ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 46 Questions
Question 1 of 5
A patient contracts hepatitis from contaminated food. During the acute (icteric) phase of the patient's illness, which of the following serological findings should the nurse expect?
Correct Answer: D
Rationale: Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV IgM appears during the acute phase of hepatitis A. The patient would not have antigen for hepatitis B or antibody for hepatitis D. Anti-HAV IgG would indicate past infection and lifelong immunity.
Question 2 of 5
Which of the following findings in a blood specimen indicates that the administration of hepatitis B vaccine to a patient has been effective?
Correct Answer: B
Rationale: The presence of surface antibody to HBV (anti-HBs) is a marker of a positive response to the vaccine. The other laboratory values indicate current infection with HBV.
Question 3 of 5
A patient in the outpatient clinic is diagnosed with acute hepatitis C virus (HCV) infection. Which of the following actions by the nurse is best?
Correct Answer: A
Rationale: Genotyping of HCV has an important role in managing treatment and is done before drug therapy is initiated. Since most patients with acute HCV infection convert to a persistent state, the nurse should not teach the patient that the HCV will resolve in a few months. Immune globulin or vaccine is not available for HCV. Ribavirin is used for persistent HCV infection.
Question 4 of 5
The nurse is caring for a patient who is diagnosed with acute hepatitis B. Which of the following information should the nurse include in the teaching plan?
Correct Answer: D
Rationale: Maintaining adequate nutritional intake is important for regeneration of hepatocytes. Interferon and antivirals may be used for persistent hepatitis B, but they are not prescribed for acute hepatitis B infection. Rest is recommended.
Question 5 of 5
The nurse is caring for a patient with persistent hepatitis C who is prescribed combination therapy of ?±-interferon and ribavirin. Which of the following findings should the nurse monitor for the presence of hepatitis C in the patient?
Correct Answer: A
Rationale: Therapy with ribavirin and ?±-interferon may cause leukopenia. The other problems are not associated with this drug therapy.