The nurse is assessing a client with suspected hepatitis. Which finding is most indicative of this condition?
Anorexia
Clay-colored stools
Brown, foamy urine
Hematemesis
The Correct Answer is B
Choice A reason: Anorexia is common in hepatitis due to systemic inflammation but is nonspecific, occurring in many conditions. Clay-colored stools directly indicate impaired bile excretion from liver dysfunction, a hallmark of hepatitis, making it a more diagnostic finding.
Choice B reason: Clay-colored stools are highly indicative of hepatitis, as liver inflammation impairs bile production or excretion, reducing bilirubin in feces. This causes pale stools, reflecting hepatic dysfunction, making it a key finding to confirm hepatitis over nonspecific symptoms like anorexia.
Choice C reason: Brown, foamy urine is not typical of hepatitis. Dark urine from bilirubinuria may occur, but foamy urine suggests proteinuria, unrelated to liver dysfunction. Clay-colored stools are more specific, indicating bile flow obstruction, a direct sign of hepatitis pathology.
Choice D reason: Hematemesis indicates gastrointestinal bleeding, not a primary hepatitis feature. While advanced liver disease may cause variceal bleeding, clay-colored stools are an earlier, more specific sign of hepatitis-related bile impairment, making them the priority finding in acute cases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Assisting with mobility and safety is critical in multiple sclerosis, as muscle weakness and spasticity increase fall risk. Physical therapy and assistive devices enhance safety, reducing injury risk, making it the priority intervention to maintain independence and prevent complications like fractures.
Choice B reason: A high-sodium diet is inappropriate, as it may exacerbate fluid retention, unrelated to multiple sclerosis. Mobility assistance is the priority, as falls are a significant risk due to neurological deficits, making dietary sodium irrelevant to primary symptom management.
Choice C reason: Restricting physical therapy worsens mobility and spasticity in multiple sclerosis. Assisting with mobility and safety is critical, as it prevents falls and maintains function, making therapy restriction counterproductive, as exercise supports neurological health and independence.
Choice D reason: Promoting bed rest increases muscle atrophy and spasticity in multiple sclerosis. Mobility and safety measures are essential, as they reduce fall risk and maintain function, making bed rest detrimental to managing neurological symptoms and overall patient well-being.
Correct Answer is A
Explanation
Choice A reason: Solar radiation delivers approximately 99.97% of Earth's climate system energy. The sun emits electromagnetic waves, primarily in visible and infrared spectra, absorbed by Earth's surface and atmosphere. This energy fuels atmospheric circulation, ocean currents, and the hydrological cycle, establishing temperature gradients that drive global weather and climate patterns. Sunspot cycles cause minor variations but affirm solar dominance.
Choice B reason: Geothermal heat, from radioactive decay in Earth's core and mantle plus residual formation heat, contributes only about 0.025% to the climate energy budget. It powers volcanic activity and tectonic processes, with localized effects like geothermal springs, but its role in atmospheric or oceanic circulation is negligible compared to solar radiation’s extensive influence.
Choice C reason: Tidal forces, driven by gravitational interactions between Earth, the moon, and the sun, produce oceanic tides, contributing less than 0.001% to the climate system’s energy. Tides influence coastal mixing but lack the magnitude to drive atmospheric circulation or global climate, making them insignificant compared to solar radiation’s vast energy input.
Choice D reason: Human activities, such as fossil fuel burning and deforestation, release greenhouse gases, altering climate by trapping solar heat. These are secondary effects, not primary energy sources, with negligible direct energy contribution. They modify solar radiation absorption, acting as feedback mechanisms, not independent drivers like the sun’s direct energy.
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