Gallbladder Disease
Pancreatitis
Hepatitis
Cirrhosis
Miscellaneous
100

These are risk factors for gallbladder disease - name at least 3

What are?:

Age over 40, family history, obesity, hyperlipidemia, female, oral contraceptive use, biliary stasis, Caucasian race 

100

This is the pathophysiology of pancreatitis

What is the pancreas releases enzymes into the tissue of the pancreas causing hemorrhage and necrosis?
100

Hepatitis A is transmitted in these 2 main ways

What is through contaminated food water shellfish, fecal oral route?  - ingestion of feces

100

This is the leading risk factor for cirrhosis

What is alcoholism?

100

This complication has most likely taken place if a patient with acute gallbladder disease complains of severe, sudden abdominal pain, rigid-board like abdomen, and lack of bowel sounds

What is perforation leading to peritonitis?

200

The type of meal that a patient with gallbladder disease has likely ingested prior to pain episode

What is a high fat meal?

200

The reason why foods and fluids are withheld during acute attacks

What is to decrease the release of pancreatic enzymes?
200

These are the 2 types of hepatitis that are transmitted by blood and body fluids

What are hepatitis B and C?

200

The term for enlarged, tender liver

What is hepatomegaly?

200

The surgical procedure for cholecystitis - and the two types of procedures

What is cholecystectomy?  Laparoscopic and open procedures

300

This is what the abdominal assessment would likely show in someone with a gallbladder disorder

What is abdominal pain, rebound tenderness, guarding, rigidity, positive Murphy's sign?

300

These are s/s of pancreatitis - name at least 3

What are?:

abrupt onset of severe epigastric pain and LLQ radiates to the back, N/V, abdominal distention with rigidity and guarding, decreased bowel sounds, tachycardia, dyspnea, hypotension, elevated temp, cold/clammy skin, Turner's and Cullen's signs

300

A person who harbors the hepatitis virus and is capable of spreading to others even though they don't have any s/s

What is a carrier?

300

Ascites is caused by insufficient amounts of this protein

What is albumin?

300

These are dilated veins of the esophagus prone to rupture in cirrhosis

What are esophageal varices?

400

These are types of foods to teach the patient to avoid 

What are high fat foods - whole milk products, dairy, pork products, gravies and sauces, fried foods, chocolate, etc.?

400

These are 2 labs that show inflammation of the pancreas

What are amylase and lipase levels?

400

These are 3 complications of hepatitis B and C that could be life threatening

What are chronic hepatitis, cirrhosis, and liver cancer?

400

These are s/s of hepatic encephalopathy - name at least 3

What are:?

changes in personality and mental status, agitation, restlessness, impaired judgement, slurred speech, confusion, disorientation, incoherence, asterixis

400

This is the procedure to help relieve the fluid build up from ascites

What is a paracentesis?

500

These are nursing interventions for cholecystitis - name at least 4

What are?:

teach relationship between fat intake and pain, avoid foods high in fat, keep NPO during acute attacks, maintain NG tube if ordered, administer pain meds and assess effectiveness, Fowlers position, administer vitamin supplements, if obese lose weight, assess abdomen for possibility of peritonitis, post op interventions if surgery

500

Med teaching related to pancreatic enzymes and how med works

What is?:

take before meals, full glass of H20, wipe off lips after taking

Used to aid in digestion of foods

500

These are more advanced s/s of hepatitis - name at least 3

What are:?

jaundice, pruritis, light brown stools, brown urine

500

The purpose of using lactulose in people with cirrhosis

What is to lower the ammonia levels? - especially in hepatic encephalopathy

500

The type of dietary restriction of patients who have cirrhosis suffering from hepatic encephalopathy

What is protein?

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