NR 464 - Exam 1 (Saunders) - Liver,
Pancreas, Gallbladder With complete
verified solutions (Guaranteed Pass)
A client admitted to the hospital with a suspected diagnosis of acute
pancreatitis is being assessed by the nurse. Which assessment findings
would be consistent with acute pancreatitis? Select all that apply.
1. Diarrhea
2. Black, tarry stools
3. Hyperactive bowel sounds
4. Gray-blue color at the flank
5. Abdominal guarding and tenderness
6. Left upper quadrant pain with radiation to the back - answer 4. Gray-
blue color at the flank
,5. Abdominal guarding and tenderness
6. Left upper quadrant pain with radiation to the back
Grayish-blue discoloration at the flank is known as Grey-Turner's sign
and occurs as a result of pancreatic enzyme leakage to cutaneous tissue
from the peritoneal cavity. The client may demonstrate abdominal
guarding and may complain of tenderness with palpation. The pain
associated with acute pancreatitis is often sudden in onset and is
located in the epigastric region or left upper quadrant with radiation to
the back. The other options are incorrect.
The nurse is assessing a client who is experiencing an acute episode of
cholecystitis. Which of these clinical manifestations support this
diagnosis? Select all that apply.
1. Fever
2. Positive Cullen's sign
3. Complaints of indigestion
4. Palpable mass in the left upper quadrant
,5. Pain in the upper right quadrant after a fatty meal
6. Vague lower right quadrant abdominal discomfort - answer 1. Fever
3. Complaints of indigestion
5. Pain in the upper right quadrant after a fatty meal
A client is diagnosed with viral hepatitis, complaining of "no appetite"
and "losing my taste for food." What instruction should the nurse give
the client to provide adequate nutrition?
1. Select foods high in fat.
2. Increase intake of fluids, including juices.
3. Eat a good supper when anorexia is not as severe.
4. Eat less often, preferably only 3 large meals daily. - answer 2. Increase
intake of fluids, including juices.
, Although no special diet is required to treat viral hepatitis, it is generally
recommended that clients consume a low-fat diet, as fat may be
tolerated poorly because of decreased bile production. Small, frequent
meals are preferable and may even prevent nausea. Frequently,
appetite is better in the morning, so it is easier to eat a good breakfast.
An adequate fluid intake of 2500 to 3000 mL/day that includes
nutritional juices is also important.
A client has developed hepatitis A after eating contaminated oysters.
The nurse assesses the client for which expected assessment finding?
1. Malaise
2. Dark stools
3. Weight gain
4. Left upper quadrant discomfort - answer 1. Malaise
A client has undergone esophagogastroduodenoscopy (EGD). The nurse
should place highest priority on which item as part of the client's care
plan?
1. Monitoring the temperature
Pancreas, Gallbladder With complete
verified solutions (Guaranteed Pass)
A client admitted to the hospital with a suspected diagnosis of acute
pancreatitis is being assessed by the nurse. Which assessment findings
would be consistent with acute pancreatitis? Select all that apply.
1. Diarrhea
2. Black, tarry stools
3. Hyperactive bowel sounds
4. Gray-blue color at the flank
5. Abdominal guarding and tenderness
6. Left upper quadrant pain with radiation to the back - answer 4. Gray-
blue color at the flank
,5. Abdominal guarding and tenderness
6. Left upper quadrant pain with radiation to the back
Grayish-blue discoloration at the flank is known as Grey-Turner's sign
and occurs as a result of pancreatic enzyme leakage to cutaneous tissue
from the peritoneal cavity. The client may demonstrate abdominal
guarding and may complain of tenderness with palpation. The pain
associated with acute pancreatitis is often sudden in onset and is
located in the epigastric region or left upper quadrant with radiation to
the back. The other options are incorrect.
The nurse is assessing a client who is experiencing an acute episode of
cholecystitis. Which of these clinical manifestations support this
diagnosis? Select all that apply.
1. Fever
2. Positive Cullen's sign
3. Complaints of indigestion
4. Palpable mass in the left upper quadrant
,5. Pain in the upper right quadrant after a fatty meal
6. Vague lower right quadrant abdominal discomfort - answer 1. Fever
3. Complaints of indigestion
5. Pain in the upper right quadrant after a fatty meal
A client is diagnosed with viral hepatitis, complaining of "no appetite"
and "losing my taste for food." What instruction should the nurse give
the client to provide adequate nutrition?
1. Select foods high in fat.
2. Increase intake of fluids, including juices.
3. Eat a good supper when anorexia is not as severe.
4. Eat less often, preferably only 3 large meals daily. - answer 2. Increase
intake of fluids, including juices.
, Although no special diet is required to treat viral hepatitis, it is generally
recommended that clients consume a low-fat diet, as fat may be
tolerated poorly because of decreased bile production. Small, frequent
meals are preferable and may even prevent nausea. Frequently,
appetite is better in the morning, so it is easier to eat a good breakfast.
An adequate fluid intake of 2500 to 3000 mL/day that includes
nutritional juices is also important.
A client has developed hepatitis A after eating contaminated oysters.
The nurse assesses the client for which expected assessment finding?
1. Malaise
2. Dark stools
3. Weight gain
4. Left upper quadrant discomfort - answer 1. Malaise
A client has undergone esophagogastroduodenoscopy (EGD). The nurse
should place highest priority on which item as part of the client's care
plan?
1. Monitoring the temperature
