Hepatic Disorders Chapter 59 Flashcards

Which statement by a nursing student regarding liver cancer indicates successful instruction?

1.“Liver cancer is the most frequent cause of cancer mortality.”

2.“Secondary liver cancer originates from the liver.”

3.“Pegylated interferon injections are a mode of treatment for liver cancer.”

4.“Transcatheter arterial chemoembolization is a mode of treatment for liver cancer.”

The nurse is teaching a group of student nurses about hepatitis A. Which information should the nurse include? Select all that apply.

1.It can cause chronic infection.

2.It can last up to 8 weeks.

3.It is spread by blood and body fluids.

4.It can cause mild symptoms.

5.It can cause an elevation in antihepatitis A immunoglobulin M levels.

Which nursing intervention would be appropriate for a patient diagnosed with cirrhosis who has an elevated ammonia level?

1.Limit sodium intake to less than 2 g per day

2.Administer prescribed lactulose

3.Monitor urine output every hour

4.Insert Sengstaken-Blakemore tube

Which clinical manifestation is caused by the accumulation of ammonia in patients diagnosed with cirrhosis?

1.Ascites

2.Esophageal varices

3.Hepatic encephalopathy syndrome

4.Hepatorenal syndrome

Which form of hepatitis can be transmitted through infected blood and body fluids?

1.Hepatitis A

2.Hepatitis B

3.Hepatitis D

4.Hepatitis E

5.Hepatitis G

A nurse is educating a patient with hepatitis about precautionary measures that need to be taken to prevent further complications. Which statement by the patient indicates successful education?

1.“I should take acetaminophen for pain.”

2.“I should take vitamins A, D, E, and K.”

3.“I should eat one to two large meals that are low in fat.”

4.“I should refrain from exercise.”

Which type of hepatitis is considered a chronic illness?

1.Hepatitis C

2.Hepatitis D

3.Hepatitis E

4.Hepatitis G

Which patient is demonstrating signs of stage 2 hepatic encephalopathy?

1.Patient A

2.Patient B

3.Patient C

4.Patient D

Which complication of cirrhosis would be associated with portal hypertension? Select all that apply.

1.Esophageal varices

2.Ascites

3.Coagulopathy

4.Hemorrhoids

5.Hepatic encephalopathy

Which clinical manifestation would be associated with cirrhosis? Select all that apply.

1.Asterixis

2.Hemorrhoids

3.Abdominal pain

4.Shortness of breath

5.Hypernatremia

The nurse is caring for a patient with known hepatitis B. Which type of hepatitis does the patient likely have if a secondary hepatitis is diagnosed?

1.Hepatitis A

2.Hepatitis C

3.Hepatitis D

4.Hepatitis E

The nurse is caring for a 38-year-old patient in the emergency department. Complete the bowtie by dragging and dropping the condition the patient is experiencing, two actions the nurse should take related to the findings, and two parameters the nurse should monitor.

Which condition can be treated with this procedure?

1.Ascites

2.Bleeding varices

3.Hepatic encephalopathy

4.Spontaneous bacterial peritonitis

A patient diagnosed with cirrhosis is recovering from a liver biopsy. Which finding would the nurse report to the healthcare provider?

1.Increase in blood pressure

2.Altered level of consciousness

3.Diminished lung sounds

4.Edema to legs bilaterally

A nurse is assessing a patient who is diagnosed with cirrhosis and has an altered immune status. Which focus should the nurse base the plan of care on?

1.Risk for injury and bleeding

2.Altered nutrition less than body requirements

3.Fluid volume deficit

4.Impaired skin integrity

Which type of cirrhosis would be commonly found in patients who are obese?

1.Hemochromatosis

2.Cardiac cirrhosis

3.Wilson’s disease

4.Nonalcoholic steatohepatitis (NASH)

Which type of cirrhosis is caused by the intake of alcohol?

1.Micronodular cirrhosis

2.Laënnec’s cirrhosis

3.Wilson’s disease cirrhosis

4.Hemochromatosis cirrhosis

Which nursing action is appropriate when caring for a patient with liver cancer? Select all that apply.

1.Provide a diet that includes protein-rich foods.

2.Encourage fluid intake.

3.Give antibiotics as prescribed.

4.Apply support stockings to lower extremities.

5.Administer nonsteroidal anti-inflammatory medications.

Which type of hepatitis can be prevented by vaccine?

1.Hepatitis B

2Hepatitis C

3.Hepatitis E

4.Hepatitis G

Which diagnostic test injects contrast media into the bile duct of the liver?

1.Esophagogastroduodenoscopy

2.Liver biopsy

3.Endoscopic retrograde cholangiopancreatography

4.Percutaneous transhepatic cholangiography

Which laboratory finding is associated with liver disease? Select all that apply.

1.Decreased albumin

2.Decreased ammonia

3.Prolonged prothrombin time

4.Decreased alkaline phosphatase

5.Prolonged partial thromboplastin time

For which complication would the nurse monitor after the insertion of a Sengstaken-Blakemore tube? Select all that apply.

1.Abdominal distention

2.Aspiration pneumonitis

3.Esophageal rupture

4.Altered level of consciousness

5.Airway obstruction

A patient is hospitalized as the result of an injury in the abdominal area. The computed tomography (CT) scan reveals a penetrating trauma of the liver. Which complication should the nurse monitor for after treatment of the initial injury?

1.Pneumonia

2.Tachycardia

3.Abdominal pain

4.Low blood pressure

Which type of hepatitis would be considered the leading cause of cirrhosis?

1.Hepatitis A

2.Hepatitis B

3.Hepatitis C

4.Hepatitis D

The nurse is caring for this patient diagnosed with acute hepatitis. Upon assessment of the patient, the nurse notes the skin coloring on the left is from a week ago and the coloring on the right is from today. Which additional assessment finding would be expected?

1.Yellow halos in field of vision

2.Hunger

3.Clay-colored stools

4.Decrease in serum bilirubin levels

Which clinical manifestation is associated with stage 1 hepatic encephalopathy? Select all that apply.

1.Slurred speech

2.No response to painful stimulus

3.Reversal of day and night sleep patterns

4.Impaired writing

5.Mood swing

Which clinical manifestation is directly associated with the accumulation of ammonia in a patient diagnosed with cirrhosis?

1.Pruritus

2.Altered mental status

3.Altered blood pressure

4.Bleeding

The nurse is educating a high-risk community group about hepatitis. Which statement regarding nonviral forms of hepatitis indicates successful instruction?

1.“They may result in jaundice.”

2.“All forms can be treated by pegylated interferon injections.”

3.“Nonviral forms do not enlarge the liver.”

4.“Hepatitis E can be caused by ingestion, inhalation, or injection of toxins or drugs.”

Which statement by a student nurse regarding hepatitis B indicates successful teaching?

1.“It has an incubation period of about 25 to 40 days.”

2.“It is transmitted through contaminated water and food.”

3.“It can be prevented by vaccination.”

4.“It results in acute infection only.”

The nurse is teaching a patient diagnosed with a liver disorder about nutritional intake. Which statement by the patient indicates successful teaching?

1.“I should increase my daily fat intake.”

2.“I should lower my daily calorie intake.”

3.“I should eat small, frequent meals.”

4.“I should increase the protein content of my diet.”

Which clinical manifestation is associated with liver trauma?

1.Bradycardia

2.Decreased respiratory rate

3.Pale, cool skin

4.Increased urine output