Liver NCLEX questions

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NCLEX Questions: Liver, Pancreas, a...

Teacher 31 terms rebecca_bowman2 Preview ICP Nclex Questions, ICP NCLEX sty...120 terms Mariko_Roberts Preview ATI comprehensive predictor STUDY...198 terms h_trtPreview NCLEX 25 terms Lau A patient is diagnosed with an infection caused by the hepatitis A virus. Which statement, if made by the patient, would indicate the patient needs further teaching about the infection?A "I will wash raw fruits and vegetables thoroughly before I eat them." B"Before I take any over-the-counter medicines I should call the clinic." C"I might get liver cancer someday because I have this infection." D"It's important for me to remember to wash my hands after I use the bathroom." C Hepatitis A virus is more common in areas that lack adequate sanitation or have poor hygiene practices.Infection with hepatitis A may be caused by eating contaminated foods such as fruits, vegetables, or shellfish.Many over-the-counter medications contain acetaminophen.Hepatitis A does not lead to chronic liver problems.

A member of the clinic housekeeping staff experiences a needlestick by a contaminated needle. Which of the following should be administered by the healthcare provider to provide the patient with passive immunity against the hepatitis B virus?

• Antiviral medication

B Hepatitis B immune globulin (HBIG) C Hepatitis B vaccine D Interferon B Eliminate the options that interfere with viral replication, since this is not a characteristic of passive immunity.Vaccines stimulate the immune system to make antibodies.HBIG contains IgG antibodies specific to hepatitis B, providing passive immunity (which means that a person is given antibodies to a disease instead of producing them through his or her own immune system). HBIG is used for prophylaxis after exposure to the hepatitis B virus.A patient diagnosed with viral hepatitis is prescribed ribavirin and interferon alfa-2a. The patient calls the clinic to report shortness of breath and increasing fatigue over the past week. Which of the following responses would be most appropriate for the healthcare provider to make?A "Do you have any other symptoms such as a headache or rash?" B "Please come to the clinic so we can send some of your blood to the lab' C "How many hours of sleep do you usually get each night?" D "These symptoms are very common in patients diagnosed with hepatitis.' A Although it's true these symptoms are associated with hepatitis, the healthcare provider will want to assess for serious problems associated with the prescribed medications.Think about other physiological problems besides hepatitis that can cause these symptoms.Ribavirin toxicity can cause hemolytic anemia, and interferon alpha-2a can cause bone marrow depression. This can lead to decreased oxygen- carrying capacity of the blood resulting in fatigue and shortness of breath.

When caring for a patient diagnosed with viral hepatitis, the healthcare provider experiences a needlestick with a contaminated needle. Which of the following actions should the healthcare provider do first?

• Make an appointment with the infection control department
• Put the needle in a biohazard bag for testing

C Wash the area thoroughly with soap and water D Report to the emergency department C The healthcare provider will follow the facility-specific protocol for when a needlestick occurs.The initial action is aimed at reducing the possibility of infection.The puncture site and skin should be washed thoroughly with soap and water. Then the healthcare provider will follow the next steps in the facility protocol.

The healthcare provider is teaching a patient diagnosed with hepatitis C about the disease. Which of these statements made by the patient indicate that the patient has an understanding of the teaching?

Choose all answers that apply:

A "I should get vaccinated for hepatitis A and hepatitis B." B "It's important for me to use barrier protection when I have sex." C "I should not drink any wine, beer or other alcoholic beverages." D "I'll plan to do all my activities in the morning when I'm most rested." E "I should avoid sharing drinking cups and eating utensils with my family." F "Acetaminophen is the best medication for me if I have a headache."

A, B, C

Hepatitis C is a parenterally transmitted virus.Inflammation caused by the hepatitis C virus can result in cirrhosis and liver cancer, so the patient will want to take steps to avoid further damage to the liver Patients infected with the hepatitis C virus should avoid alcohol, avoid acetaminophen, and get vaccinated for hepatitis A and B. Barrier protection should be used during sex, but casual household contact is not a risk factor for transmission. Fatigue is best managed by spacing activities throughout the day and taking rest periods as needed.