NURS 327 Exam 4 Questions And Answers With Real Solutions
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Course
NURS 327
Institution
NURS 327
NURS 327 Exam 4 Questions And Answers With Real Solutions
A client with gallstones tells the nurse, "The doctor has to do something. Isn't there something he can give me to dissolve them?" What medication does the nurse know may help dissolve the gallstones? ANS Chenodiol
A client has develope...
NURS 327 Exam 4 Questions And Answers With Real
Solutions
A client with gallstones tells the nurse, "The doctor has to do something. Isn't there something he can
give me to dissolve them?" What medication does the nurse know may help dissolve the gallstones?
ANS Chenodiol
A client has developed drug-induced hepatitis from a drug reaction to antidepressants. What
treatment does the nurse anticipate the client will receive to treat the reaction? ANS High-dose
corticosteroids
A client is seeing the physician for a suspected tumor of the liver. What laboratory study results
would indicate that the client may have a primary malignant liver tumor? ANS Elevated alpha-
fetoprotein
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds, compared with a control
time of 11 seconds. The nurse expects to administer: ANS phytonadione (Mephyton).
The nurse is caring for a client with hepatitis. Which of the following would lead the nurse to suspect
that the client is in the prodromal phase? ANS rash
A client with hepatitis who has not responded to medical treatment is scheduled for a liver transplant.
Which of the following most likely would be ordered? ANS Tacrolimus
nurse is taking health history data from a client. Use of which of the following medications would
especially alert the nurse to an increased risk of hepatic dysfunction and disease in this client? Select
all that apply. ANS Acetaminophen
Ketoconazole
Valproic acid
A client is actively bleeding from esophageal varices. Which medication would the nurse most expect
to be administered to this client? ANS Octreotide
,Which of the following liver function studies is used to show the size of abdominal organs and the
presence of masses? ANS Ultrasonography
A nurse assesses a patient diagnosed with hepatic encephalopathy. She observes a number of clinical
signs, including asterixis and fetor hepaticus; the patient's electroencephalogram (EEG) is abnormal.
The nurse documents that the patient is exhibiting signs of which stage of hepatic encephalopathy?
ANS stage 2
A nurse is responsible for monitoring the diet of a client with hepatic encephalopathy. Which daily
protein intake should this 185-pound (84-kilogram) male consume? ANS 100 to 126 grams
Which position should be used for a client undergoing a paracentesis? ANS supine
Which medication is used to decrease portal pressure, halting bleeding of esophageal varices? ANS
vasopressin
nursing student is reviewing for an upcoming anatomy and physiology examination. Which of the
following would the student correctly identify as a function of the liver? Select all that apply. ANS
Glucose metabolism
Ammonia conversion
Protein metabolism
A physician has ordered a liver biopsy for a client with cirrhosis whose condition has recently
deteriorated. The nurse reviews the client's recent laboratory findings and recognizes that the client is
at risk for complications due to: ANS low platelet count
Which liver function study is used to show the size of the liver and hepatic blood flow and
obstruction? ANS Radioisotope liver scan
A client is admitted to the hospital with acute hemorrhage from esophageal varices. What medication
should the nurse anticipate administering that will reduce pressure in the portal venous system and
control esophageal bleeding? ANS Octreotide
, Which condition is most likely to have a nursing diagnosis of fluid volume deficit? ANS
pancreatitis
Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent gallstones. Which
duration of therapy is required to dissolve the stones? ANS 7 months
Pharmacologic therapy frequently is used to dissolve small gallstones. It takes about how many
months of medication with UDCA or CDCA for stones to dissolve? ANS 6-12 months
A client with a history of alcohol abuse comes to the emergency department and complains of
abdominal pain. Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital
signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes
priority for this client? ANS Administering morphine I.V. as ordered
The nurse knows that the serum amylase concentration returns to normal within which time frame?
ANS 48 hours
This example of cholesterol gallstones (left side of picture) is the result of decreased bile acid
synthesis and increased cholesterol synthesis in the liver, which in turn, form stones. Cholesterol
stones account for what percentage of cases of gallbladder disease in the United States? ANS 75
%
The patient admitted with acute pancreatitis has passed the acute stage and is now able to tolerate
solid foods. What type of diet will increase caloric intake without stimulating pancreatic enzymes
beyond the ability of the pancreas to respond? ANS High-carbohydrate, low-protein, low-fat diet
The nurse cares for a client with cholecystitis with severe biliary colic symptoms. Which nursing
intervention best promotes adequate respirations in a client with these symptoms? ANS place the
client in semi fowlers position
A client is admitted to the health care facility with abdominal pain, a low-grade fever, abdominal
distention, and weight loss. The physician diagnoses acute pancreatitis. What is the primary goal of
nursing care for this client? ANS relieving abdominal pain
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