GI
The nurse assisting in the treatment of a patient with ruptured esophageal varices who has received vasopressin IV will carefully assess for:
Evidence of cardiac ischemia
The patient is experiencing GI symptoms and abdominal pain. The physician has ordered several diagnostic lab tests. You are reviewing the results, and you are aware that the elevation of serum tests _________ and _________ are indicators of pancreatitis.
Amylase
Lipase
Cholecystitis is defined as:
Inflammation of the gallbladder
Immediately following a liver biopsy, the patient becomes dyspneic, the pulse increases to 100, and no breath sounds can be heard on the affected side. What should the nurse suspect?
Pneumothorax
A patient is scheduled for an untrasound of the liver. You learn the following information, and are aware that this will cause the examination to be postponed.
Recent barium enema examination
What is an essential nursing measure to prevent injury to the patient who is to receive a paracentesis?
Have patient void immediately before procedure
A ___________ occurs when the body encapsulates the autodigestive debris in the pancreatic tissue, forming a wall around the fluid and necrotic debris, frequently becoming an abscess.
Pseudocyst
A patient was scheduled for a laparoscopic cholecystectomy, but complications developed and he underwent an open cholecystectomy with a T tube inserted into the common bile duct. What is the purpose of the T tube?
To keep the duct open and allow drainage of the bile until edema resolves
The patient with cirrhosis has a rising ammonia level and is becoming disoriented. The patient waves to the nurse as she enters the room. How should the nurse interpret this?
As asterixis
Organs assisting with the digestion process include:
Gallbladder
Liver
Pancreas
What should the nurse explain is the major purpose of the Sengstaken-Blakemore tube?
Control esophageal varices bleeding
The significance of an elevated antigen CA 19-9 is:
This tumor marker is elevated in patients with Pancreatic Cancer
Why is it advantageous for a live person to be a liver donor?
Because the donor donates only a part of the liver
The nurse explains that the use of cyclosporine as an immunosuppressant has been successful in the reduction of rejection of liver transplants because the drug:
Does not suppress bone marrow
When updating the plan of care for the patient admitted with pancreatic, liver, gallbladder and biliary tract conditions, you know the following patient problems may apply to this patient:
Insufficient nutrition
Noncooperation or nonconformity
Prolonged pain
How does the administration of neomycin (Mycifradin) reduce the production of ammonia?
By decreasing the bacteria in the gut
Which factors may increase a patient’s risk of developing cancer of the pancreas?
Cigarette smokers
People with diabetes mellitus
Cholelithiasis is defined as:
Presence of gallstones in the gallbladder
Which nursing intervention should be completed immediately after the physician has performed a needle liver biopsy?
Keeping the patient on the right side for a minimum of 2 hours
___________ is a condition characterized by yellow discoloration of the skin, mucous membranes and sclera and the eyes, caused by greater than normal amounts of bilirubin in the serum.
Jaundice
The nurse is aware that the hepatitis A immunization provides immunity in:
30 days
You are assessing a patient for cirrhosis of the liver, reviewing all lab and radiology test results. As a nurse, you are aware that ___________ is considered to be the greatest factor leading to cirrhosis.
Alcohol ingestion
Why is Morphine contraindicated in the patient with pancreatitis?
Morphine may cause spasms of the sphincter of Oddi
The nurse clarifies that deterioration progresses through stages before presenting with liver disease. The first stage is destruction. What is the last stage?
Liver disease
What should the nurse expect of a patient with a malabsorption of vitamin K?
Increased prothrombin time