A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

"Have your bowel patterns changed?"

"Have you ever had a blood transfusion?"

"Where have you traveled recently?"

"Do you have diabetes?"

Answer and Explanation

The Correct Answer is B

A) Bowel pattern changes are not typically associated with hepatitis C.

B)   Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus.
C)   Travel history is not directly relevant to assessing for hepatitis C transmission.

D)   While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.

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Correct Answer is A

Explanation

A) Cirrhosis can lead to coagulopathy due to impaired synthesis of clotting factors by the liver, putting the client at high risk for bleeding.

B) While clients with cirrhosis may experience fatigue, it is not the priority problem indicated by the assessment data provided.
C) Decreased appetite and jaundice may affect nutritional status, but they do not pose an immediate threat compared to the risk of bleeding.
D) Jaundice can lead to pruritus and increased risk of skin breakdown, but it is not the priority problem indicated by the assessment data provided.

A. Pancrelipase 500 units/kg PO three times daily with meals B. Ambulate twice daily. C. Pantoprazole 80 mg IV bolus twice daily D. Initiate a low-residue diet.

Correct Answer is C

Explanation

A) Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase.
B) While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis.
C) Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing.
D) In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.

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A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?

Correct Answer is A

Explanation

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

The nurse is preparing a community presentation about hepatitis B virus (HBV). Which information should be included in the teaching session?

While assessing the client with acute pancreatitis the nurse notes the following: skin warm and dry with inelastic turgor, hypoactive bowel sounds, nausea and vomiting for 24 hours, and amber-colored urine. Which action would the nurse take next?

A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

The nurse is admitting a client with the diagnosis of hepatic encephalopathy. Which assessment finding should the nurse anticipate?

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

The nurse is preparing to administer spironolactone (Aldactone) and furosemide (Lasix) at 0900 to a client diagnosed with ascites. Review of 0600 laboratory results shows serum sodium 130 mEq/L (136-145 mEq/L) and potassium 3.1 mEq/L (3.5-5.0 mEq/L). Which action should the nurse take first?

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

What does the nurse identify as a potential complication of chronic pancreatitis?