a. jantibody jto jhepatitis jD j(anti-HDV).
b. jhepatitis jB jsurface jantigen j(HBsAg).
c. janti-hepatitis jA jvirus jimmunoglobulin jG j(anti-HAV jIgG).
d. janti-hepatitis jA jvirus jimmunoglobulin jM j(anti-HAV jIgM). j- jANS✓✓-d. janti-
hepatitis jA jvirus jimmunoglobulin jM j(anti-HAV jIgM).
Hepatitis jA jis jtransmitted jthrough jthe joral-fecal jroute, jand jantibody jto jHAV jIgM
jappears jduring jthe jacute jphase jof jhepatitis jA
A j36-year-old jmale jpatient jin jthe joutpatient jclinic jis jdiagnosed jwith jacute
jhepatitis jC j(HCV) jinfection. jWhich jaction jby jthe jnurse jis jappropriate?
a. jSchedule jthe jpatient jfor jHCV jgenotype jtesting.
b. jAdminister jthe jHCV jvaccine jand jimmune jglobulin.
c. jTeach jthe jpatient jabout jribavirin j(Rebetol) jtreatment.
d. jExplain jthat jthe jinfection jwill jresolve jover ja jfew jmonths. j- jANS✓✓-a.
jSchedule jthe jpatient jfor jHCV jgenotype jtesting.
Genotyping jof jHCV jhas jan jimportant jrole jin jmanaging jtreatment jand jis jdone
jbefore jdrug jtherapy jis jinitiated. jBecause jmost jpatients jwith jacute jHCV
jinfection jconvert jto jthe jchronic jstate, jthe jnurse jshould jnot jteach jthe jpatient
jthat jthe jHCV jwill jresolve jin ja jfew jmonths. jImmune jglobulin jor jvaccine jis jnot
javailable jfor jHCV. jRibavirin jis jused jfor jchronic jHCV jinfection.
The jnurse jwill jplan jto jteach jthe jpatient jdiagnosed jwith jacute jhepatitis jB jabout
a. jside jeffects jof jnucleotide janalogs.
b. jmeasures jfor jimproving jthe jappetite
c. jways jto jincrease jactivity jand jexercise.
d. jadministering ja-interferon j(Intron jA). j- jANS✓✓-b. jmeasures jfor jimproving jthe
jappetite.
Which jfinding jindicates jto jthe jnurse jthat jlactulose j(Cephulac) jis jeffective jfor ja
j72-year-old jman jwho jhas jadvanced jcirrhosis?
a. jThe jpatient jis jalert jand joriented.
b. jThe jpatient jdenies jnausea jor janorexia.
c. jThe jpatient's jbilirubin jlevel jdecreases.
d. jThe jpatient jhas jat jleast jone jstool jdaily. j- jANS✓✓-a. jThe jpatient jis jalert jand
joriented.
The jpurpose jof jlactulose jin jthe jpatient jwith jcirrhosis jis jto jlower jammonia
jlevels jand jprevent jencephalopathy. jAlthough jlactulose jmay jbe jused jto jtreat
jconstipation, jthat jis jnot jthe jpurpose jfor jthis jpatient. jLactulose jwill jnot
jdecrease jnausea jand jvomiting jor jlower jbilirubin jlevels.
A j53-year-old jpatient jis jbeing jtreated jfor jbleeding jesophageal jvarices jwith
jballoon jtamponade. jWhich jnursing jaction jwill jbe jincluded jin jthe jplan jof jcare?
a. jInstruct jthe jpatient jto jcough jevery jhour.
b. jMonitor jthe jpatient jfor jshortness jof jbreath.
c. jVerify jthe jposition jof jthe jballoon jevery j4 jhours.
d. jDeflate jthe jgastric jballoon jif jthe jpatient jreports jnausea. j- jANS✓✓-b. jMonitor
jthe jpatient jfor jshortness jof jbreath.
The jmost jcommon jcomplication jof jballoon jtamponade jis jaspiration jpneumonia.
jIn jaddition, jif jthe jgastric jballoon jruptures, jthe jesophageal jballoon jmay jslip
jupward jand jocclude jthe jairway. jCoughing jincreases jthe jpressure jon jthe
jvarices jand jincreases jthe jrisk jfor jbleeding. jBalloon jposition jis jverified jafter
jinsertion jand jdoes jnot jrequire jfurther jverification. jThe jesophageal jballoon jis
jdeflated jevery j8 jto j12 jhours jto javoid jnecrosis, jbut jif jthe jgastric jballoon jis
jdeflated, jthe jesophageal jballoon jmay jocclude jthe jairway.
To jdetect jpossible jcomplications jin ja jpatient jwith jsevere jcirrhosis jwho jhas
jbleeding jesophageal jvarices, jit jis jmost jimportant jfor jthe jnurse jto jmonitor
a. jbilirubin jlevels.
b. jammonia jlevels.
c. jpotassium jlevels.
d. jprothrombin jtime. j- jANS✓✓-b. jammonia jlevels.
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