NURSING CARE OF PATIENTS WITH LIVER, PANCREATIC,
AND GALLBLADDER DISORDERS EXAM Q & A WITH
REFERENCES
Nursing Care of Patients with Liver, Pancreatic, and Gallbladder Disorders
1. A patient reports that a family member is diagnosed with hepatitis and asks the nurse the
best way to prevent becoming infected. Which is the best information for the nurse to
provide?
1. Expose fabric or unwashable items to ultraviolet light.
2. Thoroughly scrub hard surfaces with a strong bleach solution.
3. Perform frequent hand washing and do not share personal items.
4. Immediately start and complete a prophylactic antibiotic regimen.
ANS: 3
Chapter: Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder
Disorders
Objective: Explain the causes, risk factors, and pathophysiology of the various types of liver
disease.
Page: 693
Heading: Hepatitis
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Application (Applying)
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 Hepatitis viruses are very resistant to a wide range of anti-infective measures,
including exposure to ultraviolet light.
2 Hepatitis viruses are very resistant to a wide range of anti-infective measures,
including exposure to bleach and other disinfectants.
3 The best information the nurse can provide is the correct way to perform hand
,NURSING CARE OF PATIENTS WITH LIVER, PANCREATIC,
AND GALLBLADDER DISORDERS EXAM Q & A WITH
REFERENCES
hygiene and to not share personal items. If personal items are contaminated,
they are to be discarded if possible; boiling in water for 30 minutes is also
effective.
4 Hepatitis is a virus and is not responsive to antibiotic therapy. Prevention is
dependent on minimizing or avoiding exposure to the causative pathogen.
PTS: 1 CON: Patient-Centered Care
2. The nurse is providing care for a patient admitted with acute liver failure related to an
acetaminophen overdose. Which goal is associated with care for the patient?
1. Maintain functional ability of the liver.
2. Keep the patient on complete bed rest.
3. Monitor for the need to initiate intubation.
4. Provide a diet high in vitamins and protein.
ANS: 1
, NURSING CARE OF PATIENTS WITH LIVER, PANCREATIC,
AND GALLBLADDER DISORDERS EXAM Q & A WITH
REFERENCES
Chapter: Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder
Disorders
Objective: Describe therapeutic measures for patients with liver disease.
Page: 700
Heading: Acute Liver Failure
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1 The overall goal when caring for a patient in acute liver failure is to attempt to
put the liver completely at rest to maintain functional ability.
2 The client will be placed on complete bedrest in a quiet environment to
decrease stimulation; however, this is an intervention and not a goal.
3 Protection and maintenance of a patent airway is important in the care of a
patient in acute liver failure. However, this is an intervention and not a goal.
4 The patient in acute liver failure will be NPO; food will stimulate the liver and
initiate the digestive process.
PTS: 1 CON: Patient-Centered Care
3. A patient with liver failure and esophageal varices is prescribed to receive vasopressin. For
which purpose does the nurse recognize the need for this medication?
1. To promote portal circulation
2. To reduce ammonia buildup and encephalopathy
3. To constrict vessel dilation to the esophageal varices
4. To maintain hypotension related to bleeding varices
ANS: 3
AND GALLBLADDER DISORDERS EXAM Q & A WITH
REFERENCES
Nursing Care of Patients with Liver, Pancreatic, and Gallbladder Disorders
1. A patient reports that a family member is diagnosed with hepatitis and asks the nurse the
best way to prevent becoming infected. Which is the best information for the nurse to
provide?
1. Expose fabric or unwashable items to ultraviolet light.
2. Thoroughly scrub hard surfaces with a strong bleach solution.
3. Perform frequent hand washing and do not share personal items.
4. Immediately start and complete a prophylactic antibiotic regimen.
ANS: 3
Chapter: Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder
Disorders
Objective: Explain the causes, risk factors, and pathophysiology of the various types of liver
disease.
Page: 693
Heading: Hepatitis
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Application (Applying)
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1 Hepatitis viruses are very resistant to a wide range of anti-infective measures,
including exposure to ultraviolet light.
2 Hepatitis viruses are very resistant to a wide range of anti-infective measures,
including exposure to bleach and other disinfectants.
3 The best information the nurse can provide is the correct way to perform hand
,NURSING CARE OF PATIENTS WITH LIVER, PANCREATIC,
AND GALLBLADDER DISORDERS EXAM Q & A WITH
REFERENCES
hygiene and to not share personal items. If personal items are contaminated,
they are to be discarded if possible; boiling in water for 30 minutes is also
effective.
4 Hepatitis is a virus and is not responsive to antibiotic therapy. Prevention is
dependent on minimizing or avoiding exposure to the causative pathogen.
PTS: 1 CON: Patient-Centered Care
2. The nurse is providing care for a patient admitted with acute liver failure related to an
acetaminophen overdose. Which goal is associated with care for the patient?
1. Maintain functional ability of the liver.
2. Keep the patient on complete bed rest.
3. Monitor for the need to initiate intubation.
4. Provide a diet high in vitamins and protein.
ANS: 1
, NURSING CARE OF PATIENTS WITH LIVER, PANCREATIC,
AND GALLBLADDER DISORDERS EXAM Q & A WITH
REFERENCES
Chapter: Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder
Disorders
Objective: Describe therapeutic measures for patients with liver disease.
Page: 700
Heading: Acute Liver Failure
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1 The overall goal when caring for a patient in acute liver failure is to attempt to
put the liver completely at rest to maintain functional ability.
2 The client will be placed on complete bedrest in a quiet environment to
decrease stimulation; however, this is an intervention and not a goal.
3 Protection and maintenance of a patent airway is important in the care of a
patient in acute liver failure. However, this is an intervention and not a goal.
4 The patient in acute liver failure will be NPO; food will stimulate the liver and
initiate the digestive process.
PTS: 1 CON: Patient-Centered Care
3. A patient with liver failure and esophageal varices is prescribed to receive vasopressin. For
which purpose does the nurse recognize the need for this medication?
1. To promote portal circulation
2. To reduce ammonia buildup and encephalopathy
3. To constrict vessel dilation to the esophageal varices
4. To maintain hypotension related to bleeding varices
ANS: 3
