Which information from a 70-year-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C?
The patient traveled to a country with poor sanitation.
The patient used IV drugs about 20 years ago.
The patient had a blood transfusion in 2005.
The patient frequently eats in fast-food restaurants.
The Correct Answer is B
Intravenous drug use is a significant risk factor for hepatitis C transmission. The other options are not necessarily related to hepatitis C transmission. However, having a blood transfusion before 1992 or receiving an organ transplant before 1992, having a history of receiving blood products or clotting factor concentrates before 1987, and having been born to a mother with hepatitis C are also considered significant risk factors for hepatitis C transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Lipase is an enzyme that is produced by the pancreas and is involved in the digestion of fats. In acute pancreatitis, the pancreas becomes inflamed, and lipase levels in the blood can become significantly elevated. Monitoring lipase levels can help healthcare providers to assess the severity of pancreatitis, track the effectiveness of treatment, and determine when it is safe to start a patient on a normal diet.
Correct Answer is D
Explanation
Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when the body produces high levels of blood acids called ketones. The initial management of DKA involves fluid resuscitation with intravenous normal saline to correct dehydration and electrolyte imbalances. Therefore, starting an infusion of normal saline at 125 ml/hr is the first prescribed action the nurse should implement.
Bringing the patient a meal is not a priority at this time because the patient's blood glucose levels need to be stabilized before they can safely consume food. Administering Lantus insulin IV and giving sodium bicarbonate 50 mEq IV push are also not the first-line treatments for DKA. Lantus insulin is a long-acting insulin used to treat hyperglycemia over an extended period and should not be given intravenously. Sodium bicarbonate may be used to correct acidosis, but it is not the first priority in DKA management.
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