questions for hepatitis

the nurse plans the care for a client with hepatitis A with the understanding that the causative virus will be excreted from the client's body primarily through the: A. skin B. Feces C. Urine D. Blood

B

the nurse is planning a community education program on how to prevent the transmission of viral hepatitis. which of the following types of hepatitis is considered to primarily a sexually transmitted disease. A. Hep A B. Hep B C. Hep C D. Hep D

B. Hep B is considered to be sexually transmitted. Hep C is less frequently transmitted sexually and more frequently percutaneously

which of the following measures would prevent transmission of the hepatitis C virus to health care personnel A. administering hepatitis C vaccine to all health care personnel B. decreasing contact with blood and blood-contaminated fluids C. wearing gloves when emptying the bedpan D. wearing a gown and mask when providing direct care

B. hep C is usually transmitted through blood exposure and needlesticks

a client has been admitted to the hospital with a diagnosis of hepatitis B. the client tells the nurse, "i feel so isolated from my friends and family. nobody wants to be around me. " what would be the most appropriate nursing diagnosis for this client A. anxiety related to feelings of isolation B. social isolation related to significant others' fear of contracting disease C. powerlessness related to lack of social support D. low self-esteem related to feeling of rejection

B. nurse should encourage the client to further verbalize feelings of isolation

the nurse should expect the client to exhibit which of the following S/S during icteric phase of viral hepatitis. A. tarry stools B. yellowed sclera C. SOB D. light, frothy urine

B. Excess bilirubin turns skin and sclera yellow and urine dark and frothy

which of the following expected outcomes would be appropriate for a client with viral hepatitis? 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 use of alcohol to 2-3 drinks per week D. restrict activity to within the home to prevent disease transmission

B. bleeding can be a result of prolonged prothrombin time

which of the following test results should the nurse use to assess the liver function of a client with viral hepatitis A. glucose tolerance B. creatinine clearance C. serum transaminase D. serum electrolytes

C. along with bilirubin and other enzymes transaminase provide important data about liver function

which of the following diets would most likely be prescribed for a client with viral hepatitis A. high-fat, low-protein B. high-protein, low-carb C. high-carb, high-calorie D. low-sodium, low-fat

C. because these clients are generally anorexic and have little interest in eating

the develops a teaching plan for the client about how to prevent the transmission of hepatitis A. which of the following discharge instructions is appropriate for the client A. spray the house to eliminate infected insects B. tell the family to stay away from the client C. tell the family to wash their hands frequently D. disinfect all clothing and eating utensils

C. hep A is transmitted through fecal oral route. hand washing is essential

interferon alfa-2b (intron A) has been prescribed to treat a client with chronic hepatitis B. what adverse effect is most commonly associated with the administration of interferon alfa-2b A. retinopathy B. constipation C. flulike symptoms D. hypoglycemia

C. such as myalia, arthralgia, headache, nausea, fever, and fatigue

the nurse is planning a staff development program on how to care for clients with hepatitis A. which of the following precautions should the nurse indicate as essential when caring for clients with hepatitis A A. gowning when entering the client's room B. wearing mask when providing client care C. assigning the client to a private room D. wearing gloves when giving direct care

D. contact precaution are recommended by the CDC

a client who is recovering from hepatitis A continues to complain of fatigue and malaise. the client asks the nurse, "when will my strength return?" which of the following responses is most appropriate A. your fatigue should be gone by now. we will evaluate you for a secondary infection B. you fatigue is an adverse effect of your drug therapy. it will disappear once your regimen is complete C. it is important for you to increase your activity level. that will help you decrease fatigue D. it is normal for you to feel fatigue. the fatigue show go away in the next 2-4 months

D. during the convalescent or posticteric stage, fatigue and malaise are common complaints

the nurse is preparing a community education program about preventing hepatitis B infection. which of the following would be appropriate to incorporate into the teaching plan A. hepaitis B is relatively uncommon among college students B. frequent ingestion of alcohol can predispose a client to hepatitis B C. good personal hygiene habits are most effective at preventing the spread of hepatits B D. the use of a condom is advised for sexual intercourse

D. hepatitis B is considered a sexual transmitted disease

when developing a plan of care for a client with viral hepatitis, the nurse should incorporate nursing orders that reflect the primary treatment. emphasis will be on ensuring that the client which of the following A. adequate bed rest B. generous fluid intake C. regular antibiotic therapy D. daily intravenous electrolyte therapy

A.

in a client with viral hepatitis, the nurse should closely assess for indications of which of the following abnormal lab results A. prolonged prothrombin time B. decreased blood glucose level C. elevated serum potassium level D. decreased serum calcium level

A. prothrombin time may be prolonged because of decreased absorption of vitamin K and decreased production of prothrombin by the liver

the nurse assesses that the client with hepatits is experience fatigue, weakness, and a general feeling of malaise. the client tires rapidly during morning care. based on this information, which of the following would be an appropriate nursing diagnosis A. impaired physical mobility related to malaise B. self-care deficit related to fatigue C. ineffective coping related to long-term illness D. activity intolerance related to fatigue

D.

what would be the nurses best response to the client's expressed feelings of isolation as a result of having hepatitis A. dont worry, it's normal to feel that way B. your friends are probably afraid of contracting hepatitis from you C. im sure youre imagining that! D. tell me more about your feelings of isolation

D.