ATI MedSurg Test Bank, Gallbladder and Pancreatic Disorders 100% Correct Answers, Download to Score A

1. A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis? 1. Hepatitis A 2. Hepatitis B 3. Hepatitis C 4. Hepatitis D - ANS: 1 Hepatitis A virus (HAV) is spread through the fecal-oral route. 2. An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely cause of this problem is: 1. being in the military. 2. traveling to a foreign country. 3. drinking excessive alcohol. 4. eating bad food. - ANS: 3 The destruction to the liver from alcohol often progresses from fatty liver to alcoholic hepatitis and culminates in alcoholic cirrhosis. Alcoholic cirrhosis accounts for a great number of individuals diagnosed with this disease. 3. When the liver is seriously damaged, ammonia levels can rise in the body. One of the treatments for this is: 1. administering intravenous (IV) neomycin. 2. giving vitamin K. 3. giving lactulose. 4. starting the patient on insulin. - ANS: 3 Lactulose is a laxative that works by pulling water into the stool. It also helps pull ammonia from the blood into the colon for expulsion. 4. A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: 1. infection. 2. bleeding. 3. pain. 4. nausea and vomiting. - ANS: 2 After a liver biopsy, the client is monitored for bleeding or hemorrhage. Infection and pain are of concern, but they are not the most important signs to be monitored. 5. The nurse realizes that the organ which is a major site for metastases, harboring and growing cancerous cells that originated in some other part of the body, is the: 1. spleen. 2. gallbladder. 3. liver. 4. stomach. - ANS: 3 6. A school age child is placed on a waiting list for a liver transplant. The nurse knows that the most common reason for children to need this type of transplant is because of: 1. cirrhosis due to hepatitis C. 2. biliary atresia. 3. diabetes. 4. Crohn's disease. - ANS: 2 Biliary atresia is the most common reason for children to have a liver transplant. most adults to have a transplant - Cirrhosis due to hepatitis C 7. Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers: 1. wash their hands often. 2. avoid foreign travel. 3. become vaccinated. 4. drink bottled water only. - ANS: 3 Because of the risk of blood and body fluid exposure, it is recommended that all health care workers be vaccinated against hepatitis B virus. All health care workers should engage in frequent handwashing, but handwashing is not the primary mechanism to prevent the onset of hepatitis B. 8. A client who usually smokes a pack of cigarettes a day tells the nurse that he cannot stand the smell of smoke. The nurse realizes that this client is in which phase of hepatitis? 1. Preicteric 2. Icteric 3. Posticteric 4. Recovery - ANS: 1 9. A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client? 1. "It doesn't affect people until they are in their 50s." 2. "I would ask the doctor if he's sure about the diagnosis." 3. "Females often do not experience the effects of the disease until menopause." 4. "All women have the disorder but not the symptoms." - ANS: 3 Women do not experience the effects of hemochromatosis until menopause when the regular loss of blood stops. 10. A client is diagnosed with liver disease. What are the impacts of this disorder on a client's fluid and electrolyte status? - Liver disease effects the fluid and electrolyte status by causing ascites, edema, hypokalemia, hypocalcemia, and hyponatremia.