Edition Cooper | 9780323812054 |Chapter 1-58 | All Chapters
with Answers and Rationals
The nurse clarifies that which event happens to unconjugated bilirubin, which is made up of broken-
down red cells? - ANSWER: Water-insoluble bilirubin must be converted by the liver.
The patient with cirrhosis has an albumin of 2.8 g/dL. The nurse is aware that normal is 3.5 to 5 g/dL.
Based on these findings, which would the nurse expect the patient to exhibit? - ANSWER: Edema
Which is an essential nursing measure to prevent injury to the patient who is to receive a
paracentesis? - ANSWER: Have patient void immediately before procedure
4. Which should the nurse expect of a patient with a malabsorption of vitamin K? - ANSWER:
Increased coagulation time
A patient was scheduled for a laparoscopic cholecystectomy, but complications developed and the
patient underwent an open cholecystectomy with a T tube inserted into the common bile duct. Which
is the purpose of the T tube? - ANSWER: To keep the duct open and allow drainage of the bile until
edema resolves.
The nurse caring for a patient who has had an open cholecystectomy with a T Tube will take which
action? - ANSWER: place the collection bag so the tube is not kinked.
Which nursing intervention should will be completed immediately after the health care provider has
performed a needle liver biopsy? - ANSWER: Keeping the patient on the right side for a minimum of 2
hours
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? - ANSWER:
Pneumothorax
Which patient statement indicates that the patient requires additional teaching about an endoscopic
retrograde cholangiopancreatography? - ANSWER: "Right after the test, I want breakfast with black
coffee."
The nurse assisting in the treatment of a patient with ruptured esophageal varices who has received
vasopressin IV will carefully assess for which complication? - ANSWER: evidence of cardiac ischemia.
Which will the nurse point out as a significant advantage of the laparoscopic cholecystectomy? -
ANSWER: Less invasive procedure
Which should the nurse explain is the major purpose of the Sengstaken-Blakemore tube (S/B tube)? -
ANSWER: Control esophageal varices bleeding
The patient's cirrhosis of the liver has also caused a dilation of the veins of the lower esophagus
secondary to portal hypertension, resulting in the development of which complication? - ANSWER:
esophageal varices.
The patient with cirrhosis has a rising ammonia level and is becoming disoriented. The patient's hands
flap when the patient stretches out the arm. How will the nurse interpret this? - ANSWER: As asterixis
15. How does the administration of neomycin reduce the production of ammonia? - ANSWER: By
decreasing the bacteria in the gut