A patient presents to the emergency department (ED) with malaise, nausea and "yellow eyes." A diagnosis of hepatitis A (HAV) is confirmed. Which statement, by the registered nurse (RN), indicates an understanding of this illness?

"You have irreparably damaged your liver, there is no available treatment at this time."

"A vaccine could have prevented this illness but a full recovery typically occurs with HAV.”

"You likely came in contact with HAV infected blood to have contracted this disease."

"Expect to feel better in about a month but expect to have the symptoms for life."

Answer and Explanation

The Correct Answer is B

A. "You have irreparably damaged your liver, there is no available treatment at this time.": Hepatitis A is usually a self-limiting illness with full recovery, and the liver often heals completely.

B. "A vaccine could have prevented this illness but a full recovery typically occurs with HAV.”: Hepatitis A can be prevented by vaccination, and most people recover fully without lasting liver damage.

C. "You likely came in contact with HAV-infected blood to have contracted this disease.": Hepatitis A is transmitted primarily through the fecal-oral route, not through blood contact.

D. "Expect to feel better in about a month but expect to have the symptoms for life.": While symptoms can last for several weeks to months, they do not persist for life in hepatitis A infections.

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Correct Answer is C

Explanation

A. Tetany of the hands with a positive Chvostek sign: Tetany and a positive Chvostek sign are more associated with hypocalcemia rather than Hashimoto's thyroiditis.

B. Polyuria, sweating, and dry mucous membranes: These symptoms are more indicative of hyperthyroidism or diabetes rather than hypothyroidism, which is characteristic of Hashimoto's thyroiditis.

C. Forgetfulness, depression, and anemia: Hashimoto's thyroiditis, which causes hypothyroidism, can lead to symptoms like forgetfulness, depression, and anemia due to reduced thyroid hormone levels.

D. Nervousness, irritability, and diarrhea: These symptoms are associated with hyperthyroidism rather than hypothyroidism.

A. occurs when you are physically and psychologically exhausted." B. occurs in the postdrome and causes you to feel sleepy and weak." C. is a trigger such as a stressful event, that is the cause of the headache" D. is a warning, such as an unpleasant smell, before the headache begins."

Correct Answer is D

Explanation

A. Occurs when you are physically and psychologically exhausted: An aura is a specific set of symptoms that precedes the headache, not related to exhaustion.

B. Occurs in the postdrome and causes you to feel sleepy and weak: The postdrome phase is after the headache, and an aura occurs before the headache.

C. Is a trigger such as a stressful event, that is the cause of the headache: An aura is not a trigger but rather a symptom experienced before the headache begins.

D. An aura is a warning, such as an unpleasant smell, before the headache begins: An aura is a neurological phenomenon that can include visual disturbances, unusual smells, or other sensory changes occurring before the onset of a migraine.

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A patient presents to the emergency department (ED) with malaise, nausea and "yellow eyes." A diagnosis of hepatitis A (HAV) is confirmed. Which statement, by the registered nurse (RN), indicates an understanding of this illness?

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Naxlex Comprehensive Predictor Exams

A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

Correct Answer is C

Explanation

A clinic nurse asks her patient who suffers from migraine headaches if she experiences an aura before the headache begins. The patient appears confused and asks "What is an aura?". Which statement is true? "An aura

Correct Answer is D

Explanation

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