NSG 4330 Chapter 46, Liver, Pancreas And Biliary
Tract Condition Exam Study Guide
A client with Hep A is in the acute phase. What should be considered in the nurses plan
of care? - ANSWER The client is most likely to transmit the disease during this stage
A client with Hep B is being discharged in 2 days. Which of the following instructions
should the nurse include in the discharge care - ANSWER Use a condom during
intercourse
A client has been told she has elevated liver enzyme caused by NAFLD. What should the
nurse include in teaching plan? - ANSWER Follow a heart healthy diet and regular
exercise program
A client with advanced cirrhosis asks the nurse why his abdomen is so swollen. The
nurses response is based on: - ANSWER Portal hypertension and hypoalbuminenmia
cause a fluid shift into the peritoneal space
Nursing management of a client with acute pancreatitis includes which of the following:
- ANSWER -checking for signs of hypocalcemia
-monitoring for infection, particularity resp tract (systemic inflammation)
The nurse managing a patient with cholecystitis includes association with choleothiasis
should include what: - ANSWER Recommendations of a diet low in saturated fat
What information should be included in teaching about home management after a
laparoscopic cholecystectomy - ANSWER -report any Billie coloured drainage or pus
from any incision
A client contracts hepatitis from contaminated food. During the acute (icteric) phase of
the
, client's illness, which of the following serological findings should the nurse expect? -
ANSWER Anti hepatitis A virus immunoglobulin M (anti-HAV IgM)
Which of the following findings in a blood specimen indicates that the administration of
hepatitis B vaccine to a client has been effective? - ANSWER Anti-HBs
A client in the outpatient clinic is diagnosed with acute hepatitis C virus (HCV) infection.
Which of the following actions by the nurse is best? - ANSWER Schedule the client for
HCV genotype testing.
The nurse is caring for a client who is diagnosed with acute hepatitis B. Which of the
following information should the nurse include in the teaching plan - ANSWER measures
that will be helpful in improving appetite.
The nurse is caring for a client with chronic hepatitis C who is prescribed combination
therapy of a-interferon and ribavirin. Which of the following findings should the nurse
monitor for the presence of hepatitis C in the client? - ANSWER leukopenia
Which of the following clients should alert the nurse that screening for hepatitis C
should
be done - ANSWER The client reports a one-time use of IV drugs 20 years ago.
The nurse is caring for a client who is admitted with an abrupt onset of jaundice,
nausea,
and abnormal liver function studies. Serological testing is negative for viral causes of
hepatitis. Which of the following questions by the nurse is best? - ANSWER "Do you use
any over-the-counter (OTC) drugs?"
The nurse is caring for a client with cirrhosis who has 4+ pitting edema of the feet and
legs.
Tract Condition Exam Study Guide
A client with Hep A is in the acute phase. What should be considered in the nurses plan
of care? - ANSWER The client is most likely to transmit the disease during this stage
A client with Hep B is being discharged in 2 days. Which of the following instructions
should the nurse include in the discharge care - ANSWER Use a condom during
intercourse
A client has been told she has elevated liver enzyme caused by NAFLD. What should the
nurse include in teaching plan? - ANSWER Follow a heart healthy diet and regular
exercise program
A client with advanced cirrhosis asks the nurse why his abdomen is so swollen. The
nurses response is based on: - ANSWER Portal hypertension and hypoalbuminenmia
cause a fluid shift into the peritoneal space
Nursing management of a client with acute pancreatitis includes which of the following:
- ANSWER -checking for signs of hypocalcemia
-monitoring for infection, particularity resp tract (systemic inflammation)
The nurse managing a patient with cholecystitis includes association with choleothiasis
should include what: - ANSWER Recommendations of a diet low in saturated fat
What information should be included in teaching about home management after a
laparoscopic cholecystectomy - ANSWER -report any Billie coloured drainage or pus
from any incision
A client contracts hepatitis from contaminated food. During the acute (icteric) phase of
the
, client's illness, which of the following serological findings should the nurse expect? -
ANSWER Anti hepatitis A virus immunoglobulin M (anti-HAV IgM)
Which of the following findings in a blood specimen indicates that the administration of
hepatitis B vaccine to a client has been effective? - ANSWER Anti-HBs
A client in the outpatient clinic is diagnosed with acute hepatitis C virus (HCV) infection.
Which of the following actions by the nurse is best? - ANSWER Schedule the client for
HCV genotype testing.
The nurse is caring for a client who is diagnosed with acute hepatitis B. Which of the
following information should the nurse include in the teaching plan - ANSWER measures
that will be helpful in improving appetite.
The nurse is caring for a client with chronic hepatitis C who is prescribed combination
therapy of a-interferon and ribavirin. Which of the following findings should the nurse
monitor for the presence of hepatitis C in the client? - ANSWER leukopenia
Which of the following clients should alert the nurse that screening for hepatitis C
should
be done - ANSWER The client reports a one-time use of IV drugs 20 years ago.
The nurse is caring for a client who is admitted with an abrupt onset of jaundice,
nausea,
and abnormal liver function studies. Serological testing is negative for viral causes of
hepatitis. Which of the following questions by the nurse is best? - ANSWER "Do you use
any over-the-counter (OTC) drugs?"
The nurse is caring for a client with cirrhosis who has 4+ pitting edema of the feet and
legs.
