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MS1 CHAPTER 35 EXAM QUESTIONS AND ANSWERS
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MS1 CHAPTER 35 EXAMQUESTIONS AND ANSWERS
A patient with possible viral hepatitis reports a recent intake of raw shellfish.
Which type of hepatitis should the nurse consider the patient is experiencing?
a. Hepatitis A virus
b. Hepatitis B virus
c. Hepatitis C virus
d. Hepatitis D virus - ANSWER a
The employee health nurse is preparing vaccines to administer to patient care
staff to permanently protect them from hepatitis. For which types of hepatitis
does the nurse have vaccines?
a. HAV
b. HBV
c. HCV
d. Both HAV and HBV - ANSWER d
A patient with hepatic encephalopathy is required to consume 50 grams of
protein each day. Which item should be provided to the patient for a mid-
afternoon snack?
a. Apple
b. Crackers
c. Peanut butter
d. Whole grain bread - ANSWER c
The nurse is caring for a patient after a liver transplant. Which symptom should
the nurse report immediately as a possible indication of rejection of the liver?
a. Pulse rate of 80 beats per minute
b. Prothrombin time (PT) of 14 seconds
c. Decreased alanine aminotransferase (ALT)
d. A temperature greater than 101F (38.3C) - ANSWER d
The nurse is reinforcing teaching provided to a patient with chronic liver failure.
What should the patient be instructed to help prevent injury?
a. Drink plenty of clear fluids.
, b. Brush your teeth with a soft-bristled brush.
c. Be sure to get 20 minutes of exercise daily.
d. Take an aspirin a day to prevent heart complications. - ANSWER b
A patient with liver failure and esophageal varices is prescribed to receive
vasopressin. What should the nurse realize is the purpose for this medication?
a. To promote portal circulation
b. To reduce ammonia buildup and encephalopathy
c. To constrict vessels causing bleeding in esophageal varices
d. To maintain blood pressure in a patient with hypotension related to bleeding
varices - ANSWER c
The nurse is caring for a patient with chronic liver failure. Which laboratory
value should the nurse expect as a late sign of liver failure?
a. Low serum albumin
b. Low serum bilirubin
c. Low serum ammonia
d. Low serum aspartate aminotransferase (AST) - ANSWER a
The nurse is caring for a patient with hepatic encephalopathy. Which prescribed
medication should the nurse question before providing to this patient?
a. Vitamin K
b. Neomycin sulfate
c. Diazepam (Valium)
d. Lactulose (Cephulac) - ANSWER c
The nurse is caring for a patient with esophageal varices. Which symptom
should alert the nurse to possible bleeding?
a. Asterixis
b. Dark amber urine
c. Hard formed stool
d. Blood-streaked emesis - ANSWER d
The nurse is reinforcing teaching provided to a patient with esophageal varices.
Which activity should the patient be taught to avoid?
a. Lifting heavy objects
b. Participating in aerobic activities
c. Eating concentrated carbohydrates
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