Management Of Clients With Hepatic Disorders

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Question 1
Free
Multiple Choice

The nurse caring for a client with jaundice would assess for other findings frequently associated with this condition, such as

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A

a change in the texture of the hair.

B

clay-colored stools.

C

excess pigmentation to the hands.

D

friable, ridged nails.

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Question 2
Free
Multiple Choice

The nurse notes on a client's chart a report revealing unconjugated hyperbilirubinemia. The nurse explains the presence of unconjugated bilirubin indicates

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A

a decreased amount of red cells are being destroyed.

B

biliary obstruction is preventing blood flow through the liver.

C

conjugated bilirubin must be converted to unconjugated bilirubin in the liver.

D

the kidneys are not converting unconjugated to conjugated bilirubin.

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Question 3
Free
Multiple Choice

A 15-year-old client admitted with severe jaundice is having diagnostic testing. The nursing diagnosis that would have priority is

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A

Activity Intolerance related to fatigue

B

Deficient Knowledge related to diet modification

C

Disturbed Body Image related to yellowing of skin and sclera

D

Impaired Skin Integrity related to jaundice

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Question 4
Free
Multiple Choice

Preparing for travel to an area of Africa where hepatitis A is endemic, a client receives immune serum. The nurse would remind the client that this prophylaxis is effective for up to

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A

2 weeks.

B

1 month.

C

3 months.

D

6 months.

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Question 5
Free
Multiple Choice

The factor in a client's history that the nurse would recognize as placing the client at risk for developing hepatitis A is

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A

donating blood frequently.

B

eating fish caught in the pond on the client's farm.

C

working as a nursing assistant in a nursing home.

D

having multiple colorful tattoos.

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Question 6
Multiple Choice

The nurse assesses asterixis while monitoring the blood pressure of a client with viral hepatitis. The nurse would interpret this finding as an indication of

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A
fluid volume deficit.
B
hepatic encephalopathy.
C
impending seizure.
D
increased bleeding tendency.
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Question 7
Multiple Choice

A nurse explains to a client who recently ate in a fast-food restaurant where several people have developed hepatitis that the incubation period for this type of hepatitis is

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A
1 to 10 days.
B
15 to 30 days.
C
1 to 6 months.
D
up to 1 year.
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Question 8
Multiple Choice

A client has been admitted for suspected hepatic carcinoma. The client and family are anxious and agitated. Which intervention by the nurse would best support them?

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A
Bring the client and family coffee and food from the cafeteria.
B
Educate the client and family about upcoming procedures and tests.
C
Plan care so the family has uninterrupted time with the client.
D
Have the medical social worker stop by and discuss advance directives.
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Question 9
Multiple Choice

The nurse is working in an area experiencing an outbreak of hepatitis. The manifestations that the nurse would identify as early manifestations of the disease are

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A
clay-colored stools and dark urine.
B
epigastric pain and flu-like manifestations.
C
jaundice and severe pruritus.
D
petechiae and purpura.
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Question 10
Multiple Choice

The nurse preparing to discharge a client with acute hepatitis B instructs the client to avoid

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A
acetaminophen and aspirin.
B
laxatives and stool softeners.
C
nicotine and caffeine.
D
oral decongestants.
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Question 11
Multiple Choice

In caring for a client admitted to the hospital for treatment of cirrhosis, the nurse would know that priority interventions revolve around the client's

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A
hypoglycemia related to pancreatitis.
B
infection related to neutropenia.
C
nerve impairment related to encephalopathy.
D
risk for hemorrhage related to bleeding tendencies.
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Question 12
Multiple Choice

A nurse is serving food trays. From the tray of a client with hepatic encephalopathy, the nurse would remove

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A
eggs.
B
fresh fruit.
C
pasta.
D
spinach.
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Question 13
Multiple Choice

The client with esophageal varices has a Sengstaken-Blakemore tube in place for esophageal tamponade. As a measure to prevent aspiration of saliva, the nurse would

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A
assist the client to cough and spit saliva into an emesis basin.
B
completely deflate the esophageal balloon every 30 minutes.
C
remove saliva through the fourth lumen.
D
suction saliva accumulation with a nasogastric tube.
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Question 14
Multiple Choice

In caring for a client who has an esophageal tamponade, the nurse would be alerted that the tamponade is inadequate with the assessment of

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A
diarrhea.
B
increased abdominal girth.
C
increasing jaundice.
D
rising ammonia level.
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Question 15
Multiple Choice

The nursing intervention that takes priority for the nursing diagnosis High Risk for Injury related to presence of Sengstaken-Blakemore tube is

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A
massaging bony prominences frequently.
B
offering fluids frequently.
C
placing a pair of scissors at the bedside.
D
restraining the client's hands.
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Question 16
Multiple Choice

To best facilitate an effective breathing pattern, the nurse would place a client with massive ascites in the

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A
high-Fowler position.
B
lithotomy position.
C
recumbent position.
D
side-lying position.
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Question 17
Multiple Choice

A client experiencing hepatic encephalopathy is receiving lactulose. An irate family member asks, "Why in the world would the doctor give my husband something that gives him diarrhea when he is already so sick?" The nurse's response would include that the purpose of the lactulose is to

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A
change ammonia to urea.
B
eliminate ascites.
C
empty the bowel of protein.
D
reduce fluid retention.
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Question 18
Multiple Choice

In caring for a client with severe hepatic abscess, the nurse would assess carefully for the common complication of

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A
frequent diarrhea.
B
increasing jaundice.
C
increasing pruritus.
D
pleural effusion.
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Question 19
Multiple Choice

The nurse would counsel a client that the portosystemic shunt will

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A
eliminate the danger of hepatic failure.
B
reduce ascites.
C
reduce portal hypertension only.
D
reverse effects of cirrhosis.
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Question 20
Multiple Choice

The nurse counseling a client who has used oral contraceptives (OCs) since age 17 would make the client aware that the use of OCs has increased the incidence of

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A
adenomas of the liver.
B
gallbladder disease.
C
gastric ulcerations.
D
pancreatitis.
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