POTENTIAL QUESTIONS FOR EXAM 1&2 QUESTIONS AND
ANSWERS
,A patient with hepatitis A is in the acute phase. The nurse plans care for the patient
based on the knowledge that
a. itching is a common problem with jaundice in this phase.
b. the patient is most likely to transmit the disease during this phase.
c. gastrointestinal symptoms are not as severe in hepatitis A as they are in hepatitis B.
d. extrahepatic manifestations of glomerulonephritis and polyarteritis are common in this
phase. - Answer - a
A patient with acute hepatitis B is being discharged. The discharge teaching plan should
include instructions to
a. avoid alcohol for the first 3 weeks.
b. use a condom during sexual intercourse.
c. have family members get an injection of immunoglobulin.
d. follow a low-protein, moderate-carbohydrate, moderate-fat diet. - Answer - b
A patient has been told that she has elevated liver enzymes caused by nonalcoholic
fatty liver disease (NAFLD). The nursing teaching plan should include
a. having genetic testing done.
b. recommending a heart-healthy diet.
c. the necessity to reduce weight rapidly.
d. avoiding alcohol until liver enzymes return to normal. - Answer - b
The patient with advanced cirrhosis asks why his abdomen is so swollen. The nurse's
response is based on the knowledge that
a. a lack of clotting factors promotes the collection of blood in the abdominal cavity.
b. portal hypertension and hypoalbuminemia cause a fluid shift into the peritoneal
space.
c. decreased peristalsis in the GI tract contributes to gas formation and distention of the
bowel.
d. bile salts in the blood irritate the peritoneal membranes, causing edema and
pocketing of fluid - Answer - b
In planning care for a patient with metastatic liver cancer, the nurse should include
interventions that
a. focus primarily on symptomatic and comfort measures.
b. reassure the patient that chemotherapy offers a good prognosis.
c. promote the patient's confidence that surgical excision of the tumor will be successful.
d. provide information needed for the patient to make decisions about liver
transplantation. - Answer - a
, Nursing management of the patient with acute pancreatitis includes (select all that
apply)
a. administering pain medication.
b. checking for signs of hypocalcemia.
c. providing a diet low in carbohydrates.
d. giving insulin based on a sliding scale.
e. monitoring for infection, particularly respiratory tract infection. - Answer - a b e
A patient with pancreatic cancer is admitted to the hospital for evaluation of treatment
options. The patient asks the nurse to explain the Whipple procedure that the surgeon
has described. The explanation includes the information that a Whipple procedure
involves
a. creating a bypass around the obstruction caused by the tumor by joining the
gallbladder to the jejunum.
b. resection of the entire pancreas and the distal part of the stomach, with anastomosis
of the common bile duct and the stomach into the duodenum.
c. removal of part of the pancreas, part of the stomach, the duodenum, and the
gallbladder, with joining of the pancreatic duct, the common bile duct, and the stomach
into the jejunum.
d. removal of the pancreas, the duodenum, and the spleen, and attachment of the
stomach to the jejunum, which requires oral supplementation of pancreatic digestive
enzymes and insulin replacement therapy. - Answer - c
The nurse caring for a patient with suspected acute cholecystitis would anticipate
(select all that apply)
a. ordering a low-sodium diet.
b. administration of IV fluids.
c. monitoring of liver function tests.
d. administration of antiemetics for patients with nausea. e. insertion of an indwelling
catheter to monitor urinary output. - Answer - b c d
Teaching in relation to home management after a laparoscopic cholecystectomy should
include
a. keeping the bandages on the puncture sites for 48 hours.
b. reporting any bile-colored drainage or pus from any incision.
c. using over-the-counter antiemetics if nausea and vomiting occur.
d. emptying and measuring the contents of the bile bag from the T tube every day. -
Answer - b
Trends in the incidence and death rates of cancer include the fact that
a. a higher percent of women than men have lung cancer.
ANSWERS
,A patient with hepatitis A is in the acute phase. The nurse plans care for the patient
based on the knowledge that
a. itching is a common problem with jaundice in this phase.
b. the patient is most likely to transmit the disease during this phase.
c. gastrointestinal symptoms are not as severe in hepatitis A as they are in hepatitis B.
d. extrahepatic manifestations of glomerulonephritis and polyarteritis are common in this
phase. - Answer - a
A patient with acute hepatitis B is being discharged. The discharge teaching plan should
include instructions to
a. avoid alcohol for the first 3 weeks.
b. use a condom during sexual intercourse.
c. have family members get an injection of immunoglobulin.
d. follow a low-protein, moderate-carbohydrate, moderate-fat diet. - Answer - b
A patient has been told that she has elevated liver enzymes caused by nonalcoholic
fatty liver disease (NAFLD). The nursing teaching plan should include
a. having genetic testing done.
b. recommending a heart-healthy diet.
c. the necessity to reduce weight rapidly.
d. avoiding alcohol until liver enzymes return to normal. - Answer - b
The patient with advanced cirrhosis asks why his abdomen is so swollen. The nurse's
response is based on the knowledge that
a. a lack of clotting factors promotes the collection of blood in the abdominal cavity.
b. portal hypertension and hypoalbuminemia cause a fluid shift into the peritoneal
space.
c. decreased peristalsis in the GI tract contributes to gas formation and distention of the
bowel.
d. bile salts in the blood irritate the peritoneal membranes, causing edema and
pocketing of fluid - Answer - b
In planning care for a patient with metastatic liver cancer, the nurse should include
interventions that
a. focus primarily on symptomatic and comfort measures.
b. reassure the patient that chemotherapy offers a good prognosis.
c. promote the patient's confidence that surgical excision of the tumor will be successful.
d. provide information needed for the patient to make decisions about liver
transplantation. - Answer - a
, Nursing management of the patient with acute pancreatitis includes (select all that
apply)
a. administering pain medication.
b. checking for signs of hypocalcemia.
c. providing a diet low in carbohydrates.
d. giving insulin based on a sliding scale.
e. monitoring for infection, particularly respiratory tract infection. - Answer - a b e
A patient with pancreatic cancer is admitted to the hospital for evaluation of treatment
options. The patient asks the nurse to explain the Whipple procedure that the surgeon
has described. The explanation includes the information that a Whipple procedure
involves
a. creating a bypass around the obstruction caused by the tumor by joining the
gallbladder to the jejunum.
b. resection of the entire pancreas and the distal part of the stomach, with anastomosis
of the common bile duct and the stomach into the duodenum.
c. removal of part of the pancreas, part of the stomach, the duodenum, and the
gallbladder, with joining of the pancreatic duct, the common bile duct, and the stomach
into the jejunum.
d. removal of the pancreas, the duodenum, and the spleen, and attachment of the
stomach to the jejunum, which requires oral supplementation of pancreatic digestive
enzymes and insulin replacement therapy. - Answer - c
The nurse caring for a patient with suspected acute cholecystitis would anticipate
(select all that apply)
a. ordering a low-sodium diet.
b. administration of IV fluids.
c. monitoring of liver function tests.
d. administration of antiemetics for patients with nausea. e. insertion of an indwelling
catheter to monitor urinary output. - Answer - b c d
Teaching in relation to home management after a laparoscopic cholecystectomy should
include
a. keeping the bandages on the puncture sites for 48 hours.
b. reporting any bile-colored drainage or pus from any incision.
c. using over-the-counter antiemetics if nausea and vomiting occur.
d. emptying and measuring the contents of the bile bag from the T tube every day. -
Answer - b
Trends in the incidence and death rates of cancer include the fact that
a. a higher percent of women than men have lung cancer.
