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. Completing an incident report is crucial whenever an error occurs in patient care. This helps to ensure that the error is properly documented, investigated, and addressed to prevent recurrence and promote patient safety.
B. Allowing the incorrect solution to finish infusing could potentially harm the patient. Once the error is identified, the infusion should be stopped immediately, and corrective action should be taken.
C. Documenting that an error occurred in the client's medical record is important, but completing an incident report is a separate step that ensures a thorough investigation and response to the error.
D. Removing the IV catheter may be necessary if the infusion needs to be stopped, but it does not address the need to document and report the error to prevent future occurrences and ensure patient safety.

A. The client takes ibuprofen daily to treat musculoskeletal pain. B. The client depends on friends for transportation to the clinic. C. The client has difficulty applying their compression stockings D. The client consumes 15 g of fiber daily E. None F. None

Correct Answer is A

Explanation

A: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, especially when taken regularly. Given that the client is on warfarin, a blood thinner used to prevent new clots from forming and existing clots from growing larger, the use of ibuprofen could interfere with its effectiveness and increase the risk of a bleeding event. This is a priority concern for a patient with a history of deep-vein thrombosis. B: While transportation is important for the client to receive care, it does not pose an immediate risk to the client's health compared to the potential interaction between ibuprofen and warfarin.
C: Difficulty with applying compression stockings can contribute to discomfort and noncompliance with treatment, which can impede recovery. However, this does not present an immediate risk as significant as the potential drug interaction.
D: Consuming 15 g of fiber daily is generally a positive health behavior and does not present a direct risk to the client's health in the context of deep-vein thrombosis and the current medications.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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