Hepatitis nursing care: transmission, treatment and lab findings

1. 1The nurse recognizes special care must be taken in the handling of which to prevent transmission of hep A

   1. Ablood
   2. Bfeces
2. 2which type of hepatitis does no produce a carrier state after its acute phase?

   1. AA
   2. BB
3. 3A physician who has never been immunized for hepatitis B is exposed to the hepatitis B virus (HBV) through a needle stick from an infected patient. What should the infection control nurse inform both the physician and patient that treatment for the exposure should include?

   1. AEvaluation of liver function tests in 60 days
   2. BActive immunization with hepatitis B vaccine
   3. CBoth the hepatitis B vaccine and HBIG
4. 4While the nurse is obtaining a nursing history from a patient diagnosed with hepatitis C, what information reported by the patient indicates the highest risk factor for hepatitis C?

   1. ASexual exposure
   2. B
      Injection drug use
5. 5. What should the nurse explain to the patient?

   1. APatients with acute hepatitis B can be given HBIG to help reduce the symptom
   2. BNo medication is available for treatment of HBV infection
6. 6During the acute phase of hepatitis, what would the nurse expect the patient’s laboratory results to include?

   1. AIncreased stool urobilinogen
   2. BIncreased total serum bilirubin
7. 7A 68-year-old patient has an abrupt onset of anorexia, nausea and vomiting, hepatomegaly, and abnormal liver function studies. Serological testing is negative for viral causes of hepatitis. During assessment of the patient, what is it most important for the nurse to ask the patient about?

   1. AAny prior exposure to people with jaundice
   2. B
      The use of all prescription and over-the-counter medications
8. 8The nurse assesses a patient with cirrhosis and finds 4+ pitting edema of the feet and legs and massive ascites. The data indicate that the nurse should monitor which of the following?

   1. AAlbumin level
   2. BHemoglobin
9. 9When assessing a patient for signs of impending coma resulting from hepatic encephalopathy, what should the nurse ask the patient to do?

   1. AExtend both arms.
   2. BStand on one foot.
10. 10A patient with advanced liver disease has marked ascites and signs of hepatic encephalopathy. Following instruction about his diet, the nurse determines that teaching has been effective when the patient’s choice of foods from the menu includes which of the following?

    1. ACheese omelette with mushrooms and milk
    2. BPancakes with butter and honey and orange juice

11. 11A patient with cirrhosis has a massive hemorrhage from esophageal varices. In planning care for the patient, to what goal does the nurse give the highest priority?

    1. AControl of the bleeding
    2. BMaintenance of the airway
12. 12A patient with cancer of the liver has severe ascites that is causing shortness of breath and difficulty breathing. The physician plans a paracentesis to relieve the fluid pressure on the diaphragm. To prepare the patient for the procedure, what should the nurse do?

    1. AAsk the patient to empty the bladder.
    2. BPosition the patient flat on the right side.
13. 13A patient is admitted to the hospital with a sudden onset of severe right upper quadrant pain that radiates to the right shoulder. She has a history of fat intolerance and heartburn. The nurse recognizes that the patient most likely has a biliary tract obstruction when the patient reports experiencing which of the following?

    1. A
       Spider angiomas
    2. BClay-coloured stools
14. 14Which data obtained by the nurse during the assessment of a patient with cirrhosis will be of most concern?

    1. AThe patient complains of right upper quadrant pain with abdominal palpation.
    2. BThe patient’s hands flap back and forth when the arms are extended.
15. 15Management of ascites is focused on which one of the following actions?

    1. Alimiting intake
    2. Bsodium restriction
16. 16The most common clinical manifestation of portal hypertension is what type of bleeding

    1. Arectal
    2. Besophageal
17. 17Hepatic fat accumulation is observed in which form of cirrhosis?

    1. ABiliary
    2. BAlcoholic
18. 18What distinguishes kwashiorkor from marasmus?

    1. AMuscle wasting, diarrhea, low hemoglobin, and infection characterize kwashiorkor.
    2. BSubcutaneous fat, hepatomegaly, and fatty liver are present in kwashiorkor.
19. 19Cirrhosis causes intrahepatic portal hypertension in children as a result of which mechanism?

    1. A
       Fibrosis that increases the resistance to blood flow within the portal system
    2. BIncreased pressure from the twisting of the common bile ducts
20. 20What is the most common clinical sign of portal hypertension in children?

    1. ASplenomegaly
    2. BPulmonary edema
21. 21What are the classic symptoms associated with hepatitis A in children?

    1. Anausea
    2. Bvomiting
    3. Cdiarrhea
    4. Djaundice
    5. Emuscle pain
22. 22A 72-year-old patient is seen at the clinic for symptoms of a urinary tract infection. She is 155 cm tall and weighs 42 kg. The nursing history reveals that she drinks tea and eats toast twice a day for her meals because it is easy to fix and she has no appetite. Laboratory results include hemoglobin 6.5 mmol/L (10.5 g/dL) and albumin 20 g/L (2.0 g/dL). The nurse determines that the patient is near starvation wit

    1. AA small, nodular liver
    2. BEdema of the face and extremities

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Test sobre Sin título, creado por amanda.sissons el 02/05/2015.

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