Protection - HESI QUIZ
The nurse teaches a client who is concerned about hepatitis transmission routes. Which type of hepatitis spreads more frequently through food? A B C D
Hepatitis A
The nurse provides education to a client with the diagnosis of bone cancer that has a metastasis to the lung. Which client statement indicates the need for further teaching related to the concept of metastasis? A. "Because my cancer has metastasized, my diagnosis now is lung cancer." B. "Even though pain isn't experienced, a person can still have metastasis." C. "I can have metastases to other parts of my body besides the lung." D. "I need to talk with my health care provider about the possibility of more metastases."
A. "Because my cancer has metastasized, my diagnosis now is lung cancer."
A farmer seeks medical care for a large crusty patch of skin on the cheek. The client states that even after using different remedies, it still bleeds easily and has not gotten better. From the client's history, the nurse suspects skin cancer. Which factor in the client's history helped the nurse form this conclusion? A. Exposure to radiation B. Location of the lesion C. Self-treatment of lesions D. Contact with soil contaminants
A. Exposure to radiation -Radiation from the sun's ultraviolet light; farmers are susceptible to this type of cancer.
Which dietary selections made by the client indicate understanding of previously taught dietary principles associated with having viral hepatitis? A. Turkey salad, french fries, sherbet B. Cottage cheese, mixed fruit salad, milkshake C. Salad, sliced chicken sandwich, gelatin dessert D. Cheeseburger, tortilla chips, chocolate pudding
C. Salad, sliced chicken sandwich, gelatin dessert
A client is diagnosed as having the hepatitis B virus (HBV). The nurse reviews the client's health history for situations in which exposure may have occurred. Which event does the nurse determine is most likely the source of this infection? A. The client received a small tattoo on the arm 3 months ago B. The client assisted in the emergency birth of a baby 2 weeks ago C. The client worked for a month in an undeveloped area in a foreign country 4 months ago D. The client attended an ecological conference in a large urban center 2 months ago
A. The client received a small tattoo on the arm 3 months ago
Which statement by the client indicates the need for further learning about skin cancer prevention? A. "I should use sunscreen before going outside." B. "I should limit sun exposure between 7 AM and 12 PM." C. "I should wear a hat and opaque clothing when going out." D. "I should have regular examinations of precancerous lesions."
B. "I should limit sun exposure between 7 AM and 12 PM."
When a client who has seemed cheerful after a diagnosis of lung cancer and pneumonectomy becomes withdrawn after being discharged home, which action by the home health nurse will be best? A. Suggest that an antidepressant may be helpful B. Ask the client to describe the current emotional state C. Reassure the client that depression is a normal reaction D. Ask the health care provider to make a mental health referral
B. Ask the client to describe the current emotional state
Which common response do clients with cancer experience regardless of the site of the cancer, that accounts for their cachexia? A. Depression precipitates anorexia B. Changes in taste and food aversions C. Decreased saliva impedes chewing and swallowing D. Decreased gastrointestinal absorption of nutrients
B. Changes in taste and food aversions
Which types of hepatitis develop into a chronic form of the disease? Select all that apply. A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis D E. Hepatitis E
B. Hepatitis B C. Hepatitis C D. Hepatitis D
A client with hepatic cirrhosis begins to exhibit slurred speech, confusion, drowsiness, and a flapping tremor. Based upon this assessment, which prescribed diet would the nurse anticipate? A. No protein B. Moderate protein C. High protein D. Strict protein restriction
B. Moderate protein
The nurse provides education for a client about prophylactic measures that minimize the risk of contracting hepatitis B. Which actions would be included in the teaching plan? A. Preventing constipation B. Screening of blood donors C. Avoiding shellfish in the diet D. Limiting hepatotoxic medication therapy E. Maintaining a monogamous sexual relationship
B. Screening of blood donors E. Maintaining a monogamous sexual relationship
The nurse educator of a college health course is discussing tattoos with the class. Which type of hepatitis associated with tattoos would the nurse include in the teaching plan? A. Hepatitis A B. Hepatitis C C. Hepatitis D D. Hepatitis E
C. Hepatitis C
A client with hepatitis A experiences anorexia, fatigue, and jaundice. The client's spouse and adult children living at home ask whether they should receive gamma globulin. Which response would the nurse make to the client's family? A. "Gamma globulin is unnecessary, as long as you follow droplet precautions until the client is asymptomatic." B. Gamma globulin injections provide passive immunity for hepatitis B, not hepatitis A." C. "You should call your primary health care provider immediately about obtaining gamma globulin injections." D. "Your family member's type of hepatitis is no longer communicable, and gamma globulin is not required."
C. "You should call your primary health care provider immediately about obtaining gamma globulin injections."
