Hepatitis By Rnpedia

22 Questions | By Rnpedia | Last updated: Sep 1, 2017 | Total Attempts: 3908

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Choose the letter of the correct answer. :-)

Questions and Answers

1.

A female client who has just been diagnosed with hepatitis A asks, “How could I have gotten this disease?” What is the nurse’s best response?
- A.
  
  “You may have eaten contaminated restaurant food.”
- B.
  
  “You could have gotten it by using I.V. drugs.”
- C.
  
  “You must have received an infected blood transfusion.”
- D.
  
  “You probably got it by engaging in unprotected sex.”
2.

A female client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are:
- A.
  
  Whole blood and albumin.
- B.
  
  Platelets and packed red blood cells.
- C.
  
  Fresh frozen plasma and whole blood.
- D.
  
  Cryoprecipitate and fresh frozen plasma.
3.

A male client has just been diagnosed with hepatitis A. On assessment, the nurse expects to note:
- A.
  
  Severe abdominal pain radiating to the shoulder.
- B.
  
  Anorexia, nausea, and vomiting.
- C.
  
  Eructation and constipation.
- D.
  
  Abdominal ascites.
4.

A female client with viral hepatitis A is being treated in an acute care facility. Because the client requires enteric precautions, the nurse should:
- A.
  
  Place the client in a private room.
- B.
  
  Wear a mask when handling the client’s bedpan.
- C.
  
  Wash the hands after touching the client.
- D.
  
  Wear a gown when providing personal care for the client.
5.

Which of the following factors can cause hepatitis A?
- A.
  
  Contact with infected blood
- B.
  
  Blood transfusions with infected blood
- C.
  
  Eating contaminated shellfish
- D.
  
  Sexual contact with an infected person
6.

Dr. Smith has determined that the client with hepatitis has contracted the infection form contaminated food. The nurse understands that this client is most likely experiencing what type of hepatitis?
- A.
  
  Hepatitis A
- B.
  
  Hepatitis B
- C.
  
  Hepatitis C
- D.
  
  Hepatitis D
7.

A client is suspected of having hepatitis. Which diagnostic test result will assist in confirming this diagnosis?
- A.
  
  Elevated hemoglobin level
- B.
  
  Elevated serum bilirubin level
- C.
  
  Elevated blood urea nitrogen level
- D.
  
  Decreased erythrocycle sedimentation rate
8.

Nurse Rachel teaches a client who has been recently diagnosed with hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. The one that should be reported immediately to the physician is:
- A.
  
  Restlessness
- B.
  
  Yellow urine
- C.
  
  Nausea
- D.
  
  Clay- colored stools
9.

Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?
- A.
  
  Watery stool
- B.
  
  Yellow sclera
- C.
  
  Tarry stool
- D.
  
  Shortness of breath
10.

For prevention of hepatitis A, you decided to conduct health education activities. Which of the following is IRRELEVANT?
- A.
  
  Use of sterile syringes and needles
- B.
  
  Safe food preparation and food handling by vendors
- C.
  
  Proper disposal of human excreta and personal hygiene
- D.
  
  Immediate reporting of water pipe leaks and illegal water connections
11.

A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?
- A.
  
  Prilosec (omeprazole)
- B.
  
  Synthroid (levothyroxine)
- C.
  
  Premarin (conjugated estrogens)
- D.
  
  Lipitor (atorvastatin)
12.

In caring for a client with acute viral hepatitis, which task should be delegated to the nursing assistant?
- A.
  
  Empty the bedpan while wearing gloves.
- B.
  
  Suggest diversional activities.
- C.
  
  Monitor dietary preferences.
- D.
  
  Reports signs and symptoms of jaundice.
13.

Tony has diagnosed with hepatitis A. The information from the health history that is most likely linked to hepatitis A is:
- A.
  
  Exposed with arsenic compounds at work
- B.
  
  Working as local plumber
- C.
  
  Working at hemodialysis clinic
- D.
  
  Dish washer in restaurants
14.

A mother brought her child in the health center for hepatitis B vaccination in a series. The mother informs the nurse that the child missed an appointment last month to have the third hepatitis B vaccination. Which of the following statements is the appropriate nursing response to the mother?
- A.
  
  “I will examine the child for symptoms of hepatitis B”
- B.
  
  “Your child will start the series again”
- C.
  
  “Your child will get the next dose as soon as possible”
- D.
  
  “Your child will have a hepatitis titer done to determine if immunization has taken place.”
15.

In the United States, nurses performing invasive procedures need to be up-to-date with their immunizations, particularly
- A.
  
  hepatitis B.
- B.
  
  hepatitis E.
- C.
  
  Hepatitis A.
- D.
  
  Hepatitis C.
16.

Which of the following is not a specific element of Hepatitis C?
- A.
  
  Vaccine available
- B.
  
  May be transmitted with sexual contact
- C.
  
  Inflammation of the liver
- D.
  
  Lifetime carrier
17.

Which of the following Vitamins is not stored in the Liver?
- A.
  
  Vitamin A
- B.
  
  Vitamin B
- C.
  
  Vitamin C
- D.
  
  Vitamin D
18.

Tiffany Black is diagnosed with type A hepatitis. What special precautions should the nurse take when caring for this patient?
- A.
  
  Put on a mask and gown before entering the patient’s room.
- B.
  
  Wear gloves and a gown when removing the patient’s bedpan.
- C.
  
  Prevent the droplet spread of the organism.
- D.
  
  Use caution when bringing food to the patient.
19.

A patient with chronic hepatitis C has been receiving interferon alfa-2a (Roferon-A) injections for the last month. Which information gathered during a visit in the home to conduct an interview and physical assessment is most important to communicate to the physician?
- A.
  
  The patient has chronic nausea and vomiting
- B.
  
  The patient is giving the medication by the IM route to her lateral thigh.
- C.
  
  The patient has a temperature of 99.7o F orally.
- D.
  
  The patient complains of chronic fatigue, muscle aches, and anorexia.
20.

You obtain these assessment data while completing as admission for a patient with a history of a liver transplant who is receiving cyclosporine (Sandimmune), prednisone (Deltasone), and mycophenolate (CellCept) to suppress immune function. Which one will be of most concern?
- A.
  
  The patient’s gums appear very pink and swollen.
- B.
  
  The patient’s blood glucose is increased to 162 mg/dL
- C.
  
  The patient has a non-tender swelling above the clavicle.
- D.
  
  The patient has 1+ pitting edema in the feet and ankles.
21.

Van Fajardo is a 55 year old who was admitted to the hospital with newly diagnosed hepatitis. The nurse is doing a patient teaching with Mr. Fajardo. What kind of role does the nurse assume?
- A.
  
  Talker
- B.
  
  Teacher
- C.
  
  Thinker
- D.
  
  Doer
22.

An infant is brought to the health care clinic for three immunizations at the same time. The nurse knows that hepatitis B, DPT, and Haemophilus influenzae type B immunizations should:
- A.
  
  Be drawn in the same syringe and given in one injection.
- B.
  
  Be mixed and inject in the same sites.
- C.
  
  Not be mixed and the nurse must give three injections in three sites.
- D.
  
  Be mixed and the nurse must give the injection in three sites.