The nurse assesses a client being evaluated for viral hepatitis. Which finding is not expected in viral hepatitis?

Pruritus

Arthralgia

Polyphagia

Skin abrasions

Answer and Explanation

The Correct Answer is D

Rationale:

A. Pruritus (itching) is a common symptom in viral hepatitis due to bile salt accumulation in the skin resulting from impaired liver function. Itching often worsens at night and can significantly affect comfort. This is an expected finding.

B. Joint pain or arthralgia can occur in viral hepatitis, particularly in hepatitis B and C, due to immune-mediated inflammatory responses. This symptom is consistent with viral infection and liver inflammation.

C. Clients with viral hepatitis may experience anorexia or decreased appetite, but polyphagia (excessive hunger) is not typically associated with viral hepatitis. However, metabolic changes may sometimes alter appetite in early or resolving stages. This is less common but not the most unrelated finding.

D. Skin abrasions are not a direct manifestation of viral hepatitis. They may occur incidentally from trauma or other conditions but are unrelated to liver infection or its typical clinical features. This makes skin abrasions the finding not expected in viral hepatitis.

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Free Nursing Study Resources

Correct Answer is ["44"]

Explanation

Step 1: Use the formula
Flow rate (gtt/min) = (mL/hr × Drop factor) ÷ 60

Step 2: Insert known values
mL/hr = 175
Drop factor = 15 gtt/mL

Flow rate = (175 × 15) ÷ 60
Flow rate = 2,625 ÷ 60
Flow rate = 43.75 gtt/min

Step 3: Round to the nearest whole number
43.75 = 44 gtt/min

Final Answer: 44 gtt/min

A. I enjoy my job: I should be able to return to work in about 4 to 8 weeks." B. I am planning on continuing to be active in the local town service club. C. "I have missed friends and look forward to having a glass of wine with them." D. "My spouse has been very supportive during my lengthy hospitalization."

Correct Answer is C

Explanation

Rationale:

A. This statement demonstrates that the client has a realistic expectation of recovery after an acute exacerbation of chronic pancreatitis. Typically, after an exacerbation, clients may need several weeks to regain strength and resume normal activities. The nurse does not need to change the teaching plan based on this statement, as it aligns with recovery guidelines.

B. Engagement in social and community activities supports emotional well-being and recovery. Continuing normal activities within the limits of physical tolerance is encouraged, and this statement indicates the client is planning to maintain a healthy social life. No modification of the teaching plan is necessary.

C. This statement raises a major concern because alcohol consumption is a primary risk factor for exacerbations of chronic pancreatitis. Even small amounts of alcohol can trigger inflammation, cause pain, or worsen pancreatic function. The nurse must intervene by revising the teaching plan to emphasize strict alcohol avoidance, discuss alternative ways to socialize without alcohol, and reinforce the importance of lifestyle modifications to prevent recurrent attacks. This statement indicates a knowledge gap or misunderstanding, making it the reason for changing the teaching plan.

D. Positive support systems, such as a caring spouse, enhance adherence to treatment recommendations and overall recovery. This statement reflects the client’s recognition of social support, which is beneficial for both physical and emotional recovery. No teaching changes are needed based on this comment.

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The nurse assesses a client being evaluated for viral hepatitis. Which finding is not expected in viral hepatitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse prepares to administer 500 mL of normal saline to infuse at 175 mL/hr for a client who is vomiting. The IV tubing has a drop factor of 15 gtt/mL. How many gtt/min will the client receive? Round to a whole number.

Correct Answer is ["44"]

Explanation

The nurse provides discharge teaching to a client who is recovering from an exacerbation of chronic pancreatitis, Which statement by the client causes the nurse to change the teaching plan?

Correct Answer is C

Explanation

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