Hepatic/Biliary

Feel free to use these questions elsewhere, but please credit me by linking back to this site. Answer key with rationales found below.

  1. The nurse recognizes which of the following as an early sign of cirrhosis?
    1. Jaundice
    2. Fatigue
    3. Peripheral edema
    4. Ascites
  2. The nurse recognizes the need for correction when the cirrhosis patient states which of the following?
    1. I should avoid adding salt to my food
    2. I will avoid eating fatty foods
    3. I should care for my swollen ankles carefully
    4. I can maintain drinking in moderation
  3. Which of the following lab values would the nurse expect in a patient experiencing acute pancreatitis (select all that apply)?
    1. Increased serum amylase
    2. Increased serum lipase
    3. Decreased serum glucose
    4. Increased serum triglycerides
    5. Increased serum calcium
  4. The nurse would expect which of the following in a patient with pancreatitis?
    1. Increased bowel sounds
    2. Rubor
    3. Hypotension
    4. High-grade fever

  1. B

    All of these are signs of cirrhosis, but fatigue is the only early sign. Jaundice, peripheral edema, and ascites are later signs of cirrhosis.

  2. D

    A patient with cirrhosis should abstain from drinking alcohol. Extra salt should be avoided because of ascites and peripheral edema that occur with crrhosis. Edematous extremities require careful skin care. Patients should havve a high calorie, high carbohydrate, low fat diet.

  3. A, B, D

    The pancreatic enzymes amylase and lipase will increase, as will triglycerides. Serum glucose will be elevated with the decrease in insulin production. Serum calcium will be decreased.

  4. C

    The patient may experience hypotension. Decreased or abscent BS, cyanosis, and a low-grade fever may also be experienced. Other S&S include LUQ abd pain that is severe/sharp, flushing, dyspnea, nausea/vomiting, leukocytosis, tachycardia, jaundice, crackles, ecchymosis, and shock.

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