A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?

Splenomegaly

Abdominal pain

Irregular heart rate

Tarry stools

Answer and Explanation

The Correct Answer is B

A.   Splenomegaly is not typically associated with hepatitis A. Hepatitis A primarily affects the liver and does not usually result in enlargement of the spleen.
B.   Abdominal pain is a common symptom of hepatitis A. It can range from mild discomfort to severe pain in the right upper quadrant of the abdomen, where the liver is located.
C.   Hepatitis A does not typically cause irregular heart rate. The cardiovascular system is generally unaffected by hepatitis A infection.

D.   Tarry stools, also known as melena, typically result from upper gastrointestinal bleeding and are not a characteristic symptom of hepatitis A.

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Correct Answer is A

Explanation

A. A client who has a new onset of chest pain requires immediate assessment and intervention by an RN or healthcare provider with appropriate training and licensure due to the potential seriousness of the condition. Assessing and managing chest pain typically involves performing an ECG, administering medications, and coordinating further diagnostic tests or interventions, which are typically within the scope of practice of an RN or higher.
B. A client who has a tracheostomy may require routine tracheostomy care and suctioning, which are within the scope of practice of an LPN under the supervision of an RN or healthcare provider.
C. A client who is receiving enteral feedings may require monitoring of feeding tube placement, administration of enteral feedings, and assessment for complications related to enteral nutrition, which are within the scope of practice of an LPN.
D. A client who has urinary retention may require urinary catheterization or bladder scan assessment, which are within the scope of practice of an LPN under the supervision of an RN or healthcare provider.

A. "One dose of medication is all that will be necessary." B. "Everyone who lives in the home will need medication." C. "Allow the child to take tub baths instead of showers." D. "Wash all clothes and bed linens in cold water."

Correct Answer is B

Explanation

A. Enterobiasis, commonly known as pinworm infection, often requires treatment with

medication followed by a second dose to ensure eradication of the parasites. One dose may not be sufficient to eliminate the infection completely.
B. Enterobiasis is highly contagious, and all household members, especially those who have

close contact with the infected child, should receive treatment to prevent reinfection and spread of the parasite within the household.
C. Bathing habits, such as taking tub baths instead of showers, are not directly related to the

treatment or prevention of enterobiasis. However, maintaining good personal hygiene, including regular handwashing, is essential to prevent the spread of pinworm eggs.

D. Washing clothes and bed linens in cold water alone may not effectively kill pinworm eggs.

Hot water and detergent are recommended for laundering clothes and linens to ensure proper sanitation and elimination of the parasite's eggs.

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A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?

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