Hepatititis

The nurse is teaching an adult recreational drug user about measure to avoid acquiring hep A. What info should the nurse include in the instructions? select all that apply A. observe proper hand washing technique B. follow safe syringe disposal C. obtain a vaccine D. wear a mask when in crowds E. use caution with eating fresh fruits and veggies

ABCE

Which finding is normal for a client during the icteric phase of hep A? A. tarry stools B. yellow sclerae C. SOB D. light, frothy urine

B

When planning care for a client with hep A, the nurse should review lab reports for which lab values? A. prolonged prothrombin time B. decreased blood glucose C. elevated serum potassium D. decreased serum calcium

A

A pt with chronic hep C is experiencing nausea, anorexia, and fatigue. During the health hx, the pt states he is homosexual, drinks one to two glasses of wine with dinner, is taking st. john's wort for a "bit of depression," and takes tylenol for frequent headaches. What should the nurse do? select all that apply A. instruct pt that wine with meals can be beneficial of cardiovascular health B. instruct the pt to ask the HCP about taking any other medications as they may interact with medications the pt is currently taking C. instruct the pt to increase the protein in his diet and eat less frequently D. advise the pt of the need for additional testing for HIV E. encourage the pt to obtain sufficient rest

BDE

The nurse develops a teaching plan for the client about how to prevent the transmission of hep A. Which discharge instruction is appropriate for the client? A. spray the house to eliminate infected insects B. tell family members to try and stay away from pt C. ask family members to wash their hands frequently D. disinfect all clothing and eating utensils

C

nterferon alfa-2b has be prescribed to treat a client with chronic hep B. The nurse should assess the client for which common adverse effect? A. retinopathy B. constipation C. flulike symptoms D. hypoglycemia

C

A pt who is recovering from hep A has fatigue and malaise. The pt has the nurse, "When will my strength return?" Which response by the nurse is most appropriate? A. "your fatigue should be gone by now, we will eval you for a secondary infection" B. "your fatigue is an adverse effect of your drug therapy, it will disappear when your tx regimine is complete" C. "it is important for you to increase your activity level, that will help decrease your fatigue" D. "it is normal for you to feel fatigued, it should go away in the next 2 to 4 months"

D

The client with hep A is experiencing fatigue, weakness, and a general feeling of malaise. The client tires rapidly during morning care. What is the most appropriate goal for this client? A. increase mobility B. learn new self care skills C. adapt to new levels of energy D. gradually increase activity tolerance

D

The nurse is assessing a pt with hep A and notices the AST and ALT lab values have increase. Which statement by the pt indicates a need for further teaching? A. "I require increased periods of rest" B. "I follow a low-fat, high carb diet" C. "I eat dry toast to relieve my nausea" D. "I take acetaminophen for arthritis pain"

D

The nurse is caring for a pt recently diagnosed with hep C. In reviewing the pt's history, what info will be most helpful as the nurse develops a teaching plan?The client: A. has a hx of exercise-induced asthma B. is a scientist and is frequently exposed to multiple chemicals C. traveled to central america recently and ate uncooked veggies D. has a known hx of STD

D

The nurse is preparing a community education program about preventing hep B infections. What information should be incorporated into the teaching plan? A. hep B is relatively uncommon among college students B. frequent ingestion of alcohol can predispose an individual to development of hep B C. good personal hygiene habits are most effective at preventing the spread of hep B D. the use of a condom is advised for sex

D

A pt recently diagnosed with hep C states: "Now that you know what's wrong with me, you can just get me those new drugs to take care of it, right?" What should the nurse tell the pt? A. There are new antiviral drugs available that may make tx more effective and help you tolerate it better B. there are drugs to help with the symptoms but once you have hep C you will never be cured C. the medicine currently used to tx hep C is expensive, and your insurance probably will not pay for it D. if you continue to make the same lifestyle choices, the medicine will not make a difference

A

The nurse is developing a teaching plan for a pt with viral hepatitis. What info should the nurse include in the plan? A. obtain adequate bed rest B. increase fluid intake C. take antibiotic therapy as prescribed D. drink 8 oz (240 mL) of an electrolyte solution every day

A

The nurse is developing a teaching plan for a pt with hep A. What should the nurse tell the client to do? A. limit caloric intake and reduce wt B. increase carbs and protein in diet C. avoid contact with others and sleep in a separate room D. intensify routine exercise and increase strength

B

The nurse is establishing goals for the client with hep A. Which goal is appropriate?The client will: A. demonstrate a decrease in fluid retention related to ascites B. verbalize the importance of reporting bleeding gums or bloody stools C. limit the use of alcohol to 2-3 drinks per week D. restrict activity to within the home to prevent disease transmission

B

A pt plans to travel to a country where hep B is common. What should the nurse advise the pt about the most effective way to prevent the disease? A. drink purified water B. avoid crowded, enclosed spaces C. complete vaccine series D. observe safe sex practices

C