Hepatitis By Rnpedia
Choose the letter of the correct answer. :-)
- 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.
- 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.
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