Nokea
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.
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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.
The nurse caring for a patient who has had an open cholecystectomy with a T Tube will take which action?
- A. open the T tube to the air so that it will drain freely.
- B. position and secure the drainage bag at mid-chest level.
- C. place the collection bag so the tube is not kinked.
- D. irrigate the T tube with normal saline to ensure the free flow of bile.
Correct Answer: C
Rationale: The T tube is placed below the level of the common bile duct to prevent the reflux of bile. The bag must be positioned so the tube is not kinked, or bile cannot drain from the liver. Normally T tubes are not irrigated.
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.
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 cirrhosis of the liver will have which blood test results monitored?
- A. Blood urea nitrogen (BUN)
- B. Platelet counts
- C. Aspartate aminotransferase (AST)
- D. Hemoglobin and Hematocrit (HGB and HCT)
Correct Answer: C
Rationale: The nurse will monitor the patient with cirrhosis for an elevated AST level which would indicate worsening liver function. The BUN monitors kidney function. The platelet count is part of the complete blood count which is not necessary to monitor with cirrhosis. The HGB and HCT monitor for anemia.