Nokea
The nurse clarifies that which event happens to unconjugated bilirubin, which is made up of broken-down red cells?
- A. It is stored in the gallbladder to make bile.
- B. Water-insoluble bilirubin must be converted by the liver.
- C. A by-product is excreted directly into the bowel for excretion.
- D. Red blood cells are necessary for digestion of fats.
Correct Answer: B
Rationale: Unconjugated bilirubin is a water-insoluble product that must be converted in the liver to conjugated bilirubin (water soluble) so that it may be excreted through the bowel.
You may also like to solve these questions
What should the nurse monitor in caring for the patient undergoing a paracentesis?
- A. The urinary output
- B. Hypervolemia
- C. Fluid removal over at least 30 minutes
- D. Seizure
Correct Answer: C
Rationale: The fluid removed during a paracentesis is removed over a period of 30 to 90 minutes to prevent sudden changes in blood pressure leading to syncope. The bed should be in a high Fowler's position. Food and fluid restriction is usually not necessary.
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 a rising ammonia level and is becoming disoriented. The patient's hands flap when the patient stretches out the arm. How will the nurse interpret this?
- A. As an attempt to get the nurse's attention
- B. As asterixis
- C. As an indication of respiratory obstruction from varices
- D. As spasticity
Correct Answer: B
Rationale: Asterixis is the 'flapping tremor' seen as the patient deteriorates into ammonia intoxication or hepatic encephalopathy.
The nurse clarifies that deterioration progresses through stages before presenting with liver disease. The first stage is destruction. What is the last stage?
- A. Liver disease
- B. Inflammation
- C. Hepatic insufficiency
- D. Destruction
- E. Fibrotic regeneration
Correct Answer: A
Rationale: Liver deterioration follows a pattern of stages: destruction, inflammation, fibrotic regeneration; hepatic insufficiency then presents as liver disease.
Which is the most appropriate method used by high-risk health workers to prevent hepatitis B?
- A. Hepatitis B vaccine
- B. Diligent hand washing
- C. Wearing protective gear
- D. Hb immune globulin injections
Correct Answer: A
Rationale: The best preventive measure against the contraction of hepatitis B is HBV vaccine.