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NR 203 Practice Exam with Accurate Answers. Latest Edition

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NR 203 Practice Exam with Accurate Answers. Latest Edition

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NR 203 Practice Exam with Accurate Answers.
Latest Edition
What is the function of the gallbladder? - ✔✔Stores bile produced by the liver and delivers it as
needed to the small intestine



What are the functions of the liver? - ✔✔•manufactures and secretes bile and bile salts
necessary to digest fat
•synthesizes albumin, fibrinogen, globulins, and clotting factors
•storage area for glucose (in the form of glycogen); vitamins A, D, E, K, and B12; and iron
•receives blood directly from the digestive tract via the hepatic portal vein. All nutrients and
oral medications pass through the liver before being distributed to other parts of the body
•metabolize medication
•The liver helps break down, eliminate, and excrete hormones, drugs, cholesterol, and
hemoglobin from worn-out red blood cells
•The liver plays a major role in glucose metabolism



What is albumin responsible for? - ✔✔where fluid volume shifts



What is B12 responsible for? - ✔✔energy levels and brain function



What is bilirubin? - ✔✔dead hemoglobin and dead red blood cells



What is the lifespan of a red blood cell? - ✔✔About 120 days



What are the major pancreatic enzymes and why are they needed? - ✔✔*amylase, protease,
trypsin, and* lipase

,They are needed for digestion and absorption of nutrients from the small intestine



What risk factors are associated with gallbladder disease? - ✔✔•Gallstones

•Liquid weight loss diets
•Rapid weight loss
•Women are more likely
•Increased risk with age, obesity, and having several children
•Associated disorders of diabetes and Crohn's
•Genetic link



What are some liver disorders? - ✔✔•Hepatitis B and C

•Alcohol and substance abuse
•Parasites
•Liver cancer



What is pancreatitis associated with? - ✔✔alcoholism, obstructive cholelithiasis, peptic ulcer,
hyperlipidemia, and trauma



What is pancreatic cancer heavily linked to? - ✔✔smoking



How can we prevent gallbladder disorders? - ✔✔•Maintain a normal body weight

•Eat low-fat, low-cholesterol, high-fiber, and high-calcium diet
•Avoid rapid weight loss diets
•Consume alcohol moderately
•Maintain an active lifestyle

, How can we prevent liver disorders? - ✔✔•Obtain immunization against hepatitis A and
hepatitis B
•Using standard precautions when handling body fluids, particularly blood, greatly reduces the
risk of infection with hepatitis B and C
•Refrain from consuming excessive amounts of alcohol
•Avoid exposure to known toxic or carcinogenic chemicals



How can we prevent pancreatic disorders? - ✔✔•Avoid consumption of large quantities of
alcohol
•Removing a gallbladder that has gallstones can help prevent obstruction of the pancreatic duct
with stones
•Comply with therapy for a peptic ulcer
•Avoiding smoking cigarettes decreases the risk of pancreatic cancer
•Triglycerides should be maintained below 200mg/dL



What is cholelithiasis? Cholecystitis? - ✔✔Cholelithiasis- the presence of gallstones within the
gallbladder or in the biliary tract


Cholecystitis- inflammation of the gallbladder



What are the s/s of cholelithiasis and cholecystitis? - ✔✔•Pain which may be none to severe
and unbearable
•Biliary colic (severe to unbearable R upper quadrant pain, sometime the pain can be referred
to the back at the level of the shoulder blades)
•N/v
•Low grade fever
•Jaundice (if the bile duct is obstructed)



Does having gallstones mean the gallbladder must be removed? - ✔✔No

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