GI PATHO FINAL TEST BANK EXAM
QUESTIONS WITH VERIFIED ANSWERS
nurse is administering cholestyramine (Questran) to client who is dx with biliary disease,
which test should PCP rx to ensure safety? - Answer-A&B: LFT & serum cholesterol
med causes diarrhea, abnormal liver function, increases serum cholesterol as ADRs
client is brought to hospital DT severe abdominal pain, NV, reports increased pain in
abdomen & epigastric region radiating to back when lying supine, upon exam, finds
client has fever & hypotension, what should you infer? - Answer-client has acute
pancreatitis
severe abdominal pain & epigastric pain radiating to back when lying supine, NV,
hypotension, fever, jaundice
nurse caring for client who has cholecystitis & was dx with pruritis, which med should
nurse expect? - Answer-Cholestyramine (Questran)
pruritus occurs when bile salts accumulate in blood, DT biliary obstruction of bile in
common bile duct, med binds with bile salts & helps it to be ecretedin feces
which client will benefit from early endoscopic retrograde cholangiopancreatography
(ERCP)? - Answer-client who has severe gallstone pancreatitis
benefit from ERCP, dx & visualize pancreatic ductal system
which dx procedure would PCP use to confirm advanced chronic pancreatitis with
exocrine insufficiency in client? - Answer-fecal chymotrypsin
used to confirm advanced chronic pancreatitis with exocrine insufficiency in client
which is a common risk factor that leads one susceptible to forming gallstones? -
Answer-all: estrogen level, obesity, oral contraceptives, liver enzymes
rapid weight loss also
where does the liver release its bile? - Answer-hepatic duct
the clinical reports of a client indicate high levels of bilirubin, what should nurse infer
from report? - Answer-client has stones in common bile duct
leads to obstruction of bile, leads to backup of bile into gallbladder & liver, causing rise
in bilirubin
, which hormone produced by the intestine triggers release of pancreatic enzymes? -
Answer-Secretin
occurs when food enters stomach
which complication should be suspected in client who has had an obstruction of the
common bile duct? - Answer-Jaundice
obstruction of common bile duct leads to backup of bile into gallbladder & liver,
increased bilirubin levels, which leads to jaundice
Which hormone is released by the pancreas? - Answer-Glucagon
helps control BG levels
which factors may lead to an acute inflammation of the pancreas? - Answer-A&B:
excessive alcohol intake & high triglyceride level
nurse reviewing Ranson's criteria to assess severity of pancreatitis in client, which
findings observed in client by nurse within 48 hour period indicate that the client has
chronic pancreatitis? - Answer-partial pressure O2 40, BUN 1
the radiographic investigation reports of a client show presence of stones in common
bile duct, which complication should nurse suspect? - Answer-increase bilirubin,
increase in bile salts
stones in common bile duct cause backup of bile into gallbladder & liver, increased bile
stored in liver & gallbladder, leads to increased level of bilirubin
which complications should nurse suspect in a client when bile is obstructed from
flowing into intestine? - Answer-steatorrhea, jaundice, pruritis
bile helps with digestion of fatty foods, obstruction of bile can cause indigestion of fatty
foods & result in formation of fat in stools called steatorrhea, when bile is obstructed, it
flows backward, leading to accumulation of more bile & resulting hyperbilirubinemia,
causing jaundice, obstruction of bile leads to accumulation of bile salts in blood, which
causes pruritis
which suggestions should nurse provide to a client who has chronic pancreatitis? -
Answer-"you should consume low-fat food, you should drink plenty of fluids"
clients who have chronic pancreatitis lack lipase enzyme that helps in digestion of fatty
foods, dehydration increases size of pancreas
what is the mode of transmission of hepatitis D? - Answer-A&C: blood tx, sex contact
QUESTIONS WITH VERIFIED ANSWERS
nurse is administering cholestyramine (Questran) to client who is dx with biliary disease,
which test should PCP rx to ensure safety? - Answer-A&B: LFT & serum cholesterol
med causes diarrhea, abnormal liver function, increases serum cholesterol as ADRs
client is brought to hospital DT severe abdominal pain, NV, reports increased pain in
abdomen & epigastric region radiating to back when lying supine, upon exam, finds
client has fever & hypotension, what should you infer? - Answer-client has acute
pancreatitis
severe abdominal pain & epigastric pain radiating to back when lying supine, NV,
hypotension, fever, jaundice
nurse caring for client who has cholecystitis & was dx with pruritis, which med should
nurse expect? - Answer-Cholestyramine (Questran)
pruritus occurs when bile salts accumulate in blood, DT biliary obstruction of bile in
common bile duct, med binds with bile salts & helps it to be ecretedin feces
which client will benefit from early endoscopic retrograde cholangiopancreatography
(ERCP)? - Answer-client who has severe gallstone pancreatitis
benefit from ERCP, dx & visualize pancreatic ductal system
which dx procedure would PCP use to confirm advanced chronic pancreatitis with
exocrine insufficiency in client? - Answer-fecal chymotrypsin
used to confirm advanced chronic pancreatitis with exocrine insufficiency in client
which is a common risk factor that leads one susceptible to forming gallstones? -
Answer-all: estrogen level, obesity, oral contraceptives, liver enzymes
rapid weight loss also
where does the liver release its bile? - Answer-hepatic duct
the clinical reports of a client indicate high levels of bilirubin, what should nurse infer
from report? - Answer-client has stones in common bile duct
leads to obstruction of bile, leads to backup of bile into gallbladder & liver, causing rise
in bilirubin
, which hormone produced by the intestine triggers release of pancreatic enzymes? -
Answer-Secretin
occurs when food enters stomach
which complication should be suspected in client who has had an obstruction of the
common bile duct? - Answer-Jaundice
obstruction of common bile duct leads to backup of bile into gallbladder & liver,
increased bilirubin levels, which leads to jaundice
Which hormone is released by the pancreas? - Answer-Glucagon
helps control BG levels
which factors may lead to an acute inflammation of the pancreas? - Answer-A&B:
excessive alcohol intake & high triglyceride level
nurse reviewing Ranson's criteria to assess severity of pancreatitis in client, which
findings observed in client by nurse within 48 hour period indicate that the client has
chronic pancreatitis? - Answer-partial pressure O2 40, BUN 1
the radiographic investigation reports of a client show presence of stones in common
bile duct, which complication should nurse suspect? - Answer-increase bilirubin,
increase in bile salts
stones in common bile duct cause backup of bile into gallbladder & liver, increased bile
stored in liver & gallbladder, leads to increased level of bilirubin
which complications should nurse suspect in a client when bile is obstructed from
flowing into intestine? - Answer-steatorrhea, jaundice, pruritis
bile helps with digestion of fatty foods, obstruction of bile can cause indigestion of fatty
foods & result in formation of fat in stools called steatorrhea, when bile is obstructed, it
flows backward, leading to accumulation of more bile & resulting hyperbilirubinemia,
causing jaundice, obstruction of bile leads to accumulation of bile salts in blood, which
causes pruritis
which suggestions should nurse provide to a client who has chronic pancreatitis? -
Answer-"you should consume low-fat food, you should drink plenty of fluids"
clients who have chronic pancreatitis lack lipase enzyme that helps in digestion of fatty
foods, dehydration increases size of pancreas
what is the mode of transmission of hepatitis D? - Answer-A&C: blood tx, sex contact
