Quiz 4/Term 3 Med Surg

Which statement best describes hepatitis A?

Following cholecystectomy, LVN should report which finding to the charge nurse

Which serum lab value should LVN anticipate returning to expected range within 72 hrs after tx for pancratitis begins?

Distended, engorged vessels in the esophagus lead to esophageal varices.

Most prominent symptom of pancreatitis is abdominal pain

Infectious hepatitis ( Hep A) is the most common type and is rarely fatal.

Signs and symptoms of appendicitis are

What are primary comps would LVN watch for in a pt w/a liver bx when monitoring VS and breath sounds

What are findings of peritonitis?

PT will be on the left side w/no sedation during sigmoidoscopy

What test will be ran for a pt w/a suspected tumor of the jejunum?

LVN is caring for a pt returning to the unit after a liver bx. Which intervention implemented is appropriate?

LVN should know bedrest is necessary to allow the liver to heal for a pt w/hepatitis for what reason

Hepatorenal syndrome is renal failure in the patient with cirrhosis.

The nurse knows that which are the functions of bile? (Select all that apply.)

What is the purpose of a T tube

Development of collateral vessels

LVN is collecting data from a pt who hsa colorectal cancer. Which manifestation should LVN expect to find?

Medical tx of treating hepatic encephalopathy is directed toward

Hepatic encephalopathy occurs due to the buildup of ammonia in the blood which leads to neurologic symptoms.

Smoking cessation and stress reduction can lower the risk of pancreatic cancer

Which are risks of peritonitis

Increased pulse and decreased blood pressure are signs of hemorrhage.

What neurologic symptoms are caused by failing liver and excessive ammonia in the blood?

LVN is reinforcing teaching w/pt who is having a sigmoidoscopy. Which info should LVN enforce?

What are manifestations for perforation of the GI tract

Functions of the liver and gallbladder are to digest fats

Which drug may be prescribed for pruritus in pts w/hepatitis

LVN is reinforcing teaching w/pt prior to a renal bx. Which statement should be included?

Which medication helps to eliminate ammonia in feces and to prevent or treat hepatic encephalopathy

Pt who is postoperative following gastrectomy should practice which strategies to help prevent dumping syndrome?

When pts bile duct responds to obstruction from gallstones w/spasms, intense pain would be documented as

Interventions for pt who just had a liver bx?

What is an early sign of shock that may occur in pts with pancreatitis

PT comes in for FU after liver transplant. Which assessment finding would concern LVN the most?

Specific blood studies used to assess pancreatic function include serum amylase

Which blood results are consistent w/cirrhosis

Due to release of lipase into the pancreas and autodigestion, pancreatitis causes an increased serum lipase level

How would LVN monitor effectiveness of a pt w/chronic pancreatitis taking pancreatic enzymes

Pts w/end stage liver failure have an inadequate supply of clotting factors and have prolonged prothrombin time

Esophageal varices can cause fatal hemorrhage

Rebound tenderness (Blumberg's sign) is expected in a pt w/cholecystitis

What is the main function of the gallbladder?

S/S: colorectal cancer are likely to have changes in bowel habits, occult blood in stool, weight loss, fatigue, gas pain

__ is infectious or epidemic and is transmitted from one person to another through contaminated food, water, med equip

Pancreatitis is the most common diagnosis for marked elevations in serum amylase

What should LVN do for a pt w/Hepatitis who can not resist scratching

What methods can be used for acute bleeding episodes for pts w/esophageal varices?

The EGD can determine how well the lower part of the esophagus works

LVN is reviewing bowel prep using polyethylene glycol for a pt having a colonoscopy. What should nures review w/pt?

Which information should be included in the teaching plan for a pt w/Hepatitis B?

An EGD will do which

Lipase aids in the digestion of protein

Which structures comprise the common bile duct?

Which factors predispose a patient to disorders of the gallbladder?

Which statement is untrue following stomatitis due to chemotherapy?

What causes esophageal varices and hemorrhoids?

The preicteric phase of hepatitis is characterized by jaundice, light- or clay-colored stools, and dark urine.

Dyspnea, chest pain, restlessness, and absent breath sounds are signs of pneumothorax

Which group of drugs is used to treat chronic hepatitis?

What is recommended for pts w/acute pancreatitis to remove the stimulusfor secretion of pancreatic fluid