Course Code
nsc306


Question
  A client with oesophageal varices has severe hematemesis, and the physician is going to insert a Sengstaken-Blakemore tube. The nurse is aware that this tube is a:

Answer
Multi lumen tube for gastric and intestinal decompression



Question
The nurse is caring for a client who has bleeding oesophageal varices. The nurse should expect that the following EXCEPT one might develop in this client?

Answer
High blood pressure



Question
While the mechanism for the development of abdominal ascites is not completely understood, it is thought to be due to all but one of the following:

Answer
Hypoaldosteronism causing increased sodium reabsorption by the renal tubules.



Question
The first-line diuretic therapy in the management of ascites secondary to cirrhosis is

Answer
Spironolactone (Aldactone)



Question
Most common hepatotoxic chemicals include:

Answer
Carbon tetrachloride, phosphorus, chloroform and gold compounds.



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

Answer
  “Interferon combined with lamivudine (Epivir) will decrease viral load and prevent complications.”



Question
A client has hepatitis A. Which of the following are true of this disorder?

Answer
It is an RNA virus, often spread by food handlers infected with the virus, and has an incubation time of 15 – 50 days.



Question
Immediately following a liver biopsy, a client was placed on the right side. The nurse explains that this position should be maintained for 60 to 90 minutes because it will:

Answer
Help stop bleeding if any occurs



Question
Which of the following tests is a sensitive measure of biliary tract obstruction in the absence of bone disease?

Answer
Serum Alkaline Phosphatase



Question
Which of the following liver function tests may be used to monitor the course of hepatitis or cirrhosis or the effects of treatments that may be toxic to the liver?

Answer
Alanine aminotransferase (ALT) formerly known as serum glutamicpyruvic transaminase (SGPT).


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