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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

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

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  • 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...

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  • October 23, 2024
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  • Lewis Medical Surgical Nursing
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©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




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