100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Chapter 43: Liver, Biliary Tract, and Pancreas Problems Harding: Lewis's Medical-Surgical Nursing, 11th Edition Exam Practice Questions and Answers $12.49   Add to cart

Exam (elaborations)

Chapter 43: Liver, Biliary Tract, and Pancreas Problems Harding: Lewis's Medical-Surgical Nursing, 11th Edition Exam Practice Questions and Answers

 5 views  0 purchase
  • Course
  • Lewis Medical Surgical Nursing
  • Institution
  • Lewis Medical Surgical Nursing

©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/27 b. anti-HBs. c. anti-HBc IgG. d. anti-HBc IgM. - Ans:-ANS: B The presence of surface antibody to HBV (anti-HBs) is a marker of a positive response to the vaccine. The other laboratory values indic...

[Show more]

Preview 3 out of 27  pages

  • October 23, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical Surgical Nursing
  • Lewis Medical Surgical Nursing
avatar-seller
GraceAmelia
©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Chapter 43: Liver, Biliary Tract, and Pancreas
Problems Harding: Lewis's Medical-Surgical Nursing,
11th Edition Exam Practice Questions and Answers


A young adult contracts hepatitis from contaminated food. What should the nurse expect serologic

testing to reveal during the acute (icteric) phase of the patient's illness?


a. Antibody to hepatitis D (anti-HDV)


b. Hepatitis B surface antigen (HBsAg)


c. Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG)


d. Anti-hepatitis A virus immunoglobulin M (anti-HAV IgM) - Ans:✔✔-ANS: D


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.


The nurse evaluates that administration of hepatitis B vaccine to a healthy patient has been effective

when the patient's blood specimen reveals:


a. HBsAg.


Page 1/27

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




b. anti-HBs.


c. anti-HBc IgG.


d. anti-HBc IgM. - Ans:✔✔-ANS: B


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.


A patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV) infection. Which action by the

nurse is appropriate?


a. Schedule the patient for HCV genotype testing.


b. Administer the HCV vaccine and immune globulin.


c. Teach the patient about ribavirin (Rebetol) treatment.


d. Explain that the infection will resolve over a few months - Ans:✔✔-ANS: A


Genotyping of HCV has an important role in managing treatment and is done before drug therapy is

initiated. Because most patients with acute HCV infection convert to the chronic 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 chronic HCV infection.


What topic should the nurse plan to teach the patient diagnosed with acute hepatitis B?



Page 2/27

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




a. Administering -interferon


b. Measures for improving appetite


c. Side effects of nucleotide analogs


d. Ways to increase activity and exercise - Ans:✔✔-ANS: B


Maintaining adequate nutritional intake is important for regeneration of hepatocytes. Interferon and

antivirals may be used for chronic hepatitis B, but they are not prescribed for acute hepatitis B infection.

Rest is recommended.


The nurse administering -interferon and ribavirin (Rebetol) to a patient with chronic hepatitis C will plan

to monitor for:


a. leukopenia.


b. hypokalemia.


c. polycythemia.


d. hypoglycemia - Ans:✔✔-ANS: A


Therapy with ribavirin and -interferon may cause leukopenia. The other problems are not associated

with this drug therapy




Page 3/27

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller GraceAmelia. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75632 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart