The nurse is preparing a community presentation about hepatitis B virus (HBV). Which information should be included in the teaching session?

Pregnant women may pass HBV to the fetus

Maintain safe food-handling procedures

Symptoms include diarrhea and cramping

History of gallstones is a risk factor

Answer and Explanation

The Correct Answer is A

A) HBV can be transmitted from an infected mother to her child during childbirth.

The importance of screening and vaccination should be emphasized.

B)   While important for general health, this is not specifically related to the transmission of HBV, which is primarily spread through blood and bodily fluids.
C)   These are not typical symptoms of HBV; common symptoms include jaundice, fatigue, and abdominal pain.
D)   History of gallstones is not a risk factor for HBV.

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Correct Answer is A

Explanation

A) Elevated serum ammonia levels can lead to hepatic encephalopathy, which affects mental status and consciousness, making this the priority assessment.
B) The PT is slightly prolonged but not alarmingly high; bleeding is less of a concern compared to the elevated ammonia.
C) This action is important in assessing fluid accumulation but is not as critical as assessing mental status in this scenario.
D) While part of a comprehensive abdominal assessment, this is not the most critical action given the elevated ammonia level.

A. "Have your bowel patterns changed?" B. "Have you ever had a blood transfusion?" C. "Where have you traveled recently?" D. "Do you have diabetes?"

Correct Answer is B

Explanation

A) Bowel pattern changes are not typically associated with hepatitis C.

B) Hepatitis C can be transmitted through blood transfusions received before widespread screening for the virus.
C) Travel history is not directly relevant to assessing for hepatitis C transmission.

D) While diabetes can be a comorbidity associated with hepatitis C, it is not a primary assessment question for suspected hepatitis C.

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The nurse is preparing a community presentation about hepatitis B virus (HBV). Which information should be included in the teaching session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cirrhosis has the following laboratory results: albumin 4.9 g/dl. (3.5-5 g/dL), PT 13 seconds (11-12.5 sec), and serum ammonia 68 mcg/dL (15-45 mcg/dL). Based on this information, what is the nurse's next action?

Correct Answer is A

Explanation

A female client is visiting the Medical Clinic with suspected hepatitis C. Which assessment question should the nurse ask this client?

Correct Answer is B

Explanation

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?

When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

When planning care for a client with acute pancreatitis, which order would the nurse anticipate that will contribute to pain control?

The nurse is preparing a client presentation regarding pancrelipase (Viokase) therapy. Which information would the nurse include in the teaching session?

The nurse is preparing discharge teaching for a client who has had a paracentesis. What information should be included in the education session?

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?