Nurb 370 Test 5: Liver, Pancreas, And Gallbladder

Front 1

How is the hepatitis A virus transmitted?

Back 1

Fecal-oral route

Front 2

How is hepatitis B transmitted?

Back 2

Percutaneous (needle)

Exposure to: blood, semen, vaginal secretions, saliva

(people who have regular exposure to infected individuals are at risk)

Front 3

How is hepatitis C transmitted?

Back 3

Percutaneous (almost exclusively IV drug users)

Also high-risk sexual behavior

Front 4

How long is the acute phase of viral hepatitis?

Back 4

1 to 4 months

Front 5

Clinical manifestations during acute phase of viral hepatitis?

Back 5

Malaise
Anorexia
Fatigue
Nausea
Vomiting
Right upper quadrant pain

Front 6

Icteric means?

Back 6

Symptomatic

Anicteric - asymptomatic

Front 7

What phase follows the acute phase in viral hepatitis infections?

Back 7

Convalescent phase

Begins as jaundice is disappearing and lasts an average of 2 to 4 months

Front 8

What is the patients major complaint during the convalescent phase?

Back 8

Malaise and general fatigability

Front 9

What is the course of symptoms with hepatitis C?

Back 9

Asymptomatic or mild with a high rate of persistence leading to chronic liver disease?

Front 10

If a person possess the antibodies to hepatitis, what does this mean

Back 10

If A or B, immunity exists

If C infection is present

Front 11

What meds are used to treat chronic Hep B?

Back 11

Alpha interferon
or
Epivir, Hepsera x 1yr

Front 12

What meds are used to treat chronic Hep C?

Back 12

Alpha interferon
with
Ribavarin

Front 13

Who knows more about GI medications Michael or Shelly?

Back 13

Shelly

Front 14

What is done if someone is exposed to either Hep A or B?

Back 14

Give vaccine plus immune globulin

Front 15

What is the greatest precaution for Hep A prevention?

Back 15

Handwashing

Front 16

What substances can cause toxic and drug-induced hepatitis?

Back 16

Acetaminophen
INH
Thiazide diuretics
Statins

Front 17

Chronic progressive disease of the liver characterized by extensive degeneration and destruction of the liver parenchymal cells?

Back 17

Cirrhosis

Front 18

List the 4 types of cirrhosis?

Back 18

Alcoholic
Postnecrotic (hepatitis)
Biliary
Cardiac

Front 19

Early symptoms of cirrhosis are what type of symptoms?

Back 19

GI duh, this is a GI test

Front 20

What are later manifestations of cirrhosis?

Back 20

Jaundice
Skin lesions
Hematologic problems
Endocrine problems
Peripheral neuropathy

Front 21

What is the most life threatening complication of cirrhosis?

Back 21

Bleeding esophageal varicies

Front 22

What is a terminal complication in liver disease?

Back 22

Hepatic encephlopathy

Front 23

What is asterixis?

Back 23

Flapping tremors (symptom of hepatic encepholopathy)

Front 24

What is the treatment for hepatorenal syndrome?

Back 24

Liver transplant

Front 25

What is TIPS

Back 25

Transjugular intrahepatic portosystemic shunt, used to alleviate ascites and varicies (between portal and systemic venous system)

Front 26

If a patient is given lactulose what should the nurse know?

Back 26

Whether the med is to treat hepatic encephalopathy or constipation

Front 27

If a paracentesis is being done to treat ascites what should the nurse have the patient do prior to this procedure?

Back 27

Void immediately before to prevent puncture of the bladder

Front 28

Pain associated with pancreatitis is located where?

Back 28

Left upper quadrant or midepigastrium
commonly refers to the back

Front 29

Grey turner sign?

Back 29

Bluish flank discoloration

Front 30

Cullens sign?

Back 30

Periumbilical bluish discoloration

Front 31

A patient with pancreatitis is asking when his pain is likely to come back, as the nurse you know?

Back 31

That pain in patients with pancreatitis is often aggravated by eating

Front 32

Which is more serious pseudocyst or pancreatic abscess?

Back 32

Abscess requires prompt surgical drainage

Front 33

A patients with pancreatitis has an abdominal mass, upper abd pain, and a high fever, as the nurse you suspect?

Back 33

Abscess

Front 34

What are the primary diagnostic test for acute pancreatitis?

Back 34

Amylase and lipase

Front 35

What meds are given for acute pancreatits

Back 35

Morphine
Nitroglycerin
Antispasmodics (bentyl)
Antacids
Zantac, Prilosec

Front 36

What meds are given for chronic pancreatitis?

Back 36

Pancreatic enzymes (Viokase)
Insulin

Front 37

What is the best way to diagnosis gallstones (cholelithiasis)?

Back 37

Ultrasound

Front 38

Initial symptoms of acute cholecystitis include?

Back 38

Indigestion
Right upper quadrant pain and tenderness, which may be referred to the right shoulder or scapula
Nausea and vomiting
Diaphoresis

Front 39

When does pain associated with cholecystitis usually occur?

Back 39

3 to 6 hours after a heavy meal or when the patient lays down

Front 40

If a patient has referred pain in the shoulder following a cholecystectomy what should the nurse do?

Back 40

Place the patient in the sims position (left side with right knee flexed)

Front 41

Postoperative nursing care for incisional cholecystectomy focuses on?

Back 41

Adequate ventilation and prevention of respiratory complications