HESI Case Study-Hepatitis – Flashcards

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