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NUR 213 Test 5
- a nurse is counseling a 20 year old client with multiple sexual partners about the hepatitis b
- a complete series of 3 HBV vaccines
- a vaccine with a booster every 10 years
- hepatitis B immune globulin followed by the vaccine
- 1-time HBV vaccination
vaccine. which of the following is indicated for adequate immunization?
Answer a Hepatitis b vaccine if given at birth, 1 month old, and 6 months old as recommended by the CDC
- a nurse is caring for a client with chronic hepatitis c who has returned to the unit after a
- educate the client about cirrhosis and its progression
- review preprocedure coagulation studies
- turn the client on the right side to provide pressure at the side
- perform a detailed assessment
liver biopsy. which of the following is the priority nursing intervention?
Answer c turning them on their right side helps provide pressure at the site and prevent bleeding
- a nurse is caring for a client with acute hepatitis A infection. which of the following nursing
- provide a low calorie diet with fluid restriction
- remind the client to limit alcohol consumption to 1-2 drinks per day
- administer antipruritic medication only as needed
- keep the client on strict bedrest
interventions should be implemented?
Answer c
- a nurse is caring for a client with chronic hepatitis C and cirrhosis who was admitted for
- hyperactive reflexes
- agitation and restlessness
- asterixis
- enlarged liver
hepatic encephalopathy. which of the following does the nurse expect when assessing the client?
Answer c 1 / 4
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asterixis is a sign of hepatic encephalopathy in individuals with cirrhosis of the liver
- a nurse is assessing a client with jaundice who has clay colored stool. what is the most likely
- increased cholecystokinin production
- increased production of bile
- decreased flow of bile into the intestine
- increased breakdown of hemoglobin
cause of these findings?
Answer c clay colored stools indicate an obstruction of the bile ducts
- nurses and other healthcare workers are considered high risk for infection by bloodborne
- influenza
- TB
- Hepatitis B
- Hepatitis C
pathogens. which of the following vaccines is mandated by OSHA for healthcare workers?
Answer c nursing is high risk for hep b because it is bloodborne pathogens
- an unvaccinated healthcare worker has been exposed to hepatitis B through a needle stick.
- hepatitis B immune globulin
- hepatitis b vaccine and hepatitis b immune globulin
- hepatitis B surface antigen
- amphotericin B
which of the following should the nurse anticipate administer- ing as a post exposure prophylaxis?
Answer b the first vaccine should be given within 12 hours of exposure
- a nurse is providing teaching about hepatitis A with a client who plans to travel. which of
- if exposed expect to have manifestations within 10 days
- avoid donating blood or tissue for one year if you develop the infection
- practice meticulous skin and hand hygiene
- expect if you are exposed to have severe joint pain
the following statements should the nurse make?
Answer 2 / 4
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c hep A is transmitted from contaminated foods, so good hand and skin hygiene is key to preventing transmission
- the nurse is charting findings from a client with cirrhosis. which of the following findings
- anemia
- hypoglycemia
- bruising
- gynecomastia
- bradycardia
are specifically related to the clients diagnosis? select all that apply
Answer a, c, d
- a nurse who is employed in a community outpatient clinic should question which of the
- a MMR in a client who hopes to become pregnant within the next 6 months
- DTaP to a client who has a family history of seizures
- DTaP to a client who develops a rash when exposed to latex
- Hepatitis B for a client with hypersensitivity to yeast
following prescriptions for vaccine administration?
Answer d contraindications are conditions in the recipient of a vaccine that increase the risk of
a serious adverse reaction. hypersensitivity to yeast is an absolute contraindication to the hep B virus
- a nurse is caring for a client with a GI bleed who has been diagnosed with liver failure due
- PRBCs
- cryoprecipitate
- platelets
- whole blood
to hepatitis B. which of the following blood products will most likely be prescribed to achieve hemostasis?
Answer c
- the nurse is preparing to administer on unit of whole blood. which of the following
- chill rigor reaction
- Hep A
- a febrile non-hemolytic reaction
- transfusion related circulatory overload 3 / 4
describes the most life threatening complication associated with blood transfusions?
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Answer d they may develop s/s heart failure and dyspnea. this reaction is about 20% of transfusion related deaths
- the nurse is assessing a client with hepatitis. which of the following diag- nostic tests will
- LDH
- Potassium
- sodium
- HBV surface antigen
- chloride
- chest xray
- ALP
- AST
be recommended for this type of client? select all that apply
Answer a, d, g, h
- a nurse is reviewing the prescription for a client who is being evaluated for the presence of
- indirect bilirubin
- HCV RNA testing
- AST
- ALT
hepatitis C. which of the following prescribed lab tests should the nurse identify as diagnostic for hepatitis C?
Answer b
- after administering an injection to a child the nurse scratches their wrist with the used
- complete an incident report
- wash the area with soapy water
needle. what is the next best action?
- notify the unit manager
- call the clients doctor
Answer b if a needlestick injury occurs you should
Answer
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