Module 7 (Quiz Questions)

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.

d

Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He's jaundiced and reports weakness. Which intervention will you include in his care? a. Regular exercise. b. A low-protein diet. c. Allow patient to select his meals. d. Rest period after small, frequent meals.

d

A nurse is discussing the precautionary measures that need to be taken to prevent further complications with a patient who has hepatitis. Which statement made by the patient indicates a need for further discussion? A. "I should continue taking acetaminophen as I have in the past" B. "I should take supplements of vitamin A, D, E, K" C. "I should take small, frequent meals that are low in fat" D. "I should maintain a proper balance of rest & exercise"

A

Which type of hepatitis can be prevented by vaccine? A. Hep B B. Hep C C. Hep E D. Hep G

A

Which type of hepatitis is considered a chronic illness? A. Hep C B. Hep D C. Hep E D. Hep G

A

Mrs. Jones is a 68 year-old female admitted to your unit with a new diagnosis of liver cancer. Which of the following clinical manifestations may be present in a patient with liver cancer? Select all that apply. a. Ascites b. Fatigue c. Periumbilical pain d. Jaundice e. Hemoptysis

A, B, D

Which actions are most appropriate when caring for a patient with liver cancer? Select all that apply. A. administer nerve blocks locally and directly into the nerves of the abdomen B. include plenty of fluids & protein rich foods in the diet C. administer antibiotics & antipyretics to the patient D. keep the lower extremities at a lower level E. administer nonsteroidal anti-inflammatory meds to the patient

A, C, E

The nurse is educating a high-risk community group about hepatitis. Which statement regarding nonviral forms of hepatitis indicates a need for further instruction? A. "They may result in jaundice" B. "They can be treated by pegylated interferon injections" C. "They may result in hepatomegaly" D. "They can be caused by ingestion, inhalation, or injection of toxins or drugs"

B

Which point regarding hepatitis B infection indicates a need for further instruction? A. "It has an incubation period of about 45 to 60 days" B. "its route of transmission is the fecal-oral" C. "it can be prevented by vaccination" D. "it results in chronic infection"

B

Which statement by a nursing student regarding liver cancer indicates a need for further teaching? A. "Hemocromatosis is a risk factor for liver disease" B. " Secondary liver cancer originates from the liver" C. "Radiofrequency ablation is a mode of treatment for liver cancer" D. "Transcatheter arterial chemoembolization is a mode of treatment for liver cancer"

B

The nurse is teaching a group of pre-school teachers about Hep A. Which is true? Select all that apply. A. it can cause chronic infection B. it can last up to 8 weeks C. it can be spread only by blood and bodily fluids D. it can cause mild symptoms, or sometimes the patient may remain asymptomatic E. it can cause an elevation in the levels of antihepatitis A immunoglobulin M (IgM)

B, D, E

A nursing student is listing the types of hepatitis that are transmitted through infected blood & bodily fluids. Which example listed by the nursing student indicates a need for further teaching? A. Hep C B. Hep D C. Hep E D. Hep G

C

Nathaniel has severe pruritus due to having hepatitis B. What is the best intervention for his comfort? a. Give tepid baths. b. Avoid lotions and creams. c. Use hot water to increase vasodilation. d. Use cold water to decrease the itching.

a

Jerod is experiencing an acute episode of ulcerative colitis. Which is priority for this patient? a. Replace lost fluid and sodium. b. Monitor for increased serum glucose level from steroid therapy. c. Restrict the dietary intake of foods high in potassium. d. Note any change in the color and consistency of stools.

a

a female client 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."

a

1. 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.

b

1. 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.

c

The nurse is caring for a patient with known hepatitis B. A second type of hepatitis is discovered. What type of hepatitis would it be? A. Hep A B. Hep C C. Hep D D. Hep E

c

You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient? a. "Now I can never get hepatitis again." b. "I can safely give blood after 3 months." c. "I'll never have a problem with my liver again, even if I drink alcohol." d. "My family knows that if I get tired and start vomiting, I may be getting sick again."

d