Hepatitis case study – Flashcards
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All three and Injections are given to protect against hepatitis B
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1
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Hepatitis B,C & D
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2 hepatitis transmitted via blood-borne percutaneous mucosal
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16-year-old with spinal cord injury and history of intravenous drug use
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3 healthcare worker at greatest risk for hepatitis
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Portable sharps containers available at every emergency situation
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4 which measure will help reduce the transmission of hepatitis?
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Jaundice
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5 documenting yellow cast to skin assessment
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Stool is clay colored
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6 Stool consistent with the presence of jaundice
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Urine is tea colored
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7 Urine consistent with the presence of jaundice
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Activity intolerance, impaired skin integrity, alteration and nutrition, less than body requirements
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8 nursing diagnosis important to include in plan of care
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Develop a list between meals snacks for the client to choose from
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9 which nutrition should the nurse implement to help with nutritional status?
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I noticed that a lot of your client care responsibilities did not get done today
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10 how should a charge nurse respond regarding UAP's behavior of neglecting other patients and spending too much time with 1 patient?
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That would not be appropriate while he is in the hospital
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11 how should a charge nurse respond to a UAP who admits they have a crush on a patient and asked to be assigned to provide care?
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Do not share personal hygiene items
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12 which discharge instruction should the nurse include in the teaching plan?
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Symptoms subside and feels able to work
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13 what guidelines should the nurse give a patient in response to when they can return to work
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Serum bilirubin
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14 increases in which diagnostic test reflect that the liver is not functioning adequately
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Prothrombin time
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15 prior to liver biopsy it is most important for the nurse to be aware of which lab test results?
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Positioned on right side with pillow under the costal margin
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16 in which position should patient be maintained immediately after a liver biopsy
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Flulike aches and pains
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17 which adverse affects of interferon therapy should a nurse include in patient teaching
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I can drink a few beers a week but not any hard liquor
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18 which statement indicates patient needs more teaching?
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You seem very discouraged right now
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19 what is the best initial response by the nurse when patient is asked if they are following diet. Patient response "what's the use it's not going to make any difference"
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Ask :Do you have a plan on how you would kill yourself?
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20 what is the nurses immediate response to patients suicidal ideation?
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Patient has been taking large doses of acetaminophen to reduce flu like symptoms associated with interferon therapy
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21 what information is most likely to be contributory to patient's current condition
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100 mL x 15 gtts/min/60 mins = 25
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22 normal Saline at 100 ML's per hour is ordered. the nurse sets up 1000 mL bag of normal saline. The I. V. Has a drop factor of 15 gtts/mL/min. how many drops per minute will the normal saline be administered?
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Skin intact with no bruising
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23 which assessment findings indicate the desired outcome for vitamin K aquamerphyton
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Notify house supervisor
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24 EMT admits to frequently shooting up with remaining opioids after a friend, giving partial dose to emergency room patient. EMT states there are no drug programs for paramedics like nurses. EMT will lose job, & certification, it will never happen again. What action is best for the nurse to implement?
