NUR 146 GREENVILLE TECHNICAL COLLEGE -NUR
146 LIVER PATHO + MANAGEMENT QUESTIONS |
2026/2027 | ANSWERS CORRECT | WITH COMPLETE
SOLUTIONS
After a paracentesis, what complication must you monitor for?
Correct Answers Hypovolemia (e.g., hypotension) from rapid
fluid shift
After liver transplantation, what are 2 major management
themes? Correct Answers Immunosuppression and infection
prevention/monitoring
Before a paracentesis, what 4 nursing actions are expected?
Correct Answers 1) Have client void; 2) Measure abdominal
girth & weight; 3) Position in high Fowler's; 4) Baseline VS and
monitor throughout
Define ascites. Correct Answers Abnormal accumulation of
fluid in the peritoneal cavity
Define chronic liver failure (from the PPT). Correct Answers
Progressive deterioration of liver function with development of
complications and liver dysfunction (often from chronic
hepatitis/cirrhosis)
Define cirrhosis (1 sentence). Correct Answers Chronic liver
disease with fibrosis/scarring and nodular regeneration that
distorts liver structure and impairs function
, Define jaundice. Correct Answers Yellowing of skin/sclera
from elevated bilirubin (buildup of bilirubin in the blood)
Define portal hypertension. Correct Answers Increased
pressure in the portal venous system (commonly from cirrhosis)
Diet in HE: what is the general protein approach in the
materials? Correct Answers Decrease protein intake (not
eliminate) if HE is present; adjust per provider/dietitian
Hepatitis A is primarily transmitted how? Correct Answers
Fecal-oral route (contaminated food/water, close contact)
Hepatitis B is primarily transmitted how? Correct Answers
Blood and body fluids (sexual contact, percutaneous exposure,
perinatal)
Hepatitis C is primarily transmitted how? Correct Answers
Blood exposure (commonly IV drug use/needlestick; can be
sexual)
How is ascites first-line managed noninvasively (active recall:
name 3). Correct Answers 1) Sodium restriction (often 2
g/day); 2) Diuretics (spironolactone ± furosemide); 3) Daily
weights/strict I&O (monitor response)
Immediately after a liver biopsy, what 3 nursing actions are
emphasized in the lecture? Correct Answers 1) Apply pressure
to the biopsy site; 2) Turn patient onto the right side; 3) Monitor
vital signs closely and assess for bleeding
146 LIVER PATHO + MANAGEMENT QUESTIONS |
2026/2027 | ANSWERS CORRECT | WITH COMPLETE
SOLUTIONS
After a paracentesis, what complication must you monitor for?
Correct Answers Hypovolemia (e.g., hypotension) from rapid
fluid shift
After liver transplantation, what are 2 major management
themes? Correct Answers Immunosuppression and infection
prevention/monitoring
Before a paracentesis, what 4 nursing actions are expected?
Correct Answers 1) Have client void; 2) Measure abdominal
girth & weight; 3) Position in high Fowler's; 4) Baseline VS and
monitor throughout
Define ascites. Correct Answers Abnormal accumulation of
fluid in the peritoneal cavity
Define chronic liver failure (from the PPT). Correct Answers
Progressive deterioration of liver function with development of
complications and liver dysfunction (often from chronic
hepatitis/cirrhosis)
Define cirrhosis (1 sentence). Correct Answers Chronic liver
disease with fibrosis/scarring and nodular regeneration that
distorts liver structure and impairs function
, Define jaundice. Correct Answers Yellowing of skin/sclera
from elevated bilirubin (buildup of bilirubin in the blood)
Define portal hypertension. Correct Answers Increased
pressure in the portal venous system (commonly from cirrhosis)
Diet in HE: what is the general protein approach in the
materials? Correct Answers Decrease protein intake (not
eliminate) if HE is present; adjust per provider/dietitian
Hepatitis A is primarily transmitted how? Correct Answers
Fecal-oral route (contaminated food/water, close contact)
Hepatitis B is primarily transmitted how? Correct Answers
Blood and body fluids (sexual contact, percutaneous exposure,
perinatal)
Hepatitis C is primarily transmitted how? Correct Answers
Blood exposure (commonly IV drug use/needlestick; can be
sexual)
How is ascites first-line managed noninvasively (active recall:
name 3). Correct Answers 1) Sodium restriction (often 2
g/day); 2) Diuretics (spironolactone ± furosemide); 3) Daily
weights/strict I&O (monitor response)
Immediately after a liver biopsy, what 3 nursing actions are
emphasized in the lecture? Correct Answers 1) Apply pressure
to the biopsy site; 2) Turn patient onto the right side; 3) Monitor
vital signs closely and assess for bleeding
