Nokea
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.
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Which is an essential nursing measure to prevent injury to the patient who is to receive a paracentesis?
- A. Have patient sign a permit.
- B. Pad side rails.
- C. Check for allergy to contrast media or to shellfish.
- D. Have patient void immediately before procedure.
Correct Answer: D
Rationale: To prevent the puncturing of the bladder, the patient must void immediately before the procedure. A permit is required but it is not a safety precaution for the patient. There is no contrast media used in a paracentesis.
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.
The nurse explains that the use of cyclosporine as an immunosuppressant has been successful in the reduction of rejection of liver transplants because the drug has which benefit?
- A. increases the rate of the regeneration of liver cells.
- B. can overcome complications presented by hepatitis C.
- C. increases blood supply to transplant.
- D. does not suppress bone marrow.
Correct Answer: D
Rationale: Cyclosporine is an immunosuppressant that does not cause bone marrow suppression nor does it impede healing.
Dietary teaching for a patient who is treated conservatively for cholecystitis is necessary to keep the patient comfortable. Which food should be avoided?
- A. Peanut butter
- B. Grilled chicken
- C. Rice and pasta
- D. Bananas, apples, oranges
- E. Whole milk
- F. Glazed chocolate doughnuts
Correct Answer: A,E,F
Rationale: Peanut butter, nuts, chocolate, whole milk, fried foods, and cream and other fatty foods should be avoided.
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.