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Nur 213 Test 5 With Complete Solutions And Correct Answers Latest Version
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Nur 213 Test 5 With Complete Solutions AndCorrect Answers Latest Version
a
Hepatitis b vaccine if given at birth, 1 month old, and 6 months old as recommended by the CDC
Answer: a nurse is counseling a 20 year old client with multiple sexual partners about the hepatitis b
vaccine. which of the following is indicated for adequate immunization?
a. a complete series of 3 HBV vaccines
b. a vaccine with a booster every 10 years
c. hepatitis B immune globulin followed by the vaccine
d. 1-time HBV vaccination
c
turning them on their right side helps provide pressure at the site and prevent bleeding Answer: a
nurse is caring for a client with chronic hepatitis c who has returned to the unit after a liver biopsy.
which of the following is the priority nursing intervention?
a. educate the client about cirrhosis and its progression
b. review preprocedure coagulation studies
c. turn the client on the right side to provide pressure at the side
d. perform a detailed assessment
c Answer: a nurse is caring for a client with acute hepatitis A infection. which of the following
nursing interventions should be implemented?
a. provide a low calorie diet with fluid restriction
b. remind the client to limit alcohol consumption to 1-2 drinks per day
c. administer antipruritic medication only as needed
2024
,d. keep the client on strict bedrest
c
asterixis is a sign of hepatic encephalopathy in individuals with cirrhosis of the liver Answer: a nurse
is caring for a client with chronic hepatitis C and cirrhosis who was admitted for hepatic encephalopathy.
which of the following does the nurse expect when assessing the client?
a. hyperactive reflexes
b. agitation and restlessness
c. asterixis
d. enlarged liver
c
clay colored stools indicate an obstruction of the bile ducts Answer: a nurse is assessing a client with
jaundice who has clay colored stool. what is the most likely cause of these findings?
a. increased cholecystokinin production
b. increased production of bile
c. decreased flow of bile into the intestine
d. increased breakdown of hemoglobin
c
nursing is high risk for hep b because it is bloodborne pathogens Answer: nurses and other
healthcare workers are considered high risk for infection by bloodborne pathogens. which of the
following vaccines is mandated by OSHA for healthcare workers?
a. influenza
b. TB
c. Hepatitis B
d. Hepatitis C
2024
,b
the first vaccine should be given within 12 hours of exposure Answer: an unvaccinated healthcare
worker has been exposed to hepatitis B through a needle stick. which of the following should the nurse
anticipate administering as a post exposure prophylaxis?
a. hepatitis B immune globulin
b. hepatitis b vaccine and hepatitis b immune globulin
c. hepatitis B surface antigen
d. amphotericin B
c
hep A is transmitted from contaminated foods, so good hand and skin hygiene is key to preventing
transmission Answer: a nurse is providing teaching about hepatitis A with a client who plans to
travel. which of the following statements should the nurse make?
a. if exposed expect to have manifestations within 10 days
b. avoid donating blood or tissue for one year if you develop the infection
c. practice meticulous skin and hand hygiene
d. expect if you are exposed to have severe joint pain
a, c, d Answer: the nurse is charting findings from a client with cirrhosis. which of the following
findings are specifically related to the clients diagnosis? select all that apply
a. anemia
b. hypoglycemia
c. bruising
d. gynecomastia
e. bradycardia
2024
, d
contraindications are conditions in the recipient of a vaccine that increase the risk of a serious adverse
reaction. hypersensitivity to yeast is an absolute contraindication to the hep B virus Answer: a nurse
who is employed in a community outpatient clinic should question which of the following prescriptions
for vaccine administration?
a. a MMR in a client who hopes to become pregnant within the next 6 months
b. DTaP to a client who has a family history of seizures
c. DTaP to a client who develops a rash when exposed to latex
d. Hepatitis B for a client with hypersensitivity to yeast
c Answer: a nurse is caring for a client with a GI bleed who has been diagnosed with liver failure due
to hepatitis B. which of the following blood products will most likely be prescribed to achieve
hemostasis?
a. PRBCs
b. cryoprecipitate
c. platelets
d. whole blood
d
they may develop s/s heart failure and dyspnea. this reaction is about 20% of transfusion related deaths
Answer: the nurse is preparing to administer on unit of whole blood. which of the following
describes the most life threatening complication associated with blood transfusions?
a. chill rigor reaction
b. Hep A
c. a febrile non-hemolytic reaction
d. transfusion related circulatory overload
2024
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