A patient presents to the emergency department (ED) with malaise, nausea and "yellow eyes." A diagnosis of hepatitis A (HAV) is confirmed. Which statement, by the registered nurse (RN), indicates an understanding of this illness?
"You have irreparably damaged your liver, there is no available treatment at this time."
"A vaccine could have prevented this illness but a full recovery typically occurs with HAV.”
"You likely came in contact with HAV infected blood to have contracted this disease."
"Expect to feel better in about a month but expect to have the symptoms for life."
The Correct Answer is B
A. "You have irreparably damaged your liver, there is no available treatment at this time.": Hepatitis A is usually a self-limiting illness with full recovery, and the liver often heals completely.
B. "A vaccine could have prevented this illness but a full recovery typically occurs with HAV.”: Hepatitis A can be prevented by vaccination, and most people recover fully without lasting liver damage.
C. "You likely came in contact with HAV-infected blood to have contracted this disease.": Hepatitis A is transmitted primarily through the fecal-oral route, not through blood contact.
D. "Expect to feel better in about a month but expect to have the symptoms for life.": While symptoms can last for several weeks to months, they do not persist for life in hepatitis A infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Paralytic ileus: Paralytic ileus is a common complication of major abdominal surgery and prolonged bed rest. It is a temporary cessation of normal bowel peristalsis, leading to a lack of bowel sounds and the inability to pass gas or stool.
B. Esophageal dysplasia: This condition refers to abnormal changes in the cells of the esophagus, typically related to chronic gastroesophageal reflux disease (GERD), not prolonged bed rest.
C. Gastroparesis: This is a condition in which the stomach cannot empty itself of food in a normal fashion, often related to diabetes or damage to the vagus nerve. It is not a direct result of prolonged bed rest.
D. Paralytic ileum: This should refer to "paralytic ileus."
Correct Answer is B
Explanation
A. Elevating the head of the bed promotes venous return and helps increase the ICP: This is incorrect. Elevation of the head of the bed helps to decrease intracranial pressure (ICP) by promoting venous drainage rather than increasing it.
B. Elevation of the head of the bed aids in maintaining cerebral perfusion: Elevating the head of the bed helps to decrease ICP, which in turn aids in maintaining adequate cerebral perfusion pressure.
C. Elevation of the head of the bed will increase intracranial pressure (ICP): This is incorrect. Elevation of the head of the bed is intended to reduce ICP, not increase it.
D. The nurse should keep the head of the bed flat to ensure adequate arterial circulation: This is incorrect. Keeping the head of the bed flat can increase ICP, which is counterproductive in managing intracranial pressure.
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