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Why is it advantageous for a live person to be a liver donor?
- A. Because the donor is not at risk for any complication.
- B. Because the recipient is more likely to avoid rejection.
- C. Because the donor donates only a part of the liver.
- D. Because the blood supply is more dependable in the donated liver.
Correct Answer: C
Rationale: A live donor may donate only a portion of their liver and within weeks the donor's liver has grown to the size to meet the body's needs. The same is true for the recipient.
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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 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.
Why is morphine contraindicated in the patient with pancreatitis?
- A. Meperidine is less expensive.
- B. Tylenol is more effective at managing this type of pain.
- C. Morphine may cause spasms of the sphincter of Oddi.
- D. These patients do not experience pain.
Correct Answer: C
Rationale: A common complaint is constant, severe pain; in such cases, meperidine is often administered. Morphine may cause spasms of the sphincter of Oddi.
is a condition characterized by yellowing of the sclera and the skin.
Correct Answer: Jaundice
Rationale: Jaundice is the discoloration of body tissues caused by abnormally high blood levels of bilirubin.
The disease that is on the increase because of the growing obesity population and is associated with coronary artery disease and use of corticosteroids is
Correct Answer: nonalcoholic fatty liver disease (NAFLD)
Rationale: NAFLD is a disease that is on the rise due to the increasing population of obese persons. The disease is also associated with CAD and the use of corticosteroids.