A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?

Splenomegaly

Abdominal pain

Irregular heart rate

Tarry stools

Answer and Explanation

The Correct Answer is B

A.   Splenomegaly is not typically associated with hepatitis A. Hepatitis A primarily affects the liver and does not usually result in enlargement of the spleen.
B.   Abdominal pain is a common symptom of hepatitis A. It can range from mild discomfort to severe pain in the right upper quadrant of the abdomen, where the liver is located.
C.   Hepatitis A does not typically cause irregular heart rate. The cardiovascular system is generally unaffected by hepatitis A infection.

D.   Tarry stools, also known as melena, typically result from upper gastrointestinal bleeding and are not a characteristic symptom of hepatitis A.

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Correct Answer is C

Explanation

Choice A Rationale: Puncturing the heel to a depth of 4 mm may be too deep and could cause injury to the newborn's foot. The recommended depth is usually less than 2 mm to avoid damaging underlying bone or tissues.
Choice B Rationale: Withholding feeding prior to collecting the specimen is not necessary and could cause unnecessary distress to the newborn. Feeding can help in soothing the infant and may even improve blood flow for the procedure.
Choice C Rationale: Applying a heat pack 5 to 10 minutes prior to the procedure is recommended as it helps to increase blood flow to the area, making the collection easier and potentially less painful for the newborn.
Choice D Rationale: Elevating the newborn's foot for 15 minutes following the procedure is not a standard recommendation. Post-procedure care typically involves applying gentle pressure to stop bleeding and then covering the puncture site with a bandage.

A. Take furosemide each night at bedtime. B. Record daily weight. C. Adhere to 2 g low-sodium diet. D. Maintain bed rest for 1 week following discharge E. Restrict fluid intake to 2 L/day

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

Potential discharge instruction	Anticipated	Contraindicated
Take furosemide each night at bedtime.		✔
Record daily weight.	✔
Adhere to 2 g low-sodium diet.	✔
Maintain bed rest for 1 week following discharge		✔
Restrict fluid intake to 2 L/day		✔

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A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is planning to obtain blood from a newborn via a heel stick. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse is preparing the client for discharge. Exhibits For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

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