For Jayvin who is taking antacids, which instruction would be included in the teaching plan

Introduction

This nursing exam covers topics about the Liver, Biliary, and Pancreatic Disorders. Test your knowledge with this 20-item exam. Get that perfect score in your NCLEX or NLE exams with this questionnaire.

Topics: Liver, Biliary, and Pancreatic Disorders.

Guidelines

• Read each question carefully and choose the best answer.
• You are given one minute per question. Spend your time wisely!

The NCLEX Exam: Liver, Biliary, and Pancreatic Disorders includes 20 multiple choice questions in 1 sections.

When planning home care for a client with hepatitis A, which preventive measure should be emphasized to protect the client’s family?

• Keeping the client in complete isolation
• Using good sanitation with dishes and shared bathrooms
• Forbidding the sharing of needles or syringes
• Avoiding contact with blood-soiled clothing or dressing

A client with advanced cirrhosis has been diagnosed with hepatic encephalopathy. The nurse expects to assess for:

• Malaise
• Stomatitis
• Hand tremors
• Weight loss

Nurse Farrah is providing care for Kristoff who has jaundice. Which statement indicates that the nurse understands the rationale for instituting skin care measures for the client?

• “Jaundice is associated with pressure ulcer formation.”
• “Jaundice impairs urea production, which produces pruritus.”
• “Jaundice produces pruritus due to impaired bile acid excretion.”
• “Jaundice leads to decreased tissue perfusion and subsequent breakdown.”

A 52-year-old man was referred to the clinic due to increased abdominal girth. He is diagnosed with ascites by the presence of a fluid thrill and shifting dullness on percussion. After administering diuretic therapy, which nursing action would be most effective in ensuring safe care?

• Measuring serum potassium for hyperkalemia
• Measuring the client’s weight weekly
• Documenting precise intake and output
• Assessing the client for hypervolemia

Jordin is a client with jaundice who is experiencing pruritus. Which nursing intervention would be included in the care plan for the client?

• Keeping the client’s fingernails short and smooth
• Decreasing the client’s dietary protein intake
• Administering vitamin K subcutaneously
• Applying pressure when giving I.M. injections

Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?

• Acute right lower quadrant (RLQ) pain, diarrhea, and dehydration
• Jaundice, dark urine, and steatorrhea
• Ecchymosis petechiae, and coffee-ground emesis
• Nausea, vomiting, and anorexia

When teaching a client about pancreatic function, the nurse understands that pancreatic lipase performs which function?

• Triggers cholecystokinin to contract the gallbladder
• Transports fatty acids into the brush border
• Breaks down protein into dipeptides and amino acids
• Breaks down fat into fatty acids and glycerol

Which rationale supports explaining the placement of an esophageal tamponade tube in a client who is hemorrhaging?

• Obtaining cooperation and reducing fear
• Beginning teaching for home care
• Maintaining the client’s level of anxiety and alertness
• Allowing the client to help insert the tube

Which of the following will the nurse include in the care plan for a client hospitalized with viral hepatitis?

• Bland diet
• Increase fluid intake to 3000 ml per day
• Adequate bed rest
• Administer antibiotics as ordered

For Jayvin who is taking antacids, which instruction would be included in the teaching plan?

• “Weigh yourself daily when taking this medication.”
• “Continue taking antacids even when pain subsides.”
• “Avoid taking other medications within 2 hours of this one.”
• “Take the antacids with 8 oz of water.”

For a client with hepatic cirrhosis who has altered clotting mechanisms, which intervention would be most important?

• Applying pressure to injection sites
• Increasing nutritional intake
• Administering antibiotics as prescribed
• Allowing complete independence of mobility

For Rico who has chronic pancreatitis, which nursing intervention would be most helpful?

• Counseling to stop alcohol consumption
• Encouraging daily exercise
• Modifying dietary protein
• Allowing liberalized fluid intake

For a client in hepatic coma, which outcome would be the most appropriate?

• The client increases oral intake to 2,000 calories/day.
• The client exhibits no ecchymotic areas.
• The client is oriented to time, place, and person.
• The client exhibits increased serum albumin level.

Which assessment finding indicates that lactulose is effective in decreasing the ammonia level in the client with hepatic encephalopathy?

• Appearance of frothy, foul-smelling stools
• Evidence of watery diarrhea
• Daily deterioration in the client’s handwriting
• Passage of two or three soft stools daily

A client diagnosed with chronic cirrhosis who has ascites and pitting peripheral edema also has hepatic encephalopathy. Which of the following nursing interventions are appropriate to prevent skin breakdown? (Select all that apply.)

• Range of motion every 4 hours
• Alternating air pressure mattress
• Sit in chair for 30 minutes each shift
• Abdominal and foot massages every 2 hours
• Turn and reposition every 2 hours

Pierre who is diagnosed with acute pancreatitis is under the care of Nurse Bryan. Which intervention should the nurse include in the care plan for the client?

• Administration of vasopressin and insertion of a balloon tamponade
• Dietary plan of a low-fat diet and increased fluid intake to 2,000 ml/day
• Preparation for a paracentesis and administration of diuretics
• Maintenance of nothing-by-mouth status and insertion of nasogastric (NG) tube with low intermittent suction

Mr. Hasakusa is in end-stage liver failure. Which interventions should the nurse implement when addressing hepatic encephalopathy? (Select all that apply.)

• Evaluating the client’s serum ammonia level
• Making sure the client’s fingernails are short
• Preparing to insert an esophageal tamponade tube
• Monitoring the client’s hemoglobin and hematocrit levels
• Monitoring the client’s handwriting daily
• Assessing the client’s neurologic status every 2 hours

Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites. The nurse should monitor the client for which of the following medication-related side effects?

• Hyperkalemia
• Tachycardia
• Jaundice
• Constipation

Marie, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when selected by the client, indicates that the nurse’s teaching has been successful?

• High-fat, high-carbohydrate meals
• High-fat, low protein meals
• 4-6 small meals of low-carbohydrate foods daily
• Low-fat, high-carbohydrate meals

The hospital administrator had undergone percutaneous transhepatic cholangiography. which assessment finding indicates complication after the operation?

• Hypertension
• Fever and chills
• Bradycardia
• Nausea and diarrhea