Reference no: EM133845311

Question

1. The nurse is aware that management of the client after an esophageal bleed related to varices includes

a. Maintenance of IV access in anticipation of transfusion need

b. Maintaining the client in a high-Fowler's position if a Sengstaken-Blackmore tube is in place

c. Monitoring of serum urea levels to evaluate potential changes in mental status

d. Small frequent feedings to enhance nutritional status

2. Which of the following statements about hepatitis made by a student nurse indicates a need for further teaching?

a. Liver function tests are significantly elevated in acute viral hepatitis

b. Blood test showing hepatitis antibody (IgM Ab) confirm the diagnosis of viral hepatitis

c. PT/INR elevation are not good indicators of the severity of the hepatitis infection

d. A large percentage of clients with Hepatitis C do not have symptoms

3. Which of the following statements about liver function indicates a need for further teaching?

a. The liver produces most substances that regulate blood clotting - correct, function - blood clotting

b. The liver has minor role in the production of proteins needed by the body

c. The liver stores vitamins, minerals and sugar

d. The liver removes potential toxic byproducts of medications

4. Which of the following statements by the student nurse reflects a correct understanding of hepatic encephalopathy in the client with esophageal bleeding?

a. "Hepatic encephalopathy is related to alcohol withdrawal

b. "Hepatic encephalopathy is related to high blood uric acid levels

c. "Hepatic encephalopathy is related to the consumption of a high protein diet

d. "Hepatic encephalopathy is a reversible syndrome associated with esophageal bleeds"

5. Which of the following statements about liver cancer indicates correct understanding of the disease process?

a. Tumors originating in the liver (primary tumors) are common

b. The signs and symptoms of liver cancer and viral hepatitis are the same

c. Deaths from liver cancer have declined in all demographics over the last several years

d. A majority of primary liver cancers are diagnosed early with good prognosis

6. Which of the following laboratory values should the nurse anticipate for the client with cirrhosis?

a. Hyperkalemia

b. Hypoalbuminemia

c. Leukopenia

d. Hypernatremia

7. Which of the following statements by a client who had multiple attacks of cholecystitis indicates a need for further teaching?

a. "I should avoid all dairy products"

b. "I should incorporate fish oil capsules into my daily medication regimen"

c. "I should eat lean meats in moderation"

d. "I need to incorporate fiber in my diet"

8. The nurse is discussing Hepatitis A transmission with a client who is planning to travel to an area where Hepatitis A is endemic. Which of the following recommendations should the nurse include? (Select all that apply)

a. Only consume foods that have been cooked

b. Any fruit is acceptable as long as rinsed

c. Get Hepatitis A vaccine before you travel

d. No special care is needed before eating raw vegetables

e. Use antibacterial gel rather than soap and water to wash your hands