A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

"Have your bowel patterns changed?"

"Have you ever had a blood transfusion?"

"Where have you traveled recently?"

"Do you have diabetes?"

Answer and Explanation

The Correct Answer is B

A) Bowel pattern changes are not typically associated with hepatitis C.

B)   Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus.
C)   Travel history is not directly relevant to assessing for hepatitis C transmission.

D)   While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.

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Correct Answer is D

Explanation

A) While reviewing the diet history is important to understand nutritional intake and habits, it is not the priority action in this case.
B) Consulting a dietitian is important but should follow an assessment that identifies the specific issue causing the symptoms.
C) This action may be necessary if the patient is dehydrated but doesn’t address the primary concern of foul-smelling stools and weight loss.
D) This test is crucial as it helps confirm the diagnosis of malabsorption, which is likely given the patient’s history of chronic pancreatitis and symptoms described. This would be the priority to confirm the cause of the symptoms.

A. Pancrelipase 500 units/kg PO three times daily with meals B. Ambulate twice daily. C. Pantoprazole 80 mg IV bolus twice daily D. Initiate a low-residue diet.

Correct Answer is C

Explanation

A) Pancrelipase may be prescribed to aid in digestion in chronic pancreatitis but is not typically used in the acute phase.
B) While ambulation may be encouraged as tolerated, it is not a specific prescription for acute pancreatitis.
C) Pantoprazole, a proton pump inhibitor, is often prescribed in acute pancreatitis to reduce gastric acid secretion, thereby reducing pancreatic stimulation and promoting healing.
D) In acute pancreatitis, dietary intake is typically restricted initially, often starting with nothing by mouth (NPO) and progressing to a clear liquid diet as tolerated; a low-residue diet is usually introduced at a later stage.

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A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of chronic pancreatitis reports weight loss of 10 pounds over the last month and foul smelling stools. What would be a priority action for the nurse to take?

Correct Answer is D

Explanation

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer is C

Explanation

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