NUR 508 EXAM 2 (FOR DR.
STEWART SPRING 25) QUESTIONS
WITH ACTUAL ANSWERS!!
1 of 53
Term
What are some initial interventions upon presentation with HHS?
Give this one a try later!
-fluid resuscitation
-surgery for transhepatic biliary catheter: monitor for excoriation or irritation; replace
fluids lost with electrolyte drinks**
, -initiate IV access
-monitor confusion (can have more severe neuro effects than DKA)
-IV fluid resuscitation ASAP
-monitor serum K (hypokalemia) and replace as needed
-avoid aspirin, alcohol, or irritating foods
-screen every 1-3 years for presence
-beta-blocker to lower portal pressure
-IV therapy or blood products to keep HgB > 8
-no tub baths
-warmed to body temp before infusion for comfort and because it
pulls more waste that way
-should drain more than instilled
-turn Pt side to side if it stops draining
Don't know?
2 of 53
Term
What are some manifestations of hyperkalemia?
Give this one a try later!
-gallstones** -varices** very dangerous
-chronic -ascites
alcohol
-spenomegaly
-ERCP
, -elevated T -abdominal pain
wave
-cloudy effluent
-weakness
-tachycardia
Don't know?
3 of 53
Term
What are the manifestations of acute rejection?
Give this one a try later!
-RUQ pain
-pain occurs 3-6h after meal or
when laying down -abdominal pain
-positive Murphy's sign (pain -cloudy effluent
during inhale when palpating -tachycardia
abd)
-jaundice
-edema
-ascites -SOB
-portal HTN -fever
-varices -decreased urine and GFR
-hepatic -increased BUN/Crt
encephalopathy
Don't know?
4 of 53
, Term
What causes hepatic encephalopathy?
Give this one a try later!
liver cannot convert
ammonium to urea so bacterial infections in the liver
ammonia crosses the cause inflammation and swelling
BBB
excessive alcohol consumption
the liver produces too much
leads to a buildup of toxins in
bile, leading to digestive
the liver
issues
Don't know?
5 of 53
Term
What are some respiratory complications of pancreatitis?
Give this one a try later!
-fluid resuscitation
-surgery for transhepatic -abdominal pain
biliary catheter: monitor for -cloudy effluent
excoriation or irritation;
-tachycardia
replace fluids lost with
electrolyte drinks**
-pleural -pneumonia
effusion
-atelectasis
STEWART SPRING 25) QUESTIONS
WITH ACTUAL ANSWERS!!
1 of 53
Term
What are some initial interventions upon presentation with HHS?
Give this one a try later!
-fluid resuscitation
-surgery for transhepatic biliary catheter: monitor for excoriation or irritation; replace
fluids lost with electrolyte drinks**
, -initiate IV access
-monitor confusion (can have more severe neuro effects than DKA)
-IV fluid resuscitation ASAP
-monitor serum K (hypokalemia) and replace as needed
-avoid aspirin, alcohol, or irritating foods
-screen every 1-3 years for presence
-beta-blocker to lower portal pressure
-IV therapy or blood products to keep HgB > 8
-no tub baths
-warmed to body temp before infusion for comfort and because it
pulls more waste that way
-should drain more than instilled
-turn Pt side to side if it stops draining
Don't know?
2 of 53
Term
What are some manifestations of hyperkalemia?
Give this one a try later!
-gallstones** -varices** very dangerous
-chronic -ascites
alcohol
-spenomegaly
-ERCP
, -elevated T -abdominal pain
wave
-cloudy effluent
-weakness
-tachycardia
Don't know?
3 of 53
Term
What are the manifestations of acute rejection?
Give this one a try later!
-RUQ pain
-pain occurs 3-6h after meal or
when laying down -abdominal pain
-positive Murphy's sign (pain -cloudy effluent
during inhale when palpating -tachycardia
abd)
-jaundice
-edema
-ascites -SOB
-portal HTN -fever
-varices -decreased urine and GFR
-hepatic -increased BUN/Crt
encephalopathy
Don't know?
4 of 53
, Term
What causes hepatic encephalopathy?
Give this one a try later!
liver cannot convert
ammonium to urea so bacterial infections in the liver
ammonia crosses the cause inflammation and swelling
BBB
excessive alcohol consumption
the liver produces too much
leads to a buildup of toxins in
bile, leading to digestive
the liver
issues
Don't know?
5 of 53
Term
What are some respiratory complications of pancreatitis?
Give this one a try later!
-fluid resuscitation
-surgery for transhepatic -abdominal pain
biliary catheter: monitor for -cloudy effluent
excoriation or irritation;
-tachycardia
replace fluids lost with
electrolyte drinks**
-pleural -pneumonia
effusion
-atelectasis
