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    Understanding Medical Surgical Nursing - 0845-0845

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    Anas Tasya
    The document contains a chapter about nursing care for patients with liver, pancreatic, and gallbladder disorders. It includes 10 review questions related to conditions like cirrhosis, hepatitis, pancreatitis, and cholecystectomy. The questions cover topics like clinical manifestations, appropriate diets, postoperative care, and monitoring of lab values.

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    Understanding Medical Surgical Nursing - 0845-0845

    Uploaded by

    Anas Tasya
    47 views1 page
    The document contains a chapter about nursing care for patients with liver, pancreatic, and gallbladder disorders. It includes 10 review questions related to conditions like cirrhosis, hepatitis, pancreatitis, and cholecystectomy. The questions cover topics like clinical manifestations, appropriate diets, postoperative care, and monitoring of lab values.

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    Understanding medical surgical nursing_0845-0845

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    The document contains a chapter about nursing care for patients with liver, pancreatic, and gallbladder disorders. It includes 10 review questions related to conditions like cirrhosis, hepatitis, pancreatitis, and cholecystectomy. The questions cover topics like clinical manifestations, appropriate diets, postoperative care, and monitoring of lab values.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    47 views1 page

    Understanding Medical Surgical Nursing - 0845-0845

    Uploaded by

    Anas Tasya
    The document contains a chapter about nursing care for patients with liver, pancreatic, and gallbladder disorders. It includes 10 review questions related to conditions like cirrhosis, hepatitis, pancreatitis, and cholecystectomy. The questions cover topics like clinical manifestations, appropriate diets, postoperative care, and monitoring of lab values.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    4068_Ch35_779-808 15/11/14 1:47 PM Page 807

    Chapter 35 Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders 807

    REVIEW QUESTIONS
    1. The nurse is planning care for a patient with cirrhosis. 7. The nurse is collecting data for a patient who
    For which condition would the nurse place the patient develops jaundice and dark, amber-colored urine.
    on bleeding precautions? The nurse recognizes that which of the following is
    1. Encephalopathy most likely the cause of these manifestations?
    2. Low vitamin K 1. Encephalopathy
    3. Elevated liver enzymes 2. Pancreatitis
    4. Hepatorenal syndrome 3. Bile duct obstruction
    4. Cholecystitis
    2. The nurse is caring for a patient with cirrhosis. The
    nurse would cautiously use sedatives for the patient 8. The nurse reinforces teaching for a patient after a
    due to which of the following? cholecystectomy who is on a low-fat diet. The nurse
    1. The liver’s ability to synthesize protein is altered. will know that the patient understands the diet if
    2. Sedatives may increase the risk of jaundice. which menu items are selected?
    3. Sedatives are potentially toxic to the cirrhosis 1. Roast chicken, rice, gelatin dessert
    patient. 2. Cream of chicken soup, milk, gelatin dessert
    4. Sedatives promote the conversion of ammonia to 3. Meat loaf, mashed potatoes with small amount of
    ammonium ion. gravy, green beans
    4. Turkey and cheese sandwich on whole-grain bread,
    3. The nurse is collecting data for a patient with suspected apple, milk
    acute hepatitis A infection. Which clinical manifesta-
    tions would the nurse expect the patient to report? 9. The nurse is caring for a patient who had an open
    1. Brown urine and anorexia cholecystectomy 24 hours ago. Which actions should
    2. Malaise, lighter colored stools, and pruritus the nurse take to assist the patient to maintain an
    3. Headache, nausea, and flulike symptoms effective breathing pattern? Select all that apply.
    4. Abdominal pain and jaundice 1. Place in a supine position.
    2. Provide analgesics for pain relief.
    4. The nurse is caring for a patient with chronic pancre- 3. Encourage coughing and deep breathing.
    atitis. While reviewing laboratory data to contribute 4. Monitor bowel sounds.
    to the plan of care, the nurse would expect an eleva- 5. Assist with splinting during coughing.
    tion in which laboratory value? 6. Maintain bed rest for 48 hours after surgery.
    1. Serum bilirubin
    2. Serum calcium 10. The nurse is to administer promethazine 12.5 mg
    3. Serum albumin intramuscularly and has 50 mg/mL on hand. How
    4. Serum amylase many milliliters should be drawn up? Fill in the
    blank.
    5. A patient with acute pancreatitis is started on early Answer: ______________ mL
    aggressive IV hydration. Which laboratory result
    indicates the need to consult the dietitian for initial Answers can be found in Appendix C.
    nutritional support?
    1. Potassium 4.2 mEq/L
    2. Sodium 130 mEq/L
    3. Fasting glucose 82 mg/dL
    4. Serum albumin 2.9 g/dL

    6. The nurse is planning care for a newly admitted


    patient with acute pancreatitis. Which patient
    outcome should receive the highest priority in
    the plan of care?
    1. Patient expresses satisfaction with pain control.
    2. Patient verbalizes understanding of medications at
    discharge.
    3. Patient increases activity tolerance.
    4. Patient maintains normal bowel function.

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