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Chapter 43: Liver, Biliary Tract, and Pancreas Problems Harding: Lewis's Medical-Surgical Nursing Exam Questions And Correct Answers $12.49   Add to cart

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Chapter 43: Liver, Biliary Tract, and Pancreas Problems Harding: Lewis's Medical-Surgical Nursing Exam Questions And Correct Answers

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Chapter 43: Liver, Biliary Tract, and Pancreas Problems Harding: Lewis's Medical-Surgical Nursing Exam Questions And Correct Answers A young adult contracts hepatitis from contaminated food. What should the nurse expect serologic testing to reveal during the acute (icteric) phase of the patien...

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  • October 18, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Chapter 43: Liver, Biliary Tract, and
Pancreas Problems Harding: Lewis's
Medical-Surgical Nursing Exam Questions
And Correct Answers


A young adult contracts hepatitis from contaminated food. What should the nurse expect

serologic testing to reveal during the acute (icteric) phase of the patient's illness?

a. Antibody to hepatitis D (anti-HDV)

b. Hepatitis B surface antigen (HBsAg)

c. Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG)


d. Anti-hepatitis A virus immunoglobulin M (anti-HAV IgM) - answer✔ANS: D


Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV IgM appears during

the acute phase of hepatitis A. The patient would not have antigen for hepatitis B or antibody for

hepatitis D. Anti-HAV IgG would indicate past infection and lifelong immunity.

The nurse evaluates that administration of hepatitis B vaccine to a healthy patient has been

effective when the patient's blood specimen reveals:

a. HBsAg.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
b. anti-HBs.

c. anti-HBc IgG.


d. anti-HBc IgM. - answer✔ANS: B


The presence of surface antibody to HBV (anti-HBs) is a marker of a positive response to the

vaccine. The other laboratory values indicate current infection with HBV.

A patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV) infection. Which

action by the nurse is appropriate?

a. Schedule the patient for HCV genotype testing.

b. Administer the HCV vaccine and immune globulin.

c. Teach the patient about ribavirin (Rebetol) treatment.


d. Explain that the infection will resolve over a few months - answer✔ANS: A


Genotyping of HCV has an important role in managing treatment and is done before drug

therapy is initiated. Because most patients with acute HCV infection convert to the chronic state,

the nurse should not teach the patient that the HCV will resolve in a few months. Immune

globulin or vaccine is not available for HCV. Ribavirin is used for chronic HCV infection.

What topic should the nurse plan to teach the patient diagnosed with acute hepatitis B?

a. Administering -interferon

b. Measures for improving appetite

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
c. Side effects of nucleotide analogs


d. Ways to increase activity and exercise - answer✔ANS: B


Maintaining adequate nutritional intake is important for regeneration of hepatocytes. Interferon

and antivirals may be used for chronic hepatitis B, but they are not prescribed for acute hepatitis

B infection. Rest is recommended.

The nurse administering -interferon and ribavirin (Rebetol) to a patient with chronic hepatitis C

will plan to monitor for:

a. leukopenia.

b. hypokalemia.

c. polycythemia.


d. hypoglycemia - answer✔ANS: A


Therapy with ribavirin and -interferon may cause leukopenia. The other problems are not

associated with this drug therapy

Which information from a 70-yr-old patient during a health history indicates to the nurse that the

patient should be screened for hepatitis C?

a. The patient had a blood transfusion in 2005.

b. The patient used IV drugs about 20 years ago.

c. The patient frequently eats in fast-food restaurants.

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