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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Correct answers:
Nurses Notes Day 1, 1600:
Alert and oriented x3. Pupils equal, round, reactive to light, accommodation at 3 mm. Heart rate 150/min, ECG monitor showing sinus tachycardia, 5, auscultated. Lower extremity edema noted, 2+ bilaterally. Radial and pedal pulses 1 bilaterally. Breathing rapid and shallow. Cracklesauscultated in bases bilaterally. Bowel sounds normoactive in all four quadrants. Reports no difficulty urinating.
Client reports gaining "10 pounds in the past month."
Correct Answer is B
Explanation
A. Incorrect. Digoxin typically decreases heart rate by increasing vagal tone and reducing the conduction velocity through the atrioventricular node.
B. Correct. Digoxin is a positive inotrope, meaning it increases the force of myocardial contraction, leading to increased cardiac output.
C. Incorrect. Decreased urinary output is not a common effect of digoxin.
D. Incorrect. Digoxin can lead to hyperkalemia, not hypokalemia, as it competes with potassium at the cellular level.
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