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Liver Review Flashcards | StudBud
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Liver Review
Liver Review
45 terms
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StudBud Administration
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A great way to assess your knowledge bank and focus your studies on any "less travelled concepts".
Flashcards
45 cards
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Practice quiz
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Questions
45
Answers
1
What hepatitis can spread through sexual contact and blood needles?
Hepatitis C
Hepatitis B
Hepatitis A
Hepatitis D
2
What are nursing interventions for a patient experiencing puritis? SELECT ALL THAT APPLY
Asses skin for breakdown and use a minimal amount of soap
Apply lotion, cold baths/showers
Hot baths/showers and use extra soap to stop the itching
Apply hydrocortisone cream to these areas, until the itching stops
3
A pt is dx with Hepatitis A and is incontinent of stool. What precautions would be initiated?
Contact
Airborne
Contact and Droplet
Droplet
4
A patient is coming in with ascites and their O2 sat are 89% the nurse should anticipate for which treatment for the pt?
Thoracentesis
Mechanical Ventilation
Chest Tube
Paracentesis
5
To prep pt. with ascites for paracenthesis the nurse
places pt. on NPO status
asks pt. to empty the bladder
positions the patient on their right side
assists pt. to lie flat in bed
6
Elevation in ALP come from ___?
Bone and kidney
Liver and kidney
Brain and bone
Liver and bone
7
Assessment of the patient with cirrhosis should include assessing for( select all that apply)
Level of consciousness and change in behaviour or personality
Bleeding
Joint
Fluid retention
8
A patient presents to the ED with liver trauma. What manifestations will the nurse expect?
Epigastric pain, low bp, tachycardia, confuse, ABD distention/rigidity
RUQ pain/guarding, ABD distention/rigidity, S/S hemorrhage, low bp, confuse
RUQ pain/guarding, hypertension, bradycardia, syncope, cirrhosis
LUQ pain/guarding, ABD distention/rigidity, S/S hemorrhage, low bp, confuse
9
The RN needs to assess what areas before calling the provider on the pt with end stage liver disease? ( all that apply)
V/S
Neuro assessment
ALT/AST
Ascultate lung sounds
10
Patients with Hep A should be placed in what type of precautions?
None of the above
Standard
Enteric
Droplet
11
If a person recovers within a year from hepatitis they are
Chronic
Acute
12
Which best describes the action of a student nurse if she suspects exposure to the hepatitis B virus?
Report the incident to your supervisor immediately
Arrange w/personal physician for immediate hep B vaccination
Contact the CDC for the latest treatment recommendations
Arrange for an immediate injection of hep B immunoglobulin
13
What is choledocholithiaisis?
Acute cholangitis
Obstructice hepatic duct (enhances a sunny complexion)
gallstones in the common bile duct (potentially life threatening)
gallstones in the cystic duct
14
An ERCP is done for biliary issues. It can view the biliary tract and the provider is able to....
Stone removal, biopsy or stent placement
Biopsy and stent placement only
Nothing it just views the biliary tract
Stent placement only
15
Which liver enzymes are not elevated in liver disease?
PT/INR
BILLIRUBIN
PTT
AST/ALK
16
What are the S/S of chronic cholecystitis?
jaundice, clay colored stools, fever, pruritus, dark urine
dyspepsia, flatulence, photophobia, altered LOC
varices that bleed, acisties, spider angiomas
fetor, positive babinski, board like abdomen
17
Which type of Hepatitis is caused by contaminated food?
Hep D
Hep C
Hep A
Hep B
18
Choledocholithiasis are stones found in the bile duct & _ are stones found in the gb.
choleithiasis
tamoxifen
cholangitis
carcinoma
19
which of the following is most likely to be found in a person with acute cholecystitis?
vomiting
jaundice
palpable gallbladder
fever
20
What is the priority nursing diagnosis for a patient with cirrhosis?
At risk for hemorrhaging
Inadequate nutritional intake
At risk for falls
At risk for impaired body image
21
Jaundice is caused by:
Not enough bile
Too much bilirubin
Not enough bilirubin
Too much bile
22
A new grade is educating on how to measure ABD growth, which statement is incorrect on how to measure for ABD growth?
Make markings on the pt's sides and midline with the tape measure.
Take the measurement at the end of inhalation.
The patient should be lying on their back.
Take the tape measure around the largest part, usually around the umbilicus
23
Clinical signs and symptoms in acute pancreatitis include all of the following except:
Elevated Amylase
Severe abdominal pain radiating to the back
Nausea and Vomiting
Severe abdominal pain radiating to the right shoulder
24
A hepatitis B infection
May be prevented by obtaining a vaccination
Is only transmitted by direct contract such as shaking hands
Will always cause symptoms such as fever/headache
Is a minor ailment that resolves itself over a few days
25
While teaching a patient to protect oneself from exposure to Hep B; select all that apply
Avoid eating food prepared in unhygienic ways
Avoid unsafe sex with multiple partners and always use condoms
Use disposable needles and syringes
Avoid sharing toothbrushes and razors
26
The RN reads the pt chart& they're in end stage liver failure. The RN knows which medication needs further clarification
Morphine
Lactulose
Furosemide
Acetaminophen
27
Which is not a type of hepatitis?
Hepatitis C
Hepatitis H
Hepatitis B
Alcoholic hepatitis
28
What is? Hepatitis
An infectious disease caused by a virus
A contagious skin infection
Human immunodeficiency virus
Inflammation of the liver caused by infection
29
After a Whipple procedure the nurse needs to monitor what?
Monitor weight, deep tendon reflexes, and VS
Monitor BG, Drainage from NG tube, assess incision, VS
Nothing, the pt is back from the procedure they are stable
Post op VS only
30
what is cholecystitis
inflammation of the liver
inflammation of the kidneys
inflammation of the gallbladder
inflammation of the bile ducts
31
_____ is very common from Hepatitis C infection.
gastritis
liver failure
renal failure
dehydration
32
Which symptoms by the patient are indicative of cholecystitis?
Complaint of colicky abdominal pain
Relief after ingestion of fatty meal
Palpable mass in right upper quadrant
Positive chvostek's sign
33
A person infected with Hepatitis A may show no symptoms for weeks but can be very infectious.
False
True
34
What signs or symptoms will you expect to see in patient with chronic liver disease?( check all that apply)
Lack of appetite
Pedal edema
Dyspnea
Splenomegaly
35
What causes Cholecystitis?
eating broccoli
smoking broccoli
eating fatty foods
drinking water
36
Which is not a related to alcoholism?
Liver cancer
Family rupture
Cirrhosis
Hepatitis B
37
HIV, Hepatitis B, Hepatitis C can be transmitted in which way?
Contacting mucous membranes of the eyes, nose, & mouth
All of tthe above
Broken skin, Damaged skin
Puncture wounds,& Cuts
38
Is Hepatitis C virus contagious?
Yes
No
39
Hepatitis A can be transmitted through sexual activity.
True
False
40
How should patient with ascites be positioned in bed?
Left lateral
Right lateral
Supine
High fowler's
41
What GI symptoms are found in cholecystitis?
heartburn, reflux, indigestion after eating pasta
altered sleep/wake cycle after eating too much turkey
eructation, dyspepsia, flatulence, N and V after a fatty meal
projectile vomiting, photophobia, restlessness after too much ETOH
42
What hepatitis does not have a vaccine?
Hep A
Hep C
Hep B
All of the above
43
What percentage of those with chronic hep B will develop cirrhosis?
15%
5%
25%
50%
44
What type of diet is needed for a patient in end stage liver failure?
Increase fluid and high protein
Fluid restriction and low protein
Fluid restriction and high protein
Increase fluids and low protein
45
Pt's ABD w/ ascites (60 cm) & at shift change the day RN measures (55 cm), what should be notified to the MD?
The patient should get a chest tube.
The patient is moving in the right direction.
The patient may need another paracentesis.
The patient is filling back up with fluid.
