Nur 402 License Exam 4 Questions And 100% Correct Answers.
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Course
CNUR 402
Institution
CNUR 402
The nurse is caring for a patient admitted for treatment of sickle cell disease (SCD). The nurse recalls that with repeated episodes of sickling, there is gradual involvement of all body systems and organs, especially which one?
Liver
Heart
Lungs
Stomach - Answer lungs
With repeat...
Nur 402 License Exam 4 Questions And
100% Correct Answers.
The nurse is caring for a patient admitted for treatment of sickle cell disease (SCD). The nurse recalls that
with repeated episodes of sickling, there is gradual involvement of all body systems and organs,
especially which one?
Liver
Heart
Lungs
Stomach - Answer lungs
With repeated episodes of sickling, there is gradual involvement of all body systems and organs,
especially the spleen, lungs, kidneys, and brain. Organs that have a need for large amounts of O2, like
the lungs, are most often affected and form the basis for many of the complications of SCD. Although the
liver, heart, and stomach may be affected, they are less so when compared to the lungs.
The nurse is caring for a patient with hepatitis C. What steps regarding nutrition can the nurse take to
ensure that the patient gets the best nutrition possible? Select all that apply.
Avoid very hot or very cold foods.
Provide the patient with more liquid foods such as soups.
Ensure that the patient drinks at least 2500-3000 mL of water every day.
,Ensure that the patient has a good breakfast and small or moderate dinner.
Provide the patient with only raw foods such as fruits and salads until healthy. - Answer avoid hot and
cold foods
ensure pt drink 2500-3000 ml water a day
ensure pt has good breakfast and small or moderate dinner
Drinking very hot or very cold foods may cause anorexia; therefore, the patient should be encouraged to
avoid hot and cold foods. The nurse should maintain adequate fluid intake of 2500 to 3000 mL/day to
maintain hydration. The patient experiences less nausea in the mornings; therefore, the breakfast should
be the most nutritious meal. Small, frequent meals may be preferable to three large ones and may also
help prevent nausea. Liquids may not be able to meet the nutritional requirements of the patient due to
nausea and vomiting. The patient may not be able to have raw foods due to nausea and anorexia.
A patient with hepatitis A infection is being discharged from the hospital. What is the most important
instruction that the nurse should include in the discharge teaching?
Do not share razors or toothbrushes.
Isolate the patient from other family members.
Wash hands carefully after bowel movements.
Take acetaminophen every four hours if fever persists. - Answer wash hands carefully after bowel
movement
The mode of transmission of hepatitis A infection is the fecal-oral route. Therefore it is very important to
maintain personal and environmental hygiene. The nurse should teach the patient and the family
members about careful hand washing immediately after bowel movements and before eating to prevent
outbreaks of hepatitis A viral infection. Not sharing toothbrushes and razors is a concern for the
prevention of hepatitis B and C, because they are transferred through blood contact. There is no need to
isolate the patient with hepatitis A unless he or she is incontinent or maintains poor personal hygiene.
Acetaminophen may cause liver damage and should be avoided in hepatic viral infection.
,When teaching the male patient with acute hepatitis C (HCV), the patient demonstrates understanding
when the patient makes which statement?
"I will need to take adefovir to prevent chronic HCV."
"I will use care when kissing my wife to prevent giving it to her."
"Now that I have had HCV, I will have immunity and not get it again."
"I will need to be checked for chronic HCV and other liver problems." - Answer "I will need to be
checked for chronic HCV and other liver problems."
The majority of patients who acquire HCV usually develop chronic infection, which may lead to cirrhosis
or liver cancer. HCV is not transmitted via saliva, but percutaneously and via high-risk sexual activity
exposure. The treatment for acute viral hepatitis focuses on resting the body and adequate nutrition for
liver regeneration. Adefovir is taken for severe hepatitis B (HBV) with liver failure. Chronic HCV is treated
with pegylated interferon with ribavirin. Immunity with HCV does not occur as it does with hepatitis A
virus (HAV) and HBV, so the patient may be reinfected with another type of HCV.
The patient with a history of lung cancer and hepatitis C has developed liver failure and is considering
liver transplantation. After the comprehensive evaluation, the nurse knows that which factor discovered
may be a contraindication for liver transplantation?
The patient has completed a college education.
The chest x-ray showed another lung cancer lesion.
The patient has been able to stop smoking cigarettes.
The patient has well controlled type 1 diabetes mellitus. - Answer check x-ray showed another lung
cancer lesion
, Contraindications for liver transplant include severe extrahepatic disease, advanced hepatocellular
carcinoma or other cancer, ongoing drug or alcohol abuse, and the inability to comprehend or comply
with the rigorous post-transplant course. It does not matter if the patient has a college education. The
fact that the patient has quit smoking is not a contraindication for liver transplant. The patient is a well-
controlled diabetic, which is not a contraindication.
A patient with hepatitis A is in the acute phase. The nurse plans care while anticipating that the patient
may be experiencing which symptoms? Select all that apply.
Fatigue
Pruritus
Anorexia
Dizziness
Visual disturbances - Answer fatigue
pruritus
anorexia
The acute phase of hepatitis usually lasts from one to four months. During the incubation period,
symptoms may include malaise, anorexia and weight loss, fatigue, nausea, occasional vomiting, and
abdominal (right upper quadrant) discomfort. The patient may find food repugnant, and smokers may
have distaste for cigarettes. There is also a decreased sense of smell. Other symptoms may include
headache, low-grade fever, arthralgias, and skin rashes. Pruritus (intense chronic itching) sometimes
accompanies jaundice. The pruritus occurs as a result of the accumulation of bile salts beneath the skin.
Dizziness and visual disturbances are not symptoms of the acute phase of hepatitis A.
The family of a patient newly diagnosed with hepatitis A asks the nurse what they can do to prevent
becoming ill themselves. Which response by the nurse is most appropriate?
"The hepatitis vaccine will provide immunity from this exposure and future exposures."
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