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NUR 213 Test 5 (Liver, PTSD, Septicemia)- Qs And As
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NUR 213 Test 5 (Liver, PTSD, Septicemia)- Qs And As
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NUR 213 Test 5 (Liver, PTSD, Septicemia)- Qs And AsA 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 Right Ans - a
Hepatitis b vaccine if given at birth, 1 month old, and 6 months old as
recommended by the CDC
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 Right Ans - c
turning them on their right side helps provide pressure at the site and prevent
bleeding
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
d. keep the client on strict bedrest Right Ans - c
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 Right Ans - c
,asterixis is a sign of hepatic encephalopathy in individuals with cirrhosis of
the liver
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 Right Ans - c
clay colored stools indicate an obstruction of the bile ducts
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 Right Ans - c
nursing is high risk for hep b because it is bloodborne pathogens
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 Right Ans - b
the first vaccine should be given within 12 hours of exposure
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 Right Ans - c
hep A is transmitted from contaminated foods, so good hand and skin hygiene
is key to preventing transmission
,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 Right Ans - a, c, d
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 Right Ans - 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
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 Right Ans - c
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 Right Ans - d
they may develop s/s heart failure and dyspnea. this reaction is about 20% of
transfusion related deaths
The nurse is assessing a client with hepatitis. which of the following diagnostic
tests will be recommended for this type of client? select all that apply
, a. LDH
b. Potassium
c. sodium
d. HBV surface antigen
e. chloride
f. chest xray
g. ALP
h. AST Right Ans - a, d, g, h
A nurse is reviewing the prescription for a client who is being evaluated for
the presence of hepatitis C. which of the following prescribed lab tests should
the nurse identify as diagnostic for hepatitis C?
a. indirect bilirubin
b. HCV RNA testing
c. AST
d. ALT Right Ans - b
After administering an injection to a child the nurse scratches their wrist with
the used needle. what is the next best action?
a. complete an incident report
b. wash the area with soapy water
c. notify the unit manager
d. call the clients doctor Right Ans - b
if a needlestick injury occurs you should:
1. wash the wound with soapy water
2. tell the manager or supervisor about the injury
3. complete a report of the incident
the client may be tests for HIN, hep B and C after the doctor is consulted
A nurse is planning care for a client who has hep B with jaundice. which of the
following interventions should the nurse include in the plan?
a. initiate contact precautions
b. administer acetaminophen q6h
c. provide warm compresses to the areas of pruritus
d. provide a high calorie, high protein diet Right Ans - d
clients with hepatitis are at an increased risk for inadequate nutrition. they
need more protein and calories since they usually have nausea and vomiting
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