A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?

Encourage eating three large meals daily.

Provide a high carbohydrate diet.

Include high protein snacks.

Administer acetaminophen for pain.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Clients with hepatitis often experience anorexia and nausea. Small, frequent meals are better tolerated than three large meals.
B. Carbohydrates are the primary source of calories in clients with hepatitis. They help spare protein and allow the liver to rest and heal. This is the recommended dietary intervention.
C. Protein should be limited in clients with severe hepatitis, especially if liver function is impaired, because excess protein can worsen encephalopathy.
D. Acetaminophen is hepatotoxic and should be avoided in clients with hepatitis due to the risk of further liver damage.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:
A. RBC count is not typically affected by acute pancreatitis unless there is bleeding, which is uncommon.

B. Serum amylase is elevated in acute pancreatitis because pancreatic inflammation leads to the release of digestive enzymes into the bloodstream. Amylase levels usually rise within 6–12 hours of symptom onset and remain elevated for 3–5 days.

C. Calcium levels often decrease in acute pancreatitis due to fat saponification, not increase.

D. Magnesium levels are usually normal or decreased, but elevation is not a typical finding in pancreatitis.

A. Change the TPN tubing every 48 hr B. Allow 18 hr for the lipids to infuse when not mixed with the TPN solution. C. Use a 1.2 micron filter when infusing TPN with fat emulsions added. D. Change the TPN solution after 36 hr.

Correct Answer is C

Explanation

Rationale:

A. The tubing for TPN must be changed every 24 hr (not 48 hr) to reduce the risk of central line–associated bloodstream infection (CLABSI).

B. Lipid emulsions should not hang for more than 12 hr to prevent bacterial growth and infection.

C. A 1.2-micron filter is required for TPN that contains lipids to remove particulate matter, bacteria, and fungi, since lipid solutions cannot pass through smaller filters.

D. TPN solutions should be changed every 24 hr (not 36 hr) to reduce infection risk.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?

Correct Answer is B

Explanation

A nurse is planning care for a client who is to start receiving total parenteral nutrition (TPN). Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

An older adult patient who is malnourished presents to the emergency department with a serum albumin that is low with total protein that is also low. Which clinical manifestation should the nurse expect?

What is the primary cause of refeeding syndrome in TPN patients?

A nurse is caring for a client in the oncology unit. Exhibits The nurse should educate the client that diagnostic imaging techniques used for assessing pancreatic ducts include Target 1, Target 2 and Target 3

A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

Which of the following are contraindications for administering a tap water enerna? (Select all that apply)