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Exam (elaborations)

Chapter 44: Nursing Management: Liver, Pancreas, and Biliary Tract Problems

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2020/2021 Written for academic year
Institution Howard University
Course Nursing
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MULTIPLE CHOICE 1. A patient contracts hepatitis from contaminated food. During the acute (icteric) phase of the patient’s illness, the nurse would expect serologic testing to reveal a. antibody to hepatitis D (antiHDV). 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: 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. AntiHAV IgG would indicate past infection and lifelong immunity. DIF: Cognitive Level: Application REF: | 1064 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. The nurse determines that administration of hepatitis B vaccine to a patient has been effective when a specimen of the patient’s blood reveals a. HBsAg. b. anti-HBs. c. anti-HBc IgG. d. anti-HBc IgM. 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.

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