Professor Traps
A nurse says bilirubin's primary job is producing clotting factors. T/F
What is False?
Projectile vomiting
What is pyloric stenosis?
This liver function helps maintain oncotic pressure.
What is albumin production?
Which hepatitis viruses can be prevented through vaccination? Select all that apply.
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis D
E. Hepatitis E
A,B
A nurse is caring for a patient with benign prostatic hyperplasia (BPH).
Which assessment findings would the nurse expect? Select all that apply.
A. Urinary hesitancy
B. Weak urinary stream
C. Flank pain
D. Nocturia
E. Urinary retention
F. Hematuria after trauma
G. Feeling of incomplete bladder emptying
A. Urinary hesitancy
B. Weak urinary stream
D. Nocturia
E. Urinary retention
G. Feeling of incomplete bladder emptying
A patient with BPH has urinary frequency.
The nurse's priority assessment is:
What is assessing for urinary retention/bladder scan?
intermittent abdominal pain
What is intussusception?
A patient with cirrhosis has:
These are consequences of:
What is portal hypertension?
A patient with newly diagnosed Hepatitis A asks how they likely acquired the infection.
Which response by the nurse is most accurate?
A. "It is usually spread through contaminated food or water."
B. "It is usually spread through blood transfusions."
C. "It is usually spread through sexual contact only."
D. "It is usually spread through IV drug use."
A
A male patient presents with:
The nurse suspects:
A. BPH
B. Prostatitis
C. Pyelonephritis
D. Bladder cancer
B. Prostatitis
A patient with ulcerative colitis has 15 episodes of bloody diarrhea.
The nurse's greatest concern is:
A patient with ulcerative colitis has 15 episodes of bloody diarrhea.
The nurse's greatest concern is:
Pale Stools
A patient receives a normal dose of medication but develops severe toxicity.
The nurse suspects failure of which liver function?
What is medication metabolism?
A patient with Hepatitis B asks if family members should be concerned.
Which teaching is most appropriate?
A. Family members should receive the Hepatitis B vaccine if not already immunized.
B. Family members should receive prophylactic antibiotics.
C. Family members should avoid sharing food.
D. Family members should isolate themselves for 6 months.
A
Which findings are consistent with pyelonephritis? Select all that apply.
A. Fever
B. Flank pain
C. Costovertebral angle tenderness
D. Dysuria
E. Hypertension
F. Nausea/vomiting
G. Urinary urgency
A. Fever
B. Flank pain
C. CVA tenderness
D. Dysuria
F. Nausea/vomiting
G. Urinary urgency
A patient with bowel obstruction develops:
What is bowel ischemia?
Explosive stools
Hirschsprung disease
Match the liver function to the complication:
Match the hepatitis type to the clue:
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
1-A, 2-B, 3-C
A child has recurrent UTIs and is diagnosed with vesicoureteral reflux (VUR).
The nurse understands VUR occurs when:
A. Urine flows from the kidneys into the bladder
B. Urine refluxes from the bladder back toward the kidneys
C. The urethra is obstructed
D. The kidneys stop producing urine
B
A patient with pyelonephritis develops:
What is uroseptic shock?
Green or yellow vomiting
NEC
A patient with acute hepatitis is admitted with:
The nurse reviews the assessment findings and determines which liver functions are impaired? Select all that apply.
A. Bilirubin metabolism
B. Clotting factor synthesis
C. Oxygen transport
D. Medication metabolism
E. Protein synthesis
The nurse identifies which assessment finding as most concerning?
F. Fatigue
G. RUQ pain
H. Elevated INR
I. Jaundice
The nurse understands the elevated INR increases the patient's risk for:
J. Hypoglycemia
K. Hemorrhage
L. Hyperkalemia
M. Hepatic encephalopathy
Liver functions impaired: A, B, E
(Bilirubin metabolism, clotting factor synthesis, protein synthesis)
Most concerning finding: H (Elevated INR)
Risk: K (Hemorrhage)
The nurse is reviewing labs on four patients with hepatitis. Which patient requires the most immediate follow-up?
A. Bilirubin 6.0, jaundice
B. ALT 350, fatigue
C. INR 5.2 and active bleeding from gums
D. Albumin 2.3 and ascites
C
Assessment:
Potential Condition
A. BPH
B. Prostatitis
C. Pyelonephritis with urosepsis
D. VUR
Nursing Actions
E. Obtain cultures
F. Start IV fluids
G. Administer antibiotics as ordered
H. Delay treatment until urine culture returns
Parameters to Monitor
I. Blood pressure
J. Mental status
K. Urine output
Potential Condition:
C. Pyelonephritis with urosepsis
Nursing Actions:
E. Obtain cultures
F. Start IV fluids
G. Administer antibiotics as ordered
Parameters to Monitor:
I. Blood pressure
J. Mental status
K. Urine output