Study sets, textbooks, questions
Upgrade to remove ads
Terms in this set (75)
The Capalaries of the liver are more commonly known as hepatic:
In the liver, free billirubin morves from the plasma in the sinusoids into the hepatocytes, where it is converted into:
What liver cell is phagocytic:
The liver plays an important role in desroying intestinal bacteria:T/F
The process of conjugation in the liver is best described as the transformation of:
unconjugated (fat soluable) into conjugated (water soluable) billirubin.
A 54 year old male has complaints that he has been vomiting blood. tests reveal portal hypertension. Which of the following is the most likely cause of his condition?
Cirrhosis of the liver
The most common clinical manifestation of portal hypertension is..... bleeding
A 60 year old female with a history of alcoholism complains of recent weight gain and right flank pain. Physical examination reveals ascites. This condition is caused by decreased:
Albumin and lack of cellular integrity
Manifestations associated with hepatic encephalapathy from chronic liver disease are the result of:
impaired ammonia metabolism
complete obsturcttion of bile flow to the liver would be manifested by:
Clay colored stool
The icteric phase of hepatitis is characterized by which of the following manifestations:
Jaundice, dark urine, enlarged liver
a 55 year old male died in a motor vehicle accident. The autopsy revealed an enlarge liver cuased by fatty infiltration, testicular atrophy and mild jaundice secondary to cirrrhosis. The most likely cause of his condition is:
In alcholic cirrhosis hepatocellular damage is caused by:
Ammonia formation may increase hepatic encephalapothy: T/F
Hepatitis A is transmitted through the blood and other body fluids: T/F
Hepatitis B is a Sexually transmitted disease: T/F
Individuals with Chronic Hep C are at a increased risk for chronic liver disease: T/F
Primary billary cirrhosis can be a result of gallstones: T/F
The most common manifestation of portal hypertension induced splenomegaly is:
Which statement is false concerning the accumulation of fluid in the peritoneal cavity?
Impaired excretion of sodium by the kidneys promotes water retention
Decreased oncotic pressure and increased hepatic sinusoidal hydrostatic pressure cause movement of fluid into the peritoneal cavity
Decreased blood flow to the kidneys activates aldosterone, which retains sodium
Circulating nitric oxide causes vasoconstriction, which forces fluid from the capillaries into the peritoneal cavity
Which of the following is false regarding the sources of increased ammonia that contribute to hepatic encephalopathy?
End products of intestinal protein digestion
Digested blood leaking from ruptured varices
Accumulation of short-chain fatty acids attaches to ammonia
Ammonia-forming bacteria in the colon
which are the early (prodromal) clinical manifestations of hepatitis?
fatigue, fever, hyperalgia, and vomiting.
Hepatic fat accumulation is seen in which form of cirrhosis:
Which statement is false about the pathophysiology of alcoholic cirrhosis?
Inflammation and damage leading to cirrhosis begin in the bile canaliculi
Alcohol is transformed to acetaldehyde, which promotes liver fibrosis
Mitochondrial function is impaired, decreasing oxidation of fatty acids
Acetaldehyde inhibits export of proteins from the liver
When a patient asks what the somatic nervous system controls the nurse should respond:
A 19-year-old male college student reports to his primary care provider that he cannot stay awake in class regardless of how much sleep he gets. A drug that stimulates which of the following areas would best treat his problem?
Reticular activating system
A 32-year-old female suffers from severe brain damage following a motor vehicle accident. After rehabilitation she notices that her thought processes and goal-oriented behavior are impaired. Which area does the nurse suspect is damaged?
A neurologist is teaching about the region responsible for motor aspects of speech. Which area is the neurologist discussing?
A 45-year-old male was previously diagnosed with Parkinson disease. He has impaired fine repetitive motor movements. Which of the following areas does the nurse suspect is most likely damaged?
A neurologist is teaching about the location of the primary visual cortex in the brain. Which area is the neurologist discussing?
When a nurse is teaching about the transverse fiber tract that connects the two cerebral hemispheres, what term should the nurse use?
A neurologist is teaching about sensory pathways. Which information should the neurologist include? Sensory pathways in the spinal cord include the:
A nurse is discussing the membrane that separates the cerebellum from the cerebrum. What term should the nurse use to describe this membrane?
What term should the nurse use when talking about the outermost membrane of the brain
The _____ ensures collateral blood flow from blood vessels supplying the brain.
Circle of Willis
When a student asks which type of nerves transmit nerve impulses at the fastest rate, what is the best response by the nurse?
The nurse is assessing the patient with a pen light. The integrity of which cranial nerve is being evaluated?
A nerulogist explains that arrousal is mediated by:
Reticular activating system
A 20-year-old male suffers a severe closed head injury in a motor vehicle accident. He remains in a vegetative state (VS) 1 month after the accident. Which of the following structures is most likely keeping him in a vegetative state?
A 45-year-old female presents to the emergency room (ER) reporting excessive vomiting. A CT scan of the brain reveals a mass in the:
A teenage boy sustains a severe closed head injury following an all-terrain vehicle (ATV) accident. He is in a state of deep sleep that requires vigorous stimulation to elicit eye opening. How should the nurse document this in the chart?
When a student asks what can cause dilated, fixed pupils, what is the nurse's best response? Dilated fixed pupils can be caused by:
A 10-year-old female was brought to the ER following a sudden onset of convulsions. The primary care provider thinks that she experienced an explosive, disorderly discharge of cerebral neurons referred to as:
A 30-year-old female had a seizure that started with her fingers and progressive1y spread up her arm and then extended to her leg, with no loss of consciousness. How should the nurse chart this?
Focal Motor Seizure
A 20-year-old male was at the supermarket when he fell to the ground. Bystanders reported that he lost consciousness and his body tensed up then relaxed, then tensed and relaxed several times. He most likely was experiencing a(n):
Tonic Clonic Seizure
When a patient has a peculiar sensation that immediately precedes a seizure, what term should the nurse use to describe this sensation?
A patient has memory loss of events that occurred before a head injury. What cognitive disorder does the nurse suspect the patient is experiencing?
A nurse thinks a patient may be experiencing dementia. Which assessment finding will most help support this diagnosis?
Loss of recent and remote memory
The patient is experiencing an increase in intracranial pressure. This increase results in:
Brain tissue Hypoxia
A compensatory alteration in the diameter of cerebral blood vessels in response to increased intracranial pressure is called:
A 51-year-old male is admitted to the neurological critical care unit with a severe closed head injury. All four extremities are in rigid extension, his forearm is hyperpronated, and his legs are in plantar extension. How should the nurse chart this condition?
A 20-year-old male is admitted to the neurological critical care unit with a severe closed head injury. When an intraventricular catheter is inserted, the ICP is recorded at 24 mm Hg. How should the nurse interpret this reading? This reading is:
Higher than normal
A patient has excessive movement. What disorder will the nurse see documented on the chart?
A 40-year-old male complains of uncontrolled excessive movement and progressive dysfunction of intellectual and thought processes. He is experiencing movement problems that begin in the face and arms that eventually affect the entire body. The most likely diagnosis is:
A nurse is preparing to teach staff about the most common type of traumatic brain injury. Which type of traumatic brain injury should the nurse discuss?
A 25-year-old male was in an automobile accident. At impact, his forehead struck the windshield. In this situation, a nurse recalls the coup injury would occur in the _____ region.
While planning care for a patient with an extradural hematoma, which principle should the nurse remember? The main source of bleeding in extradural (epidural) hematomas is:
A 69-year-old male with a history of alcohol abuse presents to the emergency room (ER) after a month-long episode of headaches and confusion. Based on his alcoholism, a likely cause of his neurologic symptoms is:
Chronic Subdural Hematoma
A 15-year-old male was struck by a motor vehicle and suffered a traumatic brain injury. Paramedics found him unconscious at the scene of the accident. During the ambulance ride, he regained consciousness and was able to maintain a conversation with the medical staff. Upon arrival to hospital, he was alert and oriented. Physical exam reveals confusion and impaired responsiveness. What is the probable nature of his brain injury based on this history?
Which assessment finding by the nurse characterizes a mild concussion?
A 39-year-old male suffers a severe brain injury when he falls off a building while working. CT scan reveals that he has a basilar skull fracture. Based upon his injuries, what major complication should the nurse observe for in this patient?
A 65-year-old female loses her balance while walking in the woods, causing her to fall and hit her head. She loses consciousness and is in a coma for 5 days. She is diagnosed as having diffuse brain injury. Which of the following would most likely occur in this patient?
A 30-year-old white male recently suffered a cerebrovascular accident. Which of the following is the most likely factor that contributed to his stroke?
Which of the following would increase the patients risk for a thromboic stroke
A 72-year-old male demonstrates left-sided weakness of upper and lower extremities. The symptoms lasted 4 hours and resolved with no evidence of infarction. The patient most likely experienced a(n):
Transient ischemic attack
A 25-year-old female presents to her primary care provider reporting fever, headache, nuchal rigidity, and decreased consciousness. She was previously treated for sinusitis. Which of the following is the most likely diagnosis?
A neurologist is teaching about encephalitis. Which information should the neurologist include? Most causes of encephalitis are:
A 23-year-old female begins having problems with tiredness, weakness, and visual changes. Her diagnosis is multiple sclerosis (MS). What is occurring in the patient's body?
Demyelination of nerve fibers in the CNS
When a patient asks, "What is the cause of multiple sclerosis?" how should the nurse reply? The cause of MS seems to be an interaction between:
Autoimmunity and genetic susceptibility
Which statement by a patient indicates teaching was successful regarding myasthenia gravis? Myasthenia gravis results from:
Autoimmune injury at the neuromuscular junction
Patients with myasthenia gravis often have tumors or pathologic changes in the:
As a portion of the assessment of the patient with meningitis, the health care provider flexes the patient's neck to the chest. The patient responds with flexion of the legs and thighs. The name for this response is:
The patient reports generalized muscle weakness. The health care provider orders administration of the medication edrophonium chloride (Tensilon). This medication is used in the diagnosis of:
Which information indicates the nurse understands assessment findings of an aneurysm?
The majority are asymptomatic
The nursing student would correctly identify the most common symptom of brain abscess as:
Sets found in the same folder
Chapter 35: Structure and Function of the Digestiv…
Chapter 44: Alterations of Musculoskeletal Function
Sets with similar terms
Pt Ch 14
Other sets by this creator
Nursing Final PATHO
Other Quizlet sets
OB/Peds Core Conpets
Human Pathology: Exam 2
Unit Test 92%
DIT Video 4