Study

NSG223: Mod 6

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  • Bed rest is important for patients with hepatitis B to allow the liver to heal. True or False?
    True
  • What is the most common cause of chronic pancreatitis in the US?
    alcohol
  • Women are at greater risk for alcohol-induced cirrhosis. True or False
    True (men greater risk in general)
  • What are clinical manifestations of Hep B?
    Fatigue, anorexia, N/V, abd pain, dark urine, light stools, joint pain, jaundice, diarrhea
  • Weight loss is common with chronic pancreatitis. True or False
    True (80%)
  • Your patient has cirrhosis with ascites. What clinical manifestations can you expect to see in your assessment?
    cont mild fever, epistaxis, hypotension, jaundice, purpura, bruising, wt loss, weakness, sparse body hair, white nails
  • What are the 2 functions of the pancreas?
    Digestive (digestive enzymes) and Endocrine (insulin and glucagon)
  • Which hepatitis is transmitted primarily fecal-oral route?
    Hep A (unsantitary food prep), Hep E
  • A rigid, board-like abdomen is a common assessment finding with acute pancreatitis. True or False
    False- this is ominous sign of peritonitis; not common but pancreatitis can lead to this
  • Which is the most severe type of acute pancreatitis?
    Necrotizing
  • What are clinical manifestations of drug-induced hepatitis?
    chills, fever, rash, pruritis, arthralgia, anorexia, nausea, jaundice, dark urine, enlarged/tender liver
  • List 3 risk factors for developing hepatitis C.
    Children born to infected mother, Health care worker needlestick, multiple contacts with infected person, multiple sex partners, IV drug use
  • Which type of cirrhosis results from chronic biliary obstruction and infection?
    Biliary cirrhosis
  • List 4 causes of acute pancreatitis.
    gallstones, alcoholism, bacterial/viral infection, blunt abd trauma, PUD, Hyperlipidemia, Hypercalcemia, Use of certain meds, after surgery near pancreas
  • A patient with cirrhosis should be encouraged to increase their fluid intake. True or False
    False; fluid and sodium restriction
  • Your patient with acute pancreatitis is having severe pain and nausea. What meds would you expect ordered?
    IV pain meds, IV anti-emetics
  • What does a serum ALT test?
    Alanine transaminase. enzyme found in liver; converts proteins to energy for liver cells. liver damage= alt released
  • Which labs may be ordered for a patient with acute pancreatitis?
    CBC, glucose, bilirubin, amylase, lipase, CMP
  • Smoking has no effect on chronic pancreatitis. True or False?
    False
  • Which type of cirrhosis is a result from a previous acute hepatitis infection?
    postnectrotic
  • Which is the least severe of the 2 types of acute pancreatitis?
    Interstitial Edematous (more common)
  • What "herbal supplement" can help with end-stage liver disease symptoms?
    Milk Thistle
  • What is an ERCP?
    Endoscopic Retrograde Cholangiopancreatography; xray + endoscope; look at the ducts
  • What type of diet is recommended after acute pancreatitis?
    Low fat, low protein, no alcohol or caffeine