Hepatitis
A patient diagnosed with hepatitis A asks the nurse how this disease may have been contracted. Which answer by the nurse is correct? 1 "You may have consumed foods contaminated with the virus." 2 "If you received a blood transfusion, you may have been exposed." 3 "You may have been exposed if you had unprotected sexual intercourse." 4 "The virus is airborne, so you may have contracted it from an infected person.
"You may have consumed foods contaminated with the virus."
The community health nurse is exploring the cause of an outbreak of hepatitis A. Which individual does the nurse suspect may be the source? 1 Individual who recently got a tattoo 2 Patients who were infected after eating at the same restaurant 3 Spouse of an intravenous drug abuser who developed hepatitis 4 Patient who had a blood transfusion during cardiac surgery in 1985
Patients who were infected after eating at the same restaurant
What type of cirrhosis is caused by hepatitis C? 1 Biliary 2 Laennec's 3 Cholestatic 4 Postnecrotic
Postnecrotic
Which assessment finding is consistent with a diagnosis of viral hepatitis? 1 Icteric skin 2 Dark-brown stool 3 Light-colored urine 4 Left upper quadrant tenderness
Icteric skin
A patient tests positive for immunoglobulin G (IgG) hepatitis A virus (HAV) antibodies. For which condition is this result indicative? 1 Ongoing liver inflammation caused by HAV 2 Active HAV infection with acute liver changes 3 Immunity to HAV after previous HAV infection 4 Possible hepatic cirrhosis as a result of HAV infection
Immunity to HAV after previous HAV infection
When providing community education, the nurse emphasizes that which group should receive immunization for hepatitis B? 1 Men who prefer sex with men 2 Patients who work with shellfish 3 Patients traveling to a third-world country 4 Patients with elevations of aspartate aminotransferase (AST) and alanine aminotransferase (ALT
Men who prefer sex with men
Which instruction is essential for the nurse to include when teaching a patient who is undergoing treatment for hepatitis with ribavirin? 1 Never miss a dose. 2 Avoid going out in the sun. 3 Take the medication on an empty stomach. 4 Take the medication at the same time each day
Never miss a dose.
Which precaution is most appropriate for the nurse to implement with a patient with hepatitis A? 1 Enteric precautions 2 Droplet precautions 3 Protective isolation 4 Standard Precautions
Standard Precautions
A patient with hepatic encephalopathy may require which dietary or pharmacologic therapy to help decrease serum ammonia levels? 1 Nonabsorbable antibiotics given for long-term therapy 2 Trial of lactulose to increase the excretion of ammonia 3 Diet high in carbohydrates and protein with moderate fats 4 Diet low in protein and moderate in fats and carbohydrates
Trial of lactulose to increase the excretion of ammonia