Term
- insulin
- glucagon
- somatostatin |
|
Definition
| secreted by pancreas secretes to help regulate blood sugar levels |
|
|
Term
A client with cirrhosis has been referred to hospice care. Assessment data reveal a need to discuss nutrition with the client. What is the nurse's priority intervention?
A) low-fat high-carb diet
B) drinking at least 64 oz water daily
C) high-fiber, high-protein diet
D) eliminating caffeine |
|
Definition
| A) low-fat high-carb diet |
|
|
Term
A client with end-stage cancer has decided to terminat medical intervention. What should a nurse anticipate when consulting with pallative care?
A) decreased need for antidepressant meds
B) referral for bereavement counseling
C) decreased need for nutritional supplementation
4) Decreased need for pain meds |
|
Definition
| B) referral for bereavement counseling |
|
|
Term
| A direct cause of varices |
|
Definition
|
|
Term
A patient with ascites is placed on a low-sodium diet. He should select which?
A) cottage cheese and peaches with tomato juice
B) frankfurter on bun with picke relish and skim milk
C) baked chicken, white rice, apple juice
D) turkey and lettuce sandwich on whole weat bread, tomato soup. |
|
Definition
| C) baked chicken, white rice, apple juice |
|
|
Term
| A possible esophageal effect of liver cirrhosis |
|
Definition
|
|
Term
| A sphincter-like muscle, located where the large and small intestines meet, acts as a valve to prevent backflow of material to the small intestine; it also regulates the forward flow |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Accessory organs of the digestive system |
|
Definition
- liver
- gallbladder
- pancreas
- peritoneum |
|
|
Term
| After treatment of esophageal varices by tamponade, the nurse must closely and carefully observe the patient because bleeding recurs in up to ___% of patients |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Patient states improved appetite and food intake |
|
|
Term
| Ascies: treatment medication that saves potassium while releasing water and sodium |
|
Definition
| Spironolactone (Aldactone) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Before performing a cholecystogram, what should you ask the client about? |
|
Definition
| allergy to iodine or shellfish |
|
|
Term
| Bile acid sequestrants(2) |
|
Definition
cholestyramine(questran,Prevalite)t
Colestipol (Colestid) |
|
|
Term
| Bile flows from the gallbladder through here |
|
Definition
|
|
Term
| Bilirubin: reference range |
|
Definition
|
|
Term
| Cholecystitis and Cholelithiasis: dx (5) |
|
Definition
- labs
- ultrasound
- x-ray
- cholecystogram
- EGD or ERCP |
|
|
Term
| Cholecystitis and Cholelithiasis: s/sx (4) |
|
Definition
- sudden acute pain
- pain may radiate to back or right shoulder
- clay colored stools
- jaundice |
|
|
Term
| Cholecystitis and cholelithiasis: foods to avoid |
|
Definition
|
|
Term
| Cholecystitis and cholelithiasis: preferred pain med (and what NOT to give) |
|
Definition
- Give Demerol
- Don't give morphine |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Cirrhosis: client teaching (6) |
|
Definition
- don't drink
- don't smoke
- fluid restrictions
- low protein
- high vitamins
- no acetaminophen or diazepam |
|
|
Term
| Cirrhosis: nursing considerations (2) |
|
Definition
- soft-bristled toothbrush
- monitor daily weight and girth |
|
|
Term
Client in E.R.: hx of alcohol abuse. Lab tests confirm dx pancreatitis. V/S stable, but pain worsening and radiating to his back. Which intervention takes priority?
A) maintain semi-Fowler's position
B) maintain NPO status
C) give morphine I.V. as ordered
D) mouth care |
|
Definition
| C) give morphine I.V. as ordered |
|
|
Term
| Common cause of liver failure |
|
Definition
| Alcoholic liver disease (cirrhosis) |
|
|
Term
| Composition of gallstones |
|
Definition
|
|
Term
| Decreased albumin can cause abdominal _____ |
|
Definition
|
|
Term
|
Definition
| Pancreas stops making insulin |
|
|
Term
|
Definition
| Pancreas makes insulin that is not working effectively |
|
|
Term
| Drainage tube used to treat cholecystitis and cholelithiasis |
|
Definition
|
|
Term
|
Definition
| shatters gallstones using sound waves |
|
|
Term
| Effects of Aging on the Digestive System |
|
Definition
- mouth becomes drier
- swallowing becomes harder
- taste decreases (sweet/sour)
- Cardiac sphincter relaxes
- Food stays in stomach longer
- Peristalsis decreases |
|
|
Term
|
Definition
|
|
Term
| Fatty, foul-smelling stools |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Fluid accumulation in the spaces between tissues and organs in the abdominal cavity, |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Fulminant liver failure is most often caused by what? |
|
Definition
|
|
Term
|
Definition
- high-cholesterol, low-acid bile is thick
- gallbladder absorbs water, drying out bile
- bile hardens |
|
|
Term
| Hepatic encephalopathy: s/sx (4) |
|
Definition
- somnolence
- increased serum ammonia
- confusion
- coma |
|
|
Term
|
Definition
- virus
- autoimmune conditions
- toxic substances |
|
|
Term
|
Definition
| acute or chronic condition of liver inflammation |
|
|
Term
| How do nutrients absorbed in alveoli get back to liver? |
|
Definition
|
|
Term
How to protect nurse who is caring for patient with hep B
A) reverse isolation
B) standard precautions
C) respiratory precautions
D) enteric precautions |
|
Definition
|
|
Term
| Inability to take a deep breath when fingers are pressed under liver margin |
|
Definition
|
|
Term
| Increased pressure in the portal circulation |
|
Definition
|
|
Term
| Inflammation of gallbladder |
|
Definition
|
|
Term
| Inflammation of the liver cells |
|
Definition
|
|
Term
| Laparoscopic cholecystectomy: common complaint and its cause |
|
Definition
- right shoulder pain
- caused by CO2 instilled in abdomen |
|
|
Term
| Liver biopsy: post-procedure nursing care (5) |
|
Definition
- V/S
- check biopsy site if V/S change
- keep patient on right side
- pressure applied
- watch for signs of pneumothorax |
|
|
Term
| Liver biopsy: pre-op tests of interest (2) |
|
Definition
|
|
Term
| Liver cirrhosis: s/sx (8) |
|
Definition
- anorexia
- fever
- abdominal pain
- bleeding problems
- jaundice
- spider angiomas
- veins dilated
- esophageal varices |
|
|
Term
| Liver cirrhosis: treatment (6) |
|
Definition
- goal is to stop or delay progression
- avoid alcohol
- low-protein
- electrolyte balance
- Lactulose
- ascites treatment |
|
|
Term
| Liver failure: client teaching (5) |
|
Definition
- tepid baths and lotion for itching
- positioning for breathing
- put pressure on punctures longer
- explain jaundice |
|
|
Term
| Liver failure: diagnostics (6) |
|
Definition
- AST (SGOT)
- ALT
- LDH
- GGT
- ALK Phosphatase
- urobilinogen |
|
|
Term
| Liver failure: signs and symptoms (8) |
|
Definition
- tremors
- clay colored stools
- jaundice
- mental changes (seizures, stupor, etc)
- dull sound heard with percussion over liver
- ascites/edema
- coagulopathy
- shrinking liver |
|
|
Term
| Liver failure: treatment (6) |
|
Definition
- Vasopressin to control varices
- low-protein diet
- manage fluid, electrolyte balance
- antibiotics
- lactulose
- Vitamin K |
|
|
Term
|
Definition
|
|
Term
| Liver function test components (8) |
|
Definition
- Albumin
- Protein
- Alkaline phosphatase (ALP)
- GGT
- aminotransferase (AST)
- alanine aminotransferase (ALT)
- LDH
- SGOT |
|
|
Term
|
Definition
- chemicals
- fumes
- drugs
- elevated ALT and AST |
|
|
Term
| Liver transplant: early sign of rejection |
|
Definition
|
|
Term
| Liver transplants: success factors (3) |
|
Definition
- body acceptance
- technical difficulties
- hazards of immunosuppression |
|
|
Term
|
Definition
Â
- Absorption of bilirubin
- Detoxification of blood
- Storage of fat-soluble vitamins and iron
- Formation of vitamin A
- Storage of vitamin B complexÂ
- Synthesis of urea
- Storage of glycogen
- Formation of triglycerides and cholesterol
- Secretion of bile
- Secretion of heparin
- Synthesis of immunoglobulins
- Breaking down of fats
- Regulation of amino acids
Â
 |
|
|
Term
| Main preventative measure against hepatitis |
|
Definition
|
|
Term
| Medications to treat hepatic Encephalopathy.(2) |
|
Definition
Lactulose(Cholac,Chronulac,Duphalac)
Neomycin (Mycifradin) |
|
|
Term
|
Definition
| Inability to take a deep breath when fingers are pressed under liver margin |
|
|
Term
| Neurological changes from excess ammonia |
|
Definition
|
|
Term
| Oliguria and sodium retention without kidney defects |
|
Definition
|
|
Term
| Once bolus passes through Pyloric sphincter, it is known as |
|
Definition
|
|
Term
| Pancreas makes insulin that is not working effectively |
|
Definition
|
|
Term
| Pancreas stops making insulin |
|
Definition
|
|
Term
| Pancreatic Enzyme replacement(2) |
|
Definition
Pancreatin
Pancrelipase(pancrease,Viokase) |
|
|
Term
| Pancreatic cancer: diagnostic |
|
Definition
|
|
Term
| Pancreatic juices: contents |
|
Definition
- water
- enzymes
- protein |
|
|
Term
|
Definition
- infection
- trauma
- alcohol
- drugs |
|
|
Term
|
Definition
- intractable pain in mid-epigastric area
- fever
- anorexia
- persistent vomiting
- distention |
|
|
Term
| Pancreatitis: secondary effect |
|
Definition
| diabetes mellitus due to affected islets of Langerhans |
|
|
Term
| Pancreatitis: treatment (4) |
|
Definition
- hourly V/S
- Non-morphine narcotics
- no alcohol
- Discharge planning: call if weight loss, hi blood sugar, fatty stools |
|
|
Term
| Pigment from the breakdown of RBCs |
|
Definition
|
|
Term
|
Definition
| Increased pressure in the portal circulation |
|
|
Term
| Problem with liver: what specific lab test would be important |
|
Definition
| Alkaline Phosphatase (ALP) |
|
|
Term
| Removal of all or part of the pancreas |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Scarring and hardening of the liver from inflammation |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| fatty, foul-smelling stools |
|
|
Term
|
Definition
|
|
Term
| The gallbladder's main functions |
|
Definition
| to store and to release bile as needed in the small intestine for fat emulsification |
|
|
Term
| The liver is divided into |
|
Definition
| two major and two minor lobes |
|
|
Term
The nurse can expect which of the following pain meds to be ordered for patients with biliary colic?
A) codeine
B) morphine
C) apomorphine
D) mederidine |
|
Definition
|
|
Term
| Treatment that allows for continuous shunting of ascitic fluid into the superior vena cava |
|
Definition
| LeVeen continuous peritoneal jugular shunt |
|
|
Term
| Type of hepatitis transmitted oral-fecal |
|
Definition
|
|
Term
| Type of hepatitis transmitted through body fluids |
|
Definition
|
|
Term
| Type of hepatitis transmitted through contaminated food, water, and handlers |
|
Definition
|
|
Term
| Used after surgery to look for retained ductal stones |
|
Definition
|
|
Term
Vaccinations exist for which of the following?
HAV
HBV
HCV
HDV
HEV
HGV |
|
Definition
|
|
Term
| Visible veins around umbilicus |
|
Definition
|
|
Term
| Waste product of proteins produced in the liver |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are trauma victims usually given to prevent stress ulcers? |
|
Definition
|
|
Term
| What hormone makes the gallbladder contract |
|
Definition
|
|
Term
| What makes the pancreas special |
|
Definition
| has both endocrine and exocrine functions |
|
|
Term
| What makes up pancreatic juices? |
|
Definition
- enzymes
- water
- proteins
- organic salts |
|
|
Term
| What provides osmotic pressure for blood pressure? |
|
Definition
|
|
Term
| Where albumin is secreted |
|
Definition
|
|
Term
| Where pancreatic enzymes empty |
|
Definition
| into the common bile duct |
|
|
Term
Which are risk factors for gallbladder disease (SATA)
A) male
B) obese
C) multiple pregnancies
D) age 40+
E) fasting |
|
Definition
B) obese
C) multiple pregnancies
D) age 40+
E) fasting |
|
|
Term
Which instructions should be give to the portal hypertension patient?
A) cough/deep-breathe q 2 hr
B) avoid straining to have BM
C) increase fluids
D) expect tea-colored urine |
|
Definition
| B) avoid straining to have BM |
|
|
Term
Which of the following is not synthesized by the liver?
A) Fibrinogen
B) Albumin
C) Hemoglobin
D) Lipoproteins |
|
Definition
|
|
Term
Which of the following nursing interventions related to esophageal tamponade with a Senstaken-Blakemore tube is INAPPROPRIATE?
A) keeping scissors at bedside
B) keeping suction available
C) maintaining tracton on tube if ordered
D) deflating gastric balloon periodically |
|
Definition
| D) deflating gastric balloon periodically |
|
|
Term
| Yellowing of the sclerae and skin from excess bilirubin |
|
Definition
|
|
Term
| also known simply as the appendix |
|
Definition
|
|
Term
| anticoagulant secreted in the liver |
|
Definition
|
|
Term
|
Definition
| surgical removal of the appendix. |
|
|
Term
|
Definition
| inflamation of the appendix. |
|
|
Term
| as an endocrine gland, the pancreas secretes: |
|
Definition
| insulin, glucagon, and somatostatin |
|
|
Term
| bile flows from the gallbladder through the |
|
Definition
|
|
Term
|
Definition
| dissolves cholesterol gallstones |
|
|
Term
|
Definition
| Inflammation of gallbladder |
|
|
Term
|
Definition
| use of an endoscope to explore the common bile duct |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Pancreas stops making insulin |
|
|
Term
|
Definition
| Pancreas makes insulin that is not working effectively |
|
|
Term
| diet for hepatic encephalopathy |
|
Definition
|
|
Term
| digestive enzyme in the pancreas |
|
Definition
|
|
Term
|
Definition
|
|
Term
| discoloration at the periumbilical area. May indicate underlying subcutaneous intraperitoneal hemmorhage. |
|
Definition
|
|
Term
| dissolves cholesterol gallstones |
|
Definition
|
|
Term
| fish-shaped glandular organ about 6 inches (15 cm) long |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| infectious hepatitis, abbrev. |
|
Definition
|
|
Term
|
Definition
| Where albumin is secreted |
|
|
Term
|
Definition
|
|
Term
| located behind the stomach |
|
Definition
|
|
Term
| located on the liver's undersurface |
|
Definition
|
|
Term
|
Definition
| on the liver's undersurface |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
- located behind the stomach
- fish-shaped glandular organ
- about 6 inches (15 cm) long |
|
|
Term
| part of the pancreas that produces pancreatic juice |
|
Definition
|
|
Term
| patient has chronic liver failure. Presents with asterixis, fetor hepaticus, confusion. What's the complication? |
|
Definition
|
|
Term
| procedure that can retrieve or crush leftover gallstones |
|
Definition
| Endoscopic Retrograde CholangioPancreatography (ERCP) |
|
|
Term
| procedure that shatters gallstones using sound waves |
|
Definition
| extracorporeal shock wave lithotripsy (ESWL) |
|
|
Term
| removal of gallbladder through a small abdominal incision |
|
Definition
| laparoscopic cholecystectomy |
|
|
Term
| signs and symptoms of appendicitis |
|
Definition
| severe generalised abdominal pain.it is often diagnosed by ultrasound and MRI. |
|
|
Term
| surgical drain used to ensure that bile freely drains from gallbladder after surgery |
|
Definition
|
|
Term
| symptoms include confusion and coma |
|
Definition
|
|
Term
| symptoms of encephalopathy (2) |
|
Definition
|
|
Term
| syndrome that causes anuria |
|
Definition
|
|
Term
| test to determine pancreatic cancer |
|
Definition
|
|
Term
| the body's largest glandular organ |
|
Definition
|
|
Term
| use of an endoscope to explore the common bile duct |
|
Definition
|
|
Term
|
Definition
|
|
Term
| what provides osmotic pressure for blood pressure? |
|
Definition
|
|
Term
[image]
Accessory digestive organs-numbered |
|
Definition
[image]
Accessory digestive organs-named |
|
|
