Albany State University Nursing Division NURS 2115 Spring
2017 Metabolic Disorder Study Guide
The guide is meant to help focus on study topics. Liver disorders will be half
of the metabolic items on the test. The emphasis will be on nursing care and
decision- making.
1. Know the difference between legal and ethical action in nursing.
2. Examine cultural considerations when treating client conditions.
3. Understand the difference between active and passive immunity. Give
an example of passive immunity in adults.
❖Active Immunity
➢immunologic defenses developed by the persons own body.
➢Last many years or even a lifetime
➢Creates memory B cells make antibodies when exposed to an
antigen you were previously exposed to
➢Examples
▪Get sick and body makes antibodies
▪Immunizations and vaccinations
❖Passive Immunity
➢Immunity transmitted from a source outside the body that has
developed immunity through previous disease or immunization.
➢Temporary immunization
➢Examples
▪Mother to fetus through placenta
▪Mother to newborn through breastmilk
▪IV immunoglobulins (Passive Immunoglobulins) this way
the body doesn’t have to create the immunoglobulins
▪Blood transfusion from someone who was previously
infected or vaccinated
4. Discuss the signs and symptoms of liver disorders.
❖Integumentary changes
➢Jaundice
▪When the bilirubin concentration in the blood is abnormally
elevated , all of the bodies tissues, including the sclera and skin,
become tinged yellow or greenish yellow. (pg 1342)
▪This becomes clinically evident when the bilirubin levels
exceed 2.5mg/dL
▪Increased levels may result from impairment of hepatic uptake,
conjugation of bilirubin, or excretion of bilirubin into the biliary
system.
▪Different types of jaundice
•Hemolytic jaundice (Pg. 1343)
