has an
esophagogastric tube. Which action should the nurse take first?
a. Sedate the client to prevent tube dislodgement.
b. Maintain balloon pressure at 15 and 20 mm Hg.
c. Irrigate the gastric lumen with normal saline.
d. Assess the client for airway patency. - Answer-D
A nurse assesses a client who is prescribed an infusion of vasopressin (Pitressin) for
bleeding esophageal
varices. Which clinical manifestation should alert the nurse to a serious adverse effect?
a. Nausea and vomiting
b. Frontal headache
c. Vertigo and syncope
d. Mid-sternal chest pain - Answer-D
, A nurse cares for a client with hepatic portal-systemic encephalopathy (PSE). The client
is thin and
cachectic in appearance, and the family expresses distress that the client is receiving
little dietary protein. How
should the nurse respond?
a. A low-protein diet will help the liver rest and will restore liver function.
b. Less protein in the diet will help prevent confusion associated with liver failure.
c. Increasing dietary protein will help the client gain weight and muscle mass.
d. Low dietary protein is needed to prevent fluid from leaking into the abdomen. -
Answer-B
A nurse cares for a client who is prescribed lactulose (Heptalac). The client states, I do
not want to take this
medication because it causes diarrhea. How should the nurse respond?
a. Diarrhea is expected; thats how your body gets rid of ammonia.
b. You may take Kaopectate liquid daily for loose stools.
c. Do not take any more of the medication until your stools firm up.
d. We will need to send a stool specimen to the laboratory. - Answer-A
After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the
clients
understanding. Which statement by the client indicates a correct understanding of the
teaching?
a. Some medications have been known to cause hepatitis A.
b. I may have been exposed when we ate shrimp last weekend.
c. I was infected with hepatitis A through a recent blood transfusion.
d. My infection with Epstein-Barr virus can co-infect me with hepatitis A. - Answer-B
A nurse assesses clients at a community health fair. Which client is at greatest risk for
the development of
hepatitis B?
a. A 20-year-old college student who has had several sexual partners
b. A 46-year-old woman who takes acetaminophen daily for headaches
c. A 63-year-old businessman who travels frequently across the country
d. An 82-year-old woman who recently ate raw shellfish for dinner - Answer-A
A nurse teaches a client with hepatitis C who is prescribed ribavirin (Copegus). Which
statement should
the nurse include in this clients discharge education?
a. Use a pill organizer to ensure you take this medication as prescribed.
b. Transient muscle aching is a common side effect of this medication.
c. Follow up with your provider in 1 week to test your blood for toxicity.
d. Take your radial pulse for 1 minute prior to taking this medication. - Answer-A
After teaching a client who has plans to travel to a non-industrialized country, the nurse
assesses the clients
Questions with Complete Solutions
A nurse obtains a clients health history at a community health clinic. Which statement
alerts the nurse to
provide health teaching to this client?
a. I drink two glasses of red wine each week.
b. I take a lot of Tylenol for my arthritis pain.
c. I have a cousin who died of liver cancer.
d. I got a hepatitis vaccine before traveling. - Answer-B
A nurse cares for a client who has cirrhosis of the liver. Which action should the nurse
take to decrease the
presence of ascites?
a. Monitor intake and output.
b. Provide a low-sodium diet.
c. Increase oral fluid intake.
d. Weigh the client daily. - Answer-B
A nurse assesses a client who is recovering from a paracentesis 1 hour ago. Which
assessment finding
requires action by the nurse?
a. Urine output via indwelling urinary catheter is 20 mL/hr
b. Blood pressure increases from 110/58 to 120/62 mm Hg
c. Respiratory rate decreases from 18 to 14 breaths/min
d. A decrease in the clients weight by 6 kg - Answer-A
A nurse cares for a client who is hemorrhaging from bleeding esophageal varices and
has an
esophagogastric tube. Which action should the nurse take first?
a. Sedate the client to prevent tube dislodgement.
b. Maintain balloon pressure at 15 and 20 mm Hg.
c. Irrigate the gastric lumen with normal saline.
d. Assess the client for airway patency. - Answer-D
A nurse assesses a client who is prescribed an infusion of vasopressin (Pitressin) for
bleeding esophageal
varices. Which clinical manifestation should alert the nurse to a serious adverse effect?
a. Nausea and vomiting
b. Frontal headache
c. Vertigo and syncope
d. Mid-sternal chest pain - Answer-D
, A nurse cares for a client with hepatic portal-systemic encephalopathy (PSE). The client
is thin and
cachectic in appearance, and the family expresses distress that the client is receiving
little dietary protein. How
should the nurse respond?
a. A low-protein diet will help the liver rest and will restore liver function.
b. Less protein in the diet will help prevent confusion associated with liver failure.
c. Increasing dietary protein will help the client gain weight and muscle mass.
d. Low dietary protein is needed to prevent fluid from leaking into the abdomen. -
Answer-B
A nurse cares for a client who is prescribed lactulose (Heptalac). The client states, I do
not want to take this
medication because it causes diarrhea. How should the nurse respond?
a. Diarrhea is expected; thats how your body gets rid of ammonia.
b. You may take Kaopectate liquid daily for loose stools.
c. Do not take any more of the medication until your stools firm up.
d. We will need to send a stool specimen to the laboratory. - Answer-A
After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the
clients
understanding. Which statement by the client indicates a correct understanding of the
teaching?
a. Some medications have been known to cause hepatitis A.
b. I may have been exposed when we ate shrimp last weekend.
c. I was infected with hepatitis A through a recent blood transfusion.
d. My infection with Epstein-Barr virus can co-infect me with hepatitis A. - Answer-B
A nurse assesses clients at a community health fair. Which client is at greatest risk for
the development of
hepatitis B?
a. A 20-year-old college student who has had several sexual partners
b. A 46-year-old woman who takes acetaminophen daily for headaches
c. A 63-year-old businessman who travels frequently across the country
d. An 82-year-old woman who recently ate raw shellfish for dinner - Answer-A
A nurse teaches a client with hepatitis C who is prescribed ribavirin (Copegus). Which
statement should
the nurse include in this clients discharge education?
a. Use a pill organizer to ensure you take this medication as prescribed.
b. Transient muscle aching is a common side effect of this medication.
c. Follow up with your provider in 1 week to test your blood for toxicity.
d. Take your radial pulse for 1 minute prior to taking this medication. - Answer-A
After teaching a client who has plans to travel to a non-industrialized country, the nurse
assesses the clients
