Hepatitis Flashcards
Which of following is the mode of transmission for Hepatitis A virus (HAV)?
A Contact
B Fecal- oral
C Percutaneous
D Parental
B Fecal- oral
Which of the following is considered an early clinical manifestation associated with acute viral hepatitis?
A Clay-colored stools
B Flu-like symptoms
C Jaundice
D Pruritis
B Flu-like symptoms
Which of the following types of acute viral hepatitis can progress to chronic viral hepatitis? Select all that apply.
A HAV B HBV C HCV D HDV E HEV
B HBV
C HCV
Acute viral hepatitis can present with many different clinical manifestations based on the phase of the virus. Which of the following symptoms would the nurse expect to see in the convalescent phase?
A Gross splenomegaly
B Headache
C Hematuria
D Resolving hepatomegaly
D Resolving hepatomegaly
Why does a patient who presents with jaundice secondary to acute viral hepatitis experience pruritus?
bile salts under their skin
When performing a history and physical assessment on a patient in the acute phase of acute viral hepatitis, which of the following findings would the nurse expect the patient to report. Select all that apply.
A Fevers B Itchy skin C Shortness of breath D RUQ tenderness E Yellow tinged skin
B Itchy skin
D RUQ tenderness
E Yellow tinged skin
Which conditions contribute to the development of abdominal ascites?
A
Blood flow through the portal system is obstructed causing portal hypertension.
B
Decreased aldosterone causes increased sodium reabsorption by the renal tubules.
C
Esophageal varices contribute to 80% of hemorrhages.
D
Increased colloidal oncotic pressure is caused by decreased albumin production.
A
Blood flow through the portal system is obstructed causing portal hypertension.
Which of the following problems can occur secondary to treatment of ascites with diuretic therapy? Select all that apply.
A Body image disturbance B GI Bleeding C Hypokalemia D Increased blood clotting E Renal impairment
C Hypokalemia
E Renal impairment
Which of the following clinical manifestations would be considered an early sign of hepatic encephalopathy?
A Asterixis
B Irritability & lethargy
C Oliguria
D Unconsciousness
A Asterixis -
irritability/lethargy is late stage
Which of the following is the most important nursing intervention to provide when caring for a patient with bleeding esophageal varices?
A Maintain the patient’s airway & prevent aspiration of blood.
B Monitor the patient’s cardiac status.
C Perform testing on all stools to check for occult blood.
D Prepare the patient for immediate surgery.
A Maintain the patient’s airway & prevent aspiration of blood.
A patient has developed cirrhosis secondary to a lifestyle of heavy drinking. Which of the following statements would be true regarding care of this patient?
A A daily exercise routine is important to increase the blood flow to the liver.
B Abstaining from alcohol is priority in order to improve the patient’s condition.
C Cirrhosis can be reversed if the patient adheres to proper rest & nutrition.
D Use of acetaminophen is acceptable the treatment for minor aches and pains.
B Abstaining from alcohol is priority in order to improve the patient’s condition.
In treating a patient with metastatic liver cancer, which of the following statements is most accurate?
A Chemotherapy is highly successful in the treatment of liver cancer.
B Metastatic liver cancer is more responsive to treatment than primary carcinoma of the liver.
C Supportive care is appropriate for all patients with metastatic liver cancer.
D The patient will undergo surgery to remove the affected portions of the liver.
C Supportive care is appropriate for all patients with metastatic liver cancer.
Which of the following characteristics are most commonly associated with cholelithiasis? Select all that apply.
A Age over 40 B Family History of gallbladder disease C History of excessive alcohol use D Multiparous female E Obesity F Use of estrogen or oral contraceptives
A Age over 40 B Family History of gallbladder disease D Multiparous female E Obesity F Use of estrogen or oral contraceptives
Which nursing care for a patient with acute cholecystitis will prevent further stimulation of the gallbladder?
A Administration of anticholingeric medications
B Administration of antiemetic medications
C NPO with NG suction
D Open cholecystecomy
C NPO with NG suction
During discharge instructions for a patient following a laparoscopic cholecystectomy, which of the following should the nurse include as part of patient teaching?
A Expect some postoperative nausea and vomiting for a few days
B Keep the incision site clean and dry for at least a week.
C Report any bile-colored or purulent drainage from the incision site
D Report the need to take pain medication for shoulder pain.
C Report any bile-colored or purulent drainage from the incision site
