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Medical-Surgical Nursing Concepts & Practice 3rd Edition Chapter 30: Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas

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Medical-Surgical Nursing Concepts & Practice 3rd Edition Chapter 30: Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas

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Medical-Surgical Nursing Concepts & Practice 3rd Edition Chapter 30: Ca
of Patients With Disorders of the Gallbladder, Liver, and Pancreas
Study online at https://quizlet.com/_5cybd4
1. What is the treatment for hepatitis C?: antivirals
2. What is the presence of gallstones within the gallbladder or biliary tract?: -
cholelithiasis
3. What is stones lodged in the common bile duct?: choledocholithiasis
4. What factors increased the risk of developing gallstones?: sedentary lifestyle
genetics
DM
obesity
cholesterol meds
hemolytic disease
bowel resection
bariatric sx
rapid weight loss
multiple pregnancies
OCP
HRT
5. What ethnicity is more prone genetically prone to gallstones?: Native Amer-
icans
6. What is inflammation of the gallbladder?: cholecystitis
7. What are the s/s of gallstones?: abdominal pain after fatty meal
N/V
fever
leukocytosis
pain may refer to R shoulder area
8. What is yellow tint to skin and sclera?: jaundice
9. What is unbearable RUQ pain that occurs with an acute flare up of chronic
cholecystitis?: biliary colic
10. What symptom is common among the elderly in cholelithiasis rather than
pain?: low grade fever
11. How are gallstones diagnosed?: US
CT
HIDA Scan
LFTs
12. How are gallstones treated?: low fat diet
weight loss
alcohol restriction
small meals
meds to dissolve stones
1/5

, Medical-Surgical Nursing Concepts & Practice 3rd Edition Chapter 30: Ca
of Patients With Disorders of the Gallbladder, Liver, and Pancreas
Study online at https://quizlet.com/_5cybd4
13. What is a cholecystectomy?: removal of the gallbladder
14. What is an ERCP?: procedure to remove gallstones if initial treatment does not
work
15. What is the diet for the patient post-op gallbladder sx?: No specific diet-ad-
vise to avoid fatty foods
16. What is the post op care for gallbladder removal?: semi-fowler's position
change dressings often
monitor for fresh bleeding
17. What hepatitis virus is transmitted by fecal oral route from contaminated
waters, poor sanitation, shellfish, etc?: Hepatitis A & E
18. What hepatitis virus is transmitted by sexual contact and bodily fluids?: -
Hepatitis B & C
19. What is currently the primary cause of hepatitis C?: IV drug use
20. What hepatitis viruses can progress to chronic hepatitis, cirrhosis, liver
cancer, and death?: Hep B & C
21. What are the four phases of Hepatitis A?: viral replication
prodromal
icteric
convalescent
22. What is the first phase of hepatitis A in which the individual will have
positive blood test but display no symptoms?: viral replication
23. What is the second phase of hepatitis A in which the individual with have
nausea, fatigue, flu-like symptoms?: prodromal
24. What is the third phase of hepatitis A in which the individual experiences
jaundice, dark urine, light stool, and itching?: icteric
25. What is the fourth phase of hepatitis A in which jaundice begins to disap-
pear and the major complaints are malaise and fatigue?: convalescent

**can last 2-4 months**
26. Though it can be asymptomatic, what are the s/s of hepatitis B & C?: fatigue
N/V
poor appetite
RUQ pain
dark urine
light stool
27. What is viral hepatitis without jaundice?: anicteric hepatitis

(more common)
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