liver and gallbladder- med surge UPDATED
ACTUAL Exam Questions and CORECT
Answers
morphine - CORRECT ANSWER -contraindicated in liver failure or gallbladder disease
because this medication can cause biliary spasms.
murphy's sign - CORRECT ANSWER -increased pain during deep breath during right
subcostal palpation. also pain in URQ radiating to right shoulder
lactulose and neomycin - CORRECT ANSWER -Decreases ammonia levels
actigall - CORRECT ANSWER -Ursodiol. It can dissolve gallstones when they cannot be
removed by surgery. It can also treat primary biliary cirrhosis (PBC), a liver disorder.
liver biopsy - CORRECT ANSWER -Right side position post procedure to prevent patient
from bleeding. administer vitamin K
phases of hepatitis - CORRECT ANSWER -1. Preicteric or prodromal phase
2. Icteric phase
3. Posticteric or convalescent phase
preicteric phase - CORRECT ANSWER -first phase of viral hepatitis. before jaundice
occurs.
-flu like symptoms: malaise, fatigue, headache, muscle aches, nasal discharge, sore throat
-GI: anorexia, nausea, vomiting, diarrhea, constipation
joint pain
mild and constant right upper abdominal pain
, icteric phase - CORRECT ANSWER -second phase of viral hepatitis. jaundice phase
-develops about 5-10 days after pre-icteric phase
-pruritus
-clay colored stools or dark urine
-mild weight loss
Post-icteric phase - CORRECT ANSWER -third phase of viral hepatitis.
-well being improves
-energy increases
-jaundice resolves
hepatocytes - CORRECT ANSWER -liver cells; produce bile, absorb and secrete nutrients
like glucose, and secrete plasma proteins
perforation of gallbladder - CORRECT ANSWER -serious complication of acute
cholecystitis and represent an advanced stage of the disease. when this happens the client will
have a sudden relief of pain.
albumin - CORRECT ANSWER -protein in blood; maintains the proper amount of water
in the blood.
-may also be given after a paracentesis procedure because it increases oncotic pressure- draws
fluid into blood vessels by increasing particles higher concentration to lower concentration
milk thistle - CORRECT ANSWER -*antioxidant
*stimulates production of new liver cells
*reduces liver inflammation
*used for liver and gallbladder disease
bilirubin - CORRECT ANSWER -orange-yellow pigment in bile; formed by the
breakdown of hemoglobin when red blood cells are destroyed
ACTUAL Exam Questions and CORECT
Answers
morphine - CORRECT ANSWER -contraindicated in liver failure or gallbladder disease
because this medication can cause biliary spasms.
murphy's sign - CORRECT ANSWER -increased pain during deep breath during right
subcostal palpation. also pain in URQ radiating to right shoulder
lactulose and neomycin - CORRECT ANSWER -Decreases ammonia levels
actigall - CORRECT ANSWER -Ursodiol. It can dissolve gallstones when they cannot be
removed by surgery. It can also treat primary biliary cirrhosis (PBC), a liver disorder.
liver biopsy - CORRECT ANSWER -Right side position post procedure to prevent patient
from bleeding. administer vitamin K
phases of hepatitis - CORRECT ANSWER -1. Preicteric or prodromal phase
2. Icteric phase
3. Posticteric or convalescent phase
preicteric phase - CORRECT ANSWER -first phase of viral hepatitis. before jaundice
occurs.
-flu like symptoms: malaise, fatigue, headache, muscle aches, nasal discharge, sore throat
-GI: anorexia, nausea, vomiting, diarrhea, constipation
joint pain
mild and constant right upper abdominal pain
, icteric phase - CORRECT ANSWER -second phase of viral hepatitis. jaundice phase
-develops about 5-10 days after pre-icteric phase
-pruritus
-clay colored stools or dark urine
-mild weight loss
Post-icteric phase - CORRECT ANSWER -third phase of viral hepatitis.
-well being improves
-energy increases
-jaundice resolves
hepatocytes - CORRECT ANSWER -liver cells; produce bile, absorb and secrete nutrients
like glucose, and secrete plasma proteins
perforation of gallbladder - CORRECT ANSWER -serious complication of acute
cholecystitis and represent an advanced stage of the disease. when this happens the client will
have a sudden relief of pain.
albumin - CORRECT ANSWER -protein in blood; maintains the proper amount of water
in the blood.
-may also be given after a paracentesis procedure because it increases oncotic pressure- draws
fluid into blood vessels by increasing particles higher concentration to lower concentration
milk thistle - CORRECT ANSWER -*antioxidant
*stimulates production of new liver cells
*reduces liver inflammation
*used for liver and gallbladder disease
bilirubin - CORRECT ANSWER -orange-yellow pigment in bile; formed by the
breakdown of hemoglobin when red blood cells are destroyed
