A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?

Encourage eating three large meals daily.

Provide a high carbohydrate diet.

Include high protein snacks.

Administer acetaminophen for pain.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Clients with hepatitis often experience anorexia and nausea. Small, frequent meals are better tolerated than three large meals.
B. Carbohydrates are the primary source of calories in clients with hepatitis. They help spare protein and allow the liver to rest and heal. This is the recommended dietary intervention.
C. Protein should be limited in clients with severe hepatitis, especially if liver function is impaired, because excess protein can worsen encephalopathy.
D. Acetaminophen is hepatotoxic and should be avoided in clients with hepatitis due to the risk of further liver damage.

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Correct Answer is B

Explanation

Rationale:
A. Pain in this area is more commonly associated with appendicitis, not diverticular disease.
B. Lower left quadrant is the typical site of pain in diverticular disease, especially diverticulitis, because the sigmoid colon (most often affected) is located here.
C. Upper left quadrant; Pain in this area is more often linked to conditions involving the spleen, stomach, or pancreas.
D. Upper right quadrant; Pain here is usually related to gallbladder, liver, or biliary tract disorders.

A. Decreased bilirubin B. Decreased chloride C. Elevated blood urea nitrogen (BUN) D. Elevated HbA1c

Correct Answer is C

Explanation

Rationale:
A. Decreased bilirubin is unrelated to digestion of blood in the GI tract.
B. Chloride levels do not indicate blood digestion.
C. When a client with esophageal varices bleeds into the GI tract, the digestion and absorption of blood proteins lead to increased nitrogen load, reflected as elevated BUN.
D. HbA1c reflects long-term blood glucose control, not acute digestion of blood.

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A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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