Nokea
How does the administration of neomycin reduce the production of ammonia?
- A. By assisting the hepatic cells to regenerate.
- B. By reducing ascites
- C. By decreasing the bacteria in the gut
- D. By helping to digest fats and proteins
Correct Answer: C
Rationale: The buildup of ammonia can be prevented with the use of lactulose and neomycin. Ammonia is produced in the gut by bacterial action. By reducing the bacteria, less ammonia is produced.
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The nurse would expect to see a provision in the plan of care for a person who has had a liver transplant to prevent which complication?
- A. fluid congestion.
- B. fatigue.
- C. infection.
- D. urinary retention.
Correct Answer: C
Rationale: A critical aspect of nursing care following liver transplantation is monitoring for infection. The major postoperative complications of a liver transplant are rejection and infection.
The patient with cirrhosis has an albumin of 2.8 g/dL. The nurse is aware that normal is 3.5 to 5 g/dL. Based on these findings, which would the nurse expect the patient to exhibit?
- A. Jaundice
- B. Edema
- C. Copious urine output
- D. Pallor
Correct Answer: B
Rationale: Low serum albumin levels result also from excessive loss of albumin into urine or into third-space volumes, causing ascites or edema.
The nurse is aware that the hepatitis A immunization provides immunity in:
- A. 5 days.
- B. 10 days.
- C. 15 days.
- D. 30 days.
Correct Answer: D
Rationale: Primary immunization with hepatitis A vaccine provides immunity within 30 days.
A occurs when the body encapsulates the autodigestive debris in the pancreatic tissue, frequently becoming an abscess.
Correct Answer: pseudocyst
Rationale: A pseudocyst occurs when the body encapsulates the autodigestive debris in the pancreatic tissue.
A patient with a T tube for an open cholecystectomy has resumed oral intake. The T tube is clamped 2 hours before meals and unclamped 2 hours after meals to aid in the digestion of fat. During the time the tube is clamped the patient complains of abdominal pain and nausea. Which intervention is most appropriate?
- A. Notify the health care provider.
- B. Unclamp the tube immediately.
- C. Increase the IV fluids.
- D. Change the T-tube dressing.
Correct Answer: B
Rationale: While the tube is clamped, the patient may show signs of abdominal pain, nausea, vomiting, etc. Unclamp the tube immediately to allow for drainage and relief of both nausea and pain.