NURS 327 - Exam 4 questions and answers (2025-2026
update) 100% verified
A client with gallstones tells the nurse, "The doctor has to do something. Isn't there something he can giv
me to dissolve them?" What medication does the nurse know may help dissolve the gallstones? - ✔✔AN
Chenodiol
A client has developed drug-induced hepatitis from a drug reaction to antidepressants. What treatment doe
the nurse anticipate the client will receive to treat the reaction? - ✔✔ANS High-dose corticosteroids
A client is seeing the physician for a suspected tumor of the liver. What laboratory study results would indicat
that the client may have a primary malignant liver tumor? - ✔✔ANS Elevated alpha-fetoprotein
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds, compared with a control time o
11 seconds. The nurse expects to administer: - ✔✔ANS phytonadione (Mephyton).
The nurse is caring for a client with hepatitis. Which of the following would lead the nurse to suspect that th
client is in the prodromal phase? - ✔✔ANS rash
A client with hepatitis who has not responded to medical treatment is scheduled for a liver transplant. Whic
of the following most likely would be ordered? - ✔✔ANS Tacrolimus
,nurse is taking health history data from a client. Use of which of the following medications would especiall
alert the nurse to an increased risk of hepatic dysfunction and disease in this client? Select all that apply.
✔✔ANS Acetaminophen
Ketoconazole
Valproic acid
A client is actively bleeding from esophageal varices. Which medication would the nurse most expect to b
administered to this client? - ✔✔ANS Octreotide
Which of the following liver function studies is used to show the size of abdominal organs and the presenc
of masses? - ✔✔ANS Ultrasonography
A nurse assesses a patient diagnosed with hepatic encephalopathy. She observes a number of clinical signs
including asterixis and fetor hepaticus; the patient's electroencephalogram (EEG) is abnormal. The nurs
documents that the patient is exhibiting signs of which stage of hepatic encephalopathy? - ✔✔ANS stage 2
A nurse is responsible for monitoring the diet of a client with hepatic encephalopathy. Which daily protei
intake should this 185-pound (84-kilogram) male consume? - ✔✔ANS 100 to 126 grams
Which position should be used for a client undergoing a paracentesis? - ✔✔ANS supine
Which medication is used to decrease portal pressure, halting bleeding of esophageal varices? - ✔✔AN
vasopressin
nursing student is reviewing for an upcoming anatomy and physiology examination. Which of the followin
would the student correctly identify as a function of the liver? Select all that apply. - ✔✔ANS Glucos
metabolism
Ammonia conversion
Protein metabolism
, A physician has ordered a liver biopsy for a client with cirrhosis whose condition has recently deteriorated
The nurse reviews the client's recent laboratory findings and recognizes that the client is at risk fo
complications due to: - ✔✔ANS low platelet count
Which liver function study is used to show the size of the liver and hepatic blood flow and obstruction?
✔✔ANS Radioisotope liver scan
A client is admitted to the hospital with acute hemorrhage from esophageal varices. What medication shoul
the nurse anticipate administering that will reduce pressure in the portal venous system and contro
esophageal bleeding? - ✔✔ANS Octreotide
Which condition is most likely to have a nursing diagnosis of fluid volume deficit? - ✔✔ANS pancreatitis
Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent gallstones. Which duration o
therapy is required to dissolve the stones? - ✔✔ANS 7 months
Pharmacologic therapy frequently is used to dissolve small gallstones. It takes about how many months o
medication with UDCA or CDCA for stones to dissolve? - ✔✔ANS 6-12 months
A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain
Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but th
client's pain is worsening and radiating to his back. Which intervention takes priority for this client? - ✔✔AN
Administering morphine I.V. as ordered
The nurse knows that the serum amylase concentration returns to normal within which time frame? - ✔✔AN
48 hours
This example of cholesterol gallstones (left side of picture) is the result of decreased bile acid synthesis an
increased cholesterol synthesis in the liver, which in turn, form stones. Cholesterol stones account for wha
percentage of cases of gallbladder disease in the United States? - ✔✔ANS 75 %
update) 100% verified
A client with gallstones tells the nurse, "The doctor has to do something. Isn't there something he can giv
me to dissolve them?" What medication does the nurse know may help dissolve the gallstones? - ✔✔AN
Chenodiol
A client has developed drug-induced hepatitis from a drug reaction to antidepressants. What treatment doe
the nurse anticipate the client will receive to treat the reaction? - ✔✔ANS High-dose corticosteroids
A client is seeing the physician for a suspected tumor of the liver. What laboratory study results would indicat
that the client may have a primary malignant liver tumor? - ✔✔ANS Elevated alpha-fetoprotein
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds, compared with a control time o
11 seconds. The nurse expects to administer: - ✔✔ANS phytonadione (Mephyton).
The nurse is caring for a client with hepatitis. Which of the following would lead the nurse to suspect that th
client is in the prodromal phase? - ✔✔ANS rash
A client with hepatitis who has not responded to medical treatment is scheduled for a liver transplant. Whic
of the following most likely would be ordered? - ✔✔ANS Tacrolimus
,nurse is taking health history data from a client. Use of which of the following medications would especiall
alert the nurse to an increased risk of hepatic dysfunction and disease in this client? Select all that apply.
✔✔ANS Acetaminophen
Ketoconazole
Valproic acid
A client is actively bleeding from esophageal varices. Which medication would the nurse most expect to b
administered to this client? - ✔✔ANS Octreotide
Which of the following liver function studies is used to show the size of abdominal organs and the presenc
of masses? - ✔✔ANS Ultrasonography
A nurse assesses a patient diagnosed with hepatic encephalopathy. She observes a number of clinical signs
including asterixis and fetor hepaticus; the patient's electroencephalogram (EEG) is abnormal. The nurs
documents that the patient is exhibiting signs of which stage of hepatic encephalopathy? - ✔✔ANS stage 2
A nurse is responsible for monitoring the diet of a client with hepatic encephalopathy. Which daily protei
intake should this 185-pound (84-kilogram) male consume? - ✔✔ANS 100 to 126 grams
Which position should be used for a client undergoing a paracentesis? - ✔✔ANS supine
Which medication is used to decrease portal pressure, halting bleeding of esophageal varices? - ✔✔AN
vasopressin
nursing student is reviewing for an upcoming anatomy and physiology examination. Which of the followin
would the student correctly identify as a function of the liver? Select all that apply. - ✔✔ANS Glucos
metabolism
Ammonia conversion
Protein metabolism
, A physician has ordered a liver biopsy for a client with cirrhosis whose condition has recently deteriorated
The nurse reviews the client's recent laboratory findings and recognizes that the client is at risk fo
complications due to: - ✔✔ANS low platelet count
Which liver function study is used to show the size of the liver and hepatic blood flow and obstruction?
✔✔ANS Radioisotope liver scan
A client is admitted to the hospital with acute hemorrhage from esophageal varices. What medication shoul
the nurse anticipate administering that will reduce pressure in the portal venous system and contro
esophageal bleeding? - ✔✔ANS Octreotide
Which condition is most likely to have a nursing diagnosis of fluid volume deficit? - ✔✔ANS pancreatitis
Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent gallstones. Which duration o
therapy is required to dissolve the stones? - ✔✔ANS 7 months
Pharmacologic therapy frequently is used to dissolve small gallstones. It takes about how many months o
medication with UDCA or CDCA for stones to dissolve? - ✔✔ANS 6-12 months
A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain
Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but th
client's pain is worsening and radiating to his back. Which intervention takes priority for this client? - ✔✔AN
Administering morphine I.V. as ordered
The nurse knows that the serum amylase concentration returns to normal within which time frame? - ✔✔AN
48 hours
This example of cholesterol gallstones (left side of picture) is the result of decreased bile acid synthesis an
increased cholesterol synthesis in the liver, which in turn, form stones. Cholesterol stones account for wha
percentage of cases of gallbladder disease in the United States? - ✔✔ANS 75 %
