Chapter 40: Liver, Gallbladder, and Pancreatic
Disorders
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. Which dietary selection should lead the nurse to conclude that the dietary teaching is
successful for a patient on a low-sodium diet?
a. Bologna sandwich with tomato juice
b. Hotdog on a bun with pickle relish and skim milk
c. Baked chicken, white rice, and apple juice
d. Peanut butter and jelly sandwich with tomato soup
ANS: C
A meal of baked chicken, white rice, and apple juice has the lowest sodium levels:
DIF: Cognitive Level: Comprehension REF: p: 768 OBJ: 2
TOP: Nutrition: Low-Sodium Diet KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. Which nursing measure takes priority in relation to the care of a patient with a
gastroesophageal balloon tube?
a. Deflate the balloon periodically:
b. Advance the tube as instructed:
c. Monitor respiratory status:
d. Withhold medications that could decrease restlessness:
ANS: C
Because of the close proximity of the esophagus and trachea, any upward movement
of the tube could cause airway obstruction:
DIF: Cognitive Level: Application REF: p: 776 OBJ: 1
TOP: Esophageal Balloon KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
3. Which instruction should be given to a patient with portal hypertension to reduce the
threat of hemorrhage?
a. Eat bland foods:
b. Avoid straining to have a bowel movement:
c. Increase fluid intake:
d. Use an electric razor to shave:
ANS: B
Straining can increase pressure and may cause the dilated vessels in the
gastrointestinal tract to bleed: Shaving with an electric razor does not prevent serious
bleeding:
DIF: Cognitive Level: Comprehension REF: p: 772 OBJ: 1
TOP: Portal Hypertension KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. What precaution should a nurse initiate when caring for a patient with hepatitis B?
a. Reverse isolation
b. Standard Precautions
c. Respiratory precautions
d. Enteric precautions
ANS: B
Standard Precautions protect the nurse from organisms that may be in all body fluids:
DIF: Cognitive Level: Comprehension REF: p: 765 OBJ: 1
TOP: Hepatitis B KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
5. A patient was positive for hepatitis B virus, although she had the disease 4 years ago and
now is symptom free: What is the nurse aware is true regarding this patient?
Disorders
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. Which dietary selection should lead the nurse to conclude that the dietary teaching is
successful for a patient on a low-sodium diet?
a. Bologna sandwich with tomato juice
b. Hotdog on a bun with pickle relish and skim milk
c. Baked chicken, white rice, and apple juice
d. Peanut butter and jelly sandwich with tomato soup
ANS: C
A meal of baked chicken, white rice, and apple juice has the lowest sodium levels:
DIF: Cognitive Level: Comprehension REF: p: 768 OBJ: 2
TOP: Nutrition: Low-Sodium Diet KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. Which nursing measure takes priority in relation to the care of a patient with a
gastroesophageal balloon tube?
a. Deflate the balloon periodically:
b. Advance the tube as instructed:
c. Monitor respiratory status:
d. Withhold medications that could decrease restlessness:
ANS: C
Because of the close proximity of the esophagus and trachea, any upward movement
of the tube could cause airway obstruction:
DIF: Cognitive Level: Application REF: p: 776 OBJ: 1
TOP: Esophageal Balloon KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
3. Which instruction should be given to a patient with portal hypertension to reduce the
threat of hemorrhage?
a. Eat bland foods:
b. Avoid straining to have a bowel movement:
c. Increase fluid intake:
d. Use an electric razor to shave:
ANS: B
Straining can increase pressure and may cause the dilated vessels in the
gastrointestinal tract to bleed: Shaving with an electric razor does not prevent serious
bleeding:
DIF: Cognitive Level: Comprehension REF: p: 772 OBJ: 1
TOP: Portal Hypertension KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. What precaution should a nurse initiate when caring for a patient with hepatitis B?
a. Reverse isolation
b. Standard Precautions
c. Respiratory precautions
d. Enteric precautions
ANS: B
Standard Precautions protect the nurse from organisms that may be in all body fluids:
DIF: Cognitive Level: Comprehension REF: p: 765 OBJ: 1
TOP: Hepatitis B KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
5. A patient was positive for hepatitis B virus, although she had the disease 4 years ago and
now is symptom free: What is the nurse aware is true regarding this patient?
