ATI Med Surg Test Bank | Gallbladder and Pancreatic Disorders | Questions with Answers Score 100% Latest 2023

ATI Med Surg Test Bank | Gallbladder and Pancreatic Disorders | Questions with Answers Score 100% Latest 2023. Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers: 1. wash their hands often. 2. avoid foreign travel. 3. become vaccinated. 4. drink bottled water only. - ANS: 3 Because of the risk of blood and body fluid exposure, it is recommended that all health care workers be vaccinated against hepatitis B virus. All health care workers should engage in frequent handwashing, but handwashing is not the primary mechanism to prevent the onset of hepatitis B. 8. A client who usually smokes a pack of cigarettes a day tells the nurse that he cannot stand the smell of smoke. The nurse realizes that this client is in which phase of hepatitis? 1. Preicteric 2. Icteric 3. Posticteric 4. Recovery - ANS: 1 9. A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client? 1. "It doesn't affect people until they are in their 50s." 2. "I would ask the doctor if he's sure about the diagnosis." 3. "Females often do not experience the effects of the disease until menopause." 4. "All women have the disorder but not the symptoms." - ANS: 3 Women do not experience the effects of hemochromatosis until menopause when the regular loss of blood stops. 10. A client is diagnosed with liver disease. What are the impacts of this disorder on a client's fluid and electrolyte status? - Liver disease effects the fluid and electrolyte status by causing ascites, edema, hypokalemia, hypocalcemia, and hyponatremia. 11. The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery? 1. Myocardial infarction 2. Pulmonary emboli 3. Pulmonary edema 4. Decreased peripheral pulses - ANS: 3 12. A client is diagnosed with macrovesicular fatty liver. What should the nurse instruct this client? - Avoid all alcohol, rest. 1. A client diagnosed with cirrhosis is experiencing the complication of ascites. Which of the following would be considered treatment for this complication? (Select all that apply.) 1. Fluid restriction 2. Low-sodium diet 3. Increased exercise 4. Diuretic therapy 5. Pain medication 6. Bed rest - ANS: 1, 2, 4 Ascites is the accumulation of fluid in the peritoneal cavity. Treatment strategies include fluid restriction (1000 to 1500 mL/day), low-sodium diet (200 to 500 mg/day), and diuretic therapy to remove the excessive fluid. 2. A client is recovering from an endoscopic retrograde cholangiopancreatogram (ERCP). What should the nurse assess as possible complications from this procedure? (Select all that apply.) - 1. Perforation of the stomach 2. Perforated duodenum 3. Pancreatitis 4. Aspiration of gastric contents 5. Anaphylactic reaction to the contrast dye 6. Reaction to anesthesia 3. A client is demonstrating yellow pigmentation of the skin and sclera. Which of the following can be used to describe this client's symptoms? (Select all that apply.) 1. Jaundice 2. Dyspepsia 3. Icterus 4. Sclerosis 5. Kernicterus 6. Cirrhosis - ANS: 1, 3, 5 4. The nurse is providing dietary instruction to a client diagnosed with Wilson's disease. Which of the following should be included in these instructions? (Select all that apply.) 1. Avoid liver. 2. Avoid shellfish. 3. Eat soy products. 4. Use avocados in salads. 5. Avoid nectarines. 6. Avoid mushrooms. - ANS: 1, 2, 5, 6 liver shellfish mushrooms nuts chocolate dried fruits dried peas, beans, and lentils soy products avocados barley bran products nectarines 5. A client is diagnosed with a disorder of the liver. The nurse realizes this client might experience which of the following? (Select all that apply.) 1. Low vitamin A levels 2. Increased bleeding 3. Poor digestion of fats 4. Insulin resistance 5. Elevated levels of vitamin E 6. Nerve damage - ANS: 1, 2, 3, 4, 6 Effects of a liver disorder on a client are many. Some of the functions affected by this disorder include low levels of fat soluble vitamins, including A and E; poor synthesis of clotting factors, leading to increased bleeding; poor digestion of fats; insulin resistance; and nerve damage. 6. A client is diagnosed with portal hypertension. The nurse should assess the client for which of the following disorders associated with this diagnosis? (Select all that apply.) 1. Esophageal varices 2. Splenomegaly 3. Hemorrhoids 4. Caput medusae 5. Gastritis 6. Gallstone formation - ANS: 1, 2, 3, 4 Portal hypertension can lead to the development of esophageal varices, splenomegaly, hemorrhoids, and caput medusae. 1. A client tells the nurse that he has pain, swelling, fatigue, and numbness of his hands. The nurse should assess the client for which of the following occupations? 1. Retail store clerk 2. Lifeguard 3. Computer keyboard operator 4. Bus driver - ANS: 3 Some occupations, sports, and tasks can create repetitive motion injuries or cumulative trauma. A computer keyboard operator is an occupation with a high incidence of overuse syndrome. 2. A client who plays baseball on the weekends is experiencing an arm injury. The nurse realizes this client needs to be evaluated for: 1. a rotator cuff tear. 2. lateral epicondylitis. 3. dislocation of the shoulder. 4. patellar tendinopathy. - ANS: 1 A rotator cuff tear can be caused by extensive overhead movements found in sports and activities such baseball, softball, tennis, swimming, and volleyball. Lateral epicondylitis aka tennis elbow - overuse injury that involves the extensor/supinator muscles that attach to the distal humerus. Patellar tendonopathy aka jumper's knee - is seen in athletes who participate in activities that require a lot of jumping such as basketball. 3. A client, diagnosed with an ankle sprain, is prescribed ibuprofen to control pain and inflammation. What instruction should the client receive concerning this medication? 1. "Bleeding is not a problem with this medication." 2. "Take on an empty stomach to maximize its effect." 3. "Take with food to minimize gastrointestinal irritation." 4. "Wear sunscreen if outside to prevent a burn." - ANS: 3 4. A client, experiencing a fractured arm, asks the nurse why the splint is being applied. Which of the following should the nurse respond to this client? 1. "It reduces the need for a cast." 2. "It reduces bleeding, swelling and pain." 3. "It prevents the need for surgery." 4. "It immobilizes the muscles and joints." - ANS: 2 Splinting of a fractured extremity minimizes bleeding, edema, and pain. 5. A client has had a cast applied to immobilize a right ulnar fracture. Which of the following nursing interventions is most important? 1. Calling physical therapy for a sling 2. Checking capillary refill time 3. Giving pain medication 4. Starting discharge teaching - ANS: 2