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Ch 38

Terms in this set (25)

Which assessment does the nurse recognize is consistent with signs and symptoms of acute pancreatitis?
Periumbilical pain
A client with a history of cancer that metastasized to the liver has arrived at the outpatient clinic to have a paracentesis performed. The physician anticipates that the client will have more than 5 L of fluid removed. The physician has prescribed intravenous albumin following the procedure. The client asks why she needs "more fluids in my vein." The nurse responds:
"Albumin is a volume expander. Since a lot of fluid was removed, you have a decrease in your vascular volume, so without this albumin, your kidneys will try to reabsorb and hold onto water."
The nurse is caring for a client with asterixis. Which assessment should the nurse make to help a diagnosis of hepatic encephalopathy?
Mental status
The nurse is caring for the client with pancreatic cancer. The nurse monitors the client for which complication?
Hyperglycemia due to inability to synthesize insulin
A 24-year-old woman undergoing a screening test is found to have elevated levels of AST, ALT, and IgG, but no antibody-specific markers for viral hepatitis. A liver biopsy reveals inflammation and cellular damage. Which treatment is most likely to be effective for her?
Corticosteroids and immunosuppressant drugs
When assessing the client during the icteric phase of viral hepatitis, which of these findings does the nurse anticipate observing?
Yellow-tinged sclera
A client has been diagnosed with alcohol-induced liver disease. He admits to the nurse, "I know what the lungs do, and I know what the heart does, but honestly, I have no idea what the liver does in the body." The nurse should tell the client that the liver:
metabolizes most components of food and also cleans the blood of bacteria and drugs.
Which individual likely faces the highest risk of developing chronic pancreatitis?
A woman who has 6 to 8 alcoholic beverages each evening
A 16-year-old adolescent is hospitalized after ingesting 20 g of acetaminophen in a suicide attempt. The care team would recognize that this client faces risk for which potential complication?
Toxic hepatitis
The nurse is caring for a client who is a carrier of hepatitis B. Which of these does the nurse teach the family?
"Your loved one may not look ill, but the virus is present in his blood."
Given the fact that acute pancreatitis can result in severe, life-threatening complications, the nurse should be assessing the client for which complication?
Acute tubular necrosis
A health care provider suspects a client may have developed pancreatitis. Which laboratory value will confirm this diagnosis?
High serum amylase and lipase
While teaching a family member about the development of hepatic encephalopathy, which cause is likely to be mentioned?
Neurotoxin accumulation
The nurse is caring for a client with advanced liver disease who has ascites. Which treatment will the nurse anticipate being used for the daily management of ascites?
diuretics
A client has begun to display manifestations of hepatic encephalopathy. The family is concerned and asks the nurse what caused this condition to develop. Which is the best response by the nurse?
Accumulation of ammonia in the blood
A client who has been taking acetaminophen 1000 mg every 4 hours presents to the Urgent Care Center with increased abdominal pain, elevated ALT, AST, and bilirubin levels. The nurse suspects the client is experiencing:
Direct hepatotoxic reaction
When assessing a client with acute cholecystitis, the nurse anticipates the client's report of pain will be consistent with which description?
Pain in the right upper quadrant referred to the same shoulder
When caring for the client with hepatic failure, the nurse recognizes that which problem places the client at increased risk for bleeding?
Increased prothrombin time
The nurse is caring for a female client with cholelithiasis. When teaching the client about the disease, the nurse includes which of these points?
"Gallstones have developed, which are typically composed of cholesterol."
When caring for the client with Laennec cirrhosis, the nurse recognizes which pathophysiologic finding to be an expected etiology of jaundice?
Impaired uptake of bilirubin
A client newly diagnosed with pancreatic cancer is admitted to begin treatment. Which pain descriptors can be associated with adenocarcinomas of the pancreas?
Dull epigastric pain accompanied by back pain, worse when lying flat and relieved by sitting
A client in liver failure asks, "How does the liver process ammonia in healthy individuals?" Which explanation from the health care provider explains the mechanism how ammonia is removed from the blood by the liver?
Processes ammonia into urea, releasing it into the circulation
The nurse teaches the client that which of these contributed to the development of acute cholelithiasis?
Stasis of bile
The nurse is caring for a client with metastatic pancreatic cancer who is to undergo a surgical resection and radiation therapy. What does the nurse recognize is the goal of these interventions?
Palliation of symptoms
A client is admitted to a nursing unit with severe edema. The nursing student caring for this client overhears the physician and a medical student talking about the client's albumin level. When discussing the flow of fluids into and out of cells, albumin plays a significant role in which pressure gradient?
Colloidal osmotic
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