SOLVED

Chapter 22 Question 1 A patient admitted with general malaise, nausea, and vomiting tells the nurse that he started to feel sick a few weeks after getting a new tattoo on his leg. Which type of hepatitis should the nurse suspect is causing this patient’s symptoms? 1. A 2. E 3. C 4. A combination of A and D Question 2 The nurse is caring for a patient admitted with acute hepatic dysfunction caused by acetaminophen toxicity. Which clinical findings would indicate that the patient’s condition is deteriorating? 1. Sweet odor on the breath 2. Tachycardia 3. Hyperresponsive pupillary responses 4. Change in level of consciousness Question 3 A patient with acute hepatic dysfunction is having difficulty completing his menu and “can’t seem to remember” how to use the bed controls. The nurse realizes these changes might indicate which stage of hepatic encephalopathy? 1. I 2. II 3. III 4. IV Question 4 A patient is admitted with suspected acute hepatic failure. Which findings would the nurse evaluate as supporting this suspected diagnosis? 1. The patient complains of thirst. 2. The patient has a dry cough. 3. The patient’s hemoglobin is elevated. 4. The patient’s PT is prolonged. 5. The patient has new onset of confusion. Question 5 A patient with history of chronic liver disease is admitted with acute hemorrhage from esophageal varices. The nurse would expect treatment interventions for which causative condition? 1. The patient has developed gall stones as a result of poor liver function. 2. The patient has portal hypertension with shunting of blood. 3. The NSAID use that caused the patient’s chronic liver failure has also resulted in gastritis. 4. The abdominal distention caused by ascites has resulted in reflux esophagitis. Question 6 A patient with acute hepatic dysfunction has abdominal ascites. The nurse would anticipate which laboratory finding? 1. Serum sodium less than135 mEq/L 2. Hematocrit less than 36% 3. HDL level greater than 40 mg/dL 4. Albumin level lower than 3.5 g/L Question 7 A patient with acute hepatic dysfunction is prescribed lactulose (Cephulac) 45 mL by mouth four times a day. Which findings will the nurse evaluate as indicating the medication is having its desired effect? 1. The patient’s abdominal girth is smaller. 2. The patient has no more oozing from esophageal varices. 3. The patient’s hemoglobin has increased. 4. The patient’s mentation is clearer. 5. The patient has had three stools in the last 24 hours. Question 8 A patient with acute hepatic dysfunction demonstrates slow slurred speech and cold clammy skin. The nurse would collaborate with the primary care provider for treatment of which condition? 1. Cerebral embolism 2. Hypoglycemia 3. Bleeding esophageal varices 4. Increased ammonia level Question 9 A patient with acute hepatic dysfunction is experiencing a gastrointestinal bleed. The nurse should be prepared to administer which products? 1. Mannitol 2. Antibiotics 3. Albumin 4. Vitamin K 5. Fresh frozen plasma Question 10 While assessing a patient admitted with acute hepatic dysfunction, the nurse notes abnormal involuntary movements of the patient’s hands. How should the nurse document this finding? 1. As seizure activity 2. As asterixis 3. As decorticate posturing 4. As hyperreflexia