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LIVER DISORDERS QUIZZES

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Assessment and management of liver disorders quiz 1

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1. Which type of hepatitis is a DNA virus, can be transmitted via exposure to infectious blood or body fluids, is required for HDV to replicate, and increases the risk of the chronic carrier for hepatocellular cancer?

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2. What is one of the most challenging nursing interventions to promote healing in the patient with viral hepatitis?

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3. The family members of a patient with hepatitis A ask if there is anything that will prevent them from developing the disease. What is the best response by the nurse?

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4. Following a needle stick, what is used as prophylaxis against HBV?

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5. What test will be done before prescribing treatment for the patient with positive testing for HCV?

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6. Serologic findings in viral hepatitis include both the presence of viral antigens and antibodies produced in response to the viruses. What laboratory result indicates that the nurse is immune to HBV after vaccination?

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7. The occurrence of acute liver failure is most common in which situation?

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8. The patient had a blood transfusion reaction. What is the best explanation the nurse can give the patient as to why hemolytic jaundice has occurred?

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9. The nurse identifies a need for further teaching when the patient with acute hepatitis B makes which statement?

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10. The patient asks why the serologic test of HBV DNA quantitation is being done. What is the best explanation about the test for the nurse to explain to the patient?

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11. Although HAV antigens are not tested in the blood, they stimulate specific IgM and IgG antibodies. Which antibody indicates there is acute HAV infection?

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12. When caring for a patient with autoimmune hepatitis, the nurse understands that what about this patient is different from the patient who has viral hepatitis?

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13. What causes the systemic effects of viral hepatitis?

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14. During the incubation period of viral hepatitis, what should the nurse expect the patient to report?

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15. A patient diagnosed with chronic hepatitis B asks about drug therapy to treat the disease. What is the most appropriate response by the nurse?

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Assessment and management of liver disorders quiz 2

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1. To treat a cirrhotic patient with hepatic encephalopathy, lactulose, rifaximin (Xifaxan), and a proton pump inhibitor are ordered. The patient’s family wants to know why the laxative is ordered. What is the best explanation the nurse can give to the patient’s family?

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2. What patient manifestation does the nurse recognize as an early sign of hepatic encephalopathy?

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3. A patient with cirrhosis asks the nurse about the possibility of a liver transplant. What is the best response by the nurse?

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4. What laboratory test results should the nurse expect to find in a patient with cirrhosis?

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5. The patient with liver failure has had a liver transplant. What should the nurse teach the patient about care after the transplant?

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6. A patient is hospitalized with metastatic cancer of the liver. The nurse plans care for the patient based on what knowledge?

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7. The patient has been newly diagnosed with Wilson’s disease. D-penicillamine, a chelating agent, has been prescribed. What assessment finding should the nurse expect?

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8. The patient has hepatic encephalopathy. What is a priority nursing intervention to keep the patient safe?

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9. Malnutrition can be a major problem for patients with cirrhosis. Which nursing intervention can help improve nutrient intake?

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10. The patient presents with jaundice and itching, steatorrhea, and liver enlargement. This patient has also had ulcerative colitis for several years. What is the most likely diagnosis the nurse should expect for this patient?

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11. The patient is an older woman with cirrhosis who has anemia. What pathophysiologic changes may contribute to this patient’s anemia (select all that apply)?

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12. During the treatment of the patient with bleeding esophageal varices, what is the most important thing the nurse should do?

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13. Which etiologic manifestations occur in the patient with cirrhosis related to esophageal varices?

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14. The patient being treated with diuretics for ascites from cirrhosis must be monitored for (select all that apply)

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15. A patient was diagnosed with nonalcoholic fatty liver disease (NAFLD). What treatment measures should the nurse plan to teach the patient about (select all that apply)?

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16. Which conditions contribute to the formation of abdominal ascites?

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17. In discussing long-term management with the newly diagnosed patient with alcoholic cirrhosis, what should the nurse teach the patient?

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