A nurse educator is teaching a group of recent nursing graduates about their occupational risks for contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.

Annual vitamin K injections

Use of standard precautions

Consumption of a vitamin-rich diet

Annual vitamin B12 injections

Immunization

Answer and Explanation

Correct Answer : B,E

A. Annual vitamin K injections: Vitamin K injections do not prevent Hepatitis B.

B. Use of standard precautions: Standard precautions reduce the risk of exposure to bloodborne pathogens, including Hepatitis B.

C. Consumption of a vitamin-rich diet: While a healthy diet is important, it does not specifically prevent Hepatitis B.

D. Annual vitamin B12 injections: Vitamin B12 injections are unrelated to Hepatitis B prevention.

E. Immunization: Vaccination is a key preventive measure against Hepatitis B.

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Correct Answer is C

Explanation

A. A shunt will divert blood from the hepatic vein to the Inferior vena cava: This is not the correct pathway for a TIPS procedure.

B. A shunt will divert blood from the aorta to the inferior vena cava: This describes a different vascular pathway unrelated to TIPS.

C. A shunt will divert blood from the portal vein to the hepatic vein: TIPS (Transjugular Intrahepatic Portosystemic Shunt) is a procedure that creates a pathway between the portal vein and hepatic vein, reducing portal hypertension and preventing variceal bleeding.

D. A shunt will divert blood from the aorta to the hepatic vein: This is not the correct anatomical pathway for a TIPS procedure.

A. Partially compensated Metabolic Alkalosis B. Fully compensated Metabolic Acidosis C. Fully compensated Respiratory Acidosis D. Partially compensated Respiratory Alkalosis

Correct Answer is C

Explanation

A. Partially compensated Metabolic Alkalosis: This is incorrect because the pH is within normal limits (7.35-7.45), and the elevated PaCO2 and bicarbonate suggest a respiratory issue rather than a metabolic one.

B. Fully compensated Metabolic Acidosis: This is incorrect because the primary disturbance is respiratory, not metabolic. A compensated metabolic acidosis would typically show a low PaCO2 as compensation.

C. Fully compensated Respiratory Acidosis: Correct. The pH is within the normal range, indicating full compensation. The elevated PaCO2 and bicarbonate reflect a chronic respiratory acidosis that has been compensated by the kidneys.

D. Partially compensated Respiratory Alkalosis: This is incorrect because in respiratory alkalosis, the PaCO2 would be low, not high.

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A nurse educator is teaching a group of recent nursing graduates about their occupational risks for contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with cirrhosis is scheduled for a TIPS procedure. Which of the following correctly describes a TIPS procedure?

Correct Answer is C

Explanation

A nurse reviews the following ABG result: pH 7.37 PaO2 84 PaCO2 54 Bicarbonate: 31 Saturation: 95% What is the interpretation of this ABG?

Correct Answer is C

Explanation

A patient asks the nurse, "What is blood pressure?" The nurse would most appropriately respond:

A patient has just undergone a percutaneous liver biopsy. Which of the following are included in the post-procedure assessment? (select all that apply)

A 16-year-old presents at the emergency department reporting right lower quadrant pain and is subsequently diagnosed with appendicitis. When planning this client's nursing care, the nurse should prioritize what nursing diagnosis?

A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about. What action by the nurse is most appropriate?

A triage nurse in the emergency department is assessing a client who presented with reports of general malaise. Assessment reveals the presence of jaundice and increased abdominal girth. What assessment question best addresses the possible etiology of this client's presentation?

What is the rationale for esophageal variceal bleeding in a patient with cirrhosis?

Which of the following must be immediately performed in a patient who has just been intubated? (select all that apply)

A patient with cholelithiasis asks the nurse why he/she is jaundiced. What is the nurse's best answer?