The nurse is assessing a patient with liver failure and jaundice. Which question should the nurse ask to determine if the cause of the jaundice is hemolytic?
1. Have you been diagnosed with a disorder of red blood cell destruction?
2. What color is your urine?
3. What color are your stools?
4. Do you have any gallbladder problems?
Question 2The nurse, teaching a patient about portal hypertension, knows teaching has been effective when the patient makes which statement?
1. In portal hypertension, blood backs up in the liver. It causes enlarged blood vessels in my esophagus.
2. In portal hypertension, blood leaks from my liver. It causes me to feel hungry frequently.
3. Portal hypertension means fast-spreading high blood pressure. It causes red veins on my arms.
4. Portal hypertension means high blood pressure throughout my abdomen. It causes me to feel confused.
Question 3The patient in the icteric phase of hepatitis asks the nurse, Why are my stools no longer brown? How should the nurse respond?
1. Your liver isn't making any of the substance that makes stools brown.
2. The pigment is backing up into your blood and turning your skin yellow.
3. It is being released into your bloodstream and turning your blood darker red.
4. The answer is not known. More research is needed regarding this question.
Question 4The nurse is teaching a patient about the effects of liver failure. The nurse knows the patient understands when the patient identifies which manifestations as related to liver failure?
Select all that apply.
1. My abdomen is becoming very large.
2. My blood sugar is sometimes too high and sometimes too low.
3. My left lower leg is red and swollen.
4. My menstrual cycle has become very irregular.
5. My skin appears yellow.
Question 5The nurse is assessing the nutritional status of a patient who has cholelithiasis and a body mass index of 35. What action should the nurse take initially?
1. ask the patient to discuss typical daily menu choices
2. ask the patient to discuss strategies used to manage weight
3. ask if the patient takes daily supplemental vitamin C
4. ask if the patient has been skipping meals to reduce gallbladder pain