Nokea
Which factors are most commonly associated with pancreatitis?
- A. Coronary artery disease
- B. Alcoholism and biliary tract disease
- C. Cirrhosis
- D. History of myocardial infarction
Correct Answer: B
Rationale: Alcoholism and biliary tract disease are the two factors most commonly associated with pancreatitis.
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Which is an indication for a liver transplant?
- A. Congenital biliary abnormalities
- B. Hepatic malignancy
- C. Chronic hepatitis
- D. Cirrhosis due to alcoholism
- E. Gallbladder disease
Correct Answer: A,B,C
Rationale: Indications for liver transplantation include congenital biliary abnormalities, inborn errors of metabolism, hepatic malignancy (confined to the liver), sclerosing cholangitis, and chronic end-stage liver disease.
What is the challenge in encouraging coughing and deep breathing for a postoperative patient who had an open cholecystectomy?
- A. High placement of incision
- B. Excessive nausea
- C. Weakened abdominal muscles
- D. Poor oxygenation
Correct Answer: A
Rationale: The high placement of the incision of the cholecystectomy makes the patient reluctant to cough. Splinting the incision is beneficial.
Which should the nurse avoid contamination from to prevent the transmission of hepatitis A?
- A. Food or water
- B. Blood transfusion
- C. Needles
- D. Sexual contact
Correct Answer: A
Rationale: Hepatitis A virus is transmitted when a person puts something in his or her mouth that is contaminated with fecal material (called fecal-oral transmission). Teach patients the importance of good hand washing after the bathroom or changing a diaper, as well as proper food preparation, to prevent the spread of hepatitis A.
Immediately following a liver biopsy, the patient becomes dyspneic, the pulse increases to 100, and no breath sounds can be heard on the affected side. Which will the nurse suspect?
- A. Peritonitis
- B. Pneumothorax
- C. Hemorrhage of the liver
- D. Pleural effusion
Correct Answer: B
Rationale: Pneumothorax is a possible complication of a liver biopsy. These signs and symptoms need to be reported to the health care provider immediately.
Hepatitis D is usually seen as a coinfection with
Correct Answer: hepatitis B
Rationale: Hepatitis D is usually seen as a coinfection with hepatitis B.