HESI Case Study-Hepatitis – Flashcards
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PN response?
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remind the client that all three injections are given to protect against Hep B
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What of the five major types of viral hepatitis are transmitted via percutaneous/mucosal means?
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B,C,D
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Contact with which client places the healthcare worker at greatest risk for hep C?
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16yo with a spinal cord injury and a hx of IV drug abuse
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Enforce what about transmission of hepatitis?
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-avoid recapping of used needles -ensure portable sharps containers are available at every emergency -use of PPE such as goggles and aprons for blood splashes
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How should finding be documented?
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jaundice
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What trait of stool is consistent with jaundice?
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clay-colored
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What trait of urine is consistent with jaundice?
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tea-colored
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What ND?
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activity intolerance
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What intervention?
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give client a list of between-meal snacks from which to choose
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Best response?
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I noticed that a lot of your client care responsibilities did not get done today
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How should PN respond?
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that would not be appropriate while she is in the hospital
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What discharge instruction?
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do not share personal hygiene items
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what guideline should PN reinforce?
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when symptoms subside and she feels able to work
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What diagnostic lab test reflects that the liver is not functioning adequately?
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serum bilirubin
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PN should be aware of what lab test?
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prothrombin time
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What position after biopsy?
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positioned on rt side with a pillow under the costal margin
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What adverse effect?
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flu-like aches and pains
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Which statement?
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I can drink a few beers a week, but not any hard liquor
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Best response?
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you seem very discouraged right now
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What response?
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do you have a plan on how you would kill yourself?
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Which situation?
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She takes large doses of acetaminophen for the flu-like symptoms from interferon therapy
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What finding indicates outcome of vitamin K has been achieved?
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no new bruising noted
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What action?
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notify the house supervisor
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How many Ml?
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20
