Lewis Chapter 48: Liver, Pancreas, and Biliary Tract
Problems UPDATED ACTUAL Questions and CORRECT
Answers
A young adult contracts hepatitis from contaminated ANS: D
food. During the acute (icteric) phase of the patient's Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV IgM
illness, the nurse would expect serologic testing to reveal appears
a. antibody to hepatitis D (anti-HDV). during the acute phase of hepatitis A. The patient would not have antigen for
b. hepatitis B surface antigen (HBsAg). hepatitis B or
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG). antibody for hepatitis D. Anti-HAV IgG would indicate past infection and lifelong
d. anti-hepatitis A virus immunoglobulin M (anti-HAV immunity.
IgM). DIF: Cognitive Level: Apply (application) REF: 980
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
The nurse evaluates that administration of hepatitis B ANS: B
vaccine to a healthy patient has been effective when the The presence of surface antibody to HBV (anti-HBs) is a marker of a positive
patient's blood specimen reveals response to the
a. HBsAg. vaccine. The other laboratory values indicate current infection with HBV.
b. anti-HBs. DIF: Cognitive Level: Apply (application) REF: 980
c. anti-HBc IgG. TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and
d. anti-HBc IgM. Maintenance
, A patient in the outpatient clinic is diagnosed with acute ANS: A
hepatitis C (HCV) infection. Which action by the nurse is Genotyping of HCV has an important role in managing treatment and is done
appropriate? before drug
a. Schedule the patient for HCV genotype testing. therapy is initiated. Because most patients with acute HCV infection convert to the
b. Administer the HCV vaccine and immune globulin. chronic
c. Teach the patient about ribavirin (Rebetol) treatment. state, the nurse should not teach the patient that the HCV will resolve in a few
d. Explain that the infection will resolve over a few months.
months. Immune globulin or vaccine is not available for HCV. Ribavirin is used for chronic
HCV
infection.
DIF: Cognitive Level: Apply (application) REF: 980
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
The nurse will plan to teach the patient diagnosed with ANS: C
acute hepatitis B about Maintaining adequate nutritional intake is important for regeneration of
a. administering a-interferon hepatocytes.
b. side effects of nucleotide analogs. Interferon and antivirals may be used for chronic hepatitis B, but they are not
c. measures for improving the appetite. prescribed for
d. ways to increase activity and exercise. acute hepatitis B infection. Rest is recommended.
DIF: Cognitive Level: Apply (application) REF: 980
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
The nurse administering a-interferon and ribavirin ANS: A
(Rebetol) to a patient with chronic hepatitis C will plan to Therapy with ribavirin and -interferon may cause leukopenia. The other problems
monitor for are not
a. leukopenia. associated with this drug therapy.
b. hypokalemia. DIF: Cognitive Level: Apply (application) REF: 981
c. polycythemia. TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
d. hypoglycemia.
Which information given by a 70-yr-old patient during a ANS: B
health history indicates to the nurse Any patient with a history of IV drug use should be tested for hepatitis C. Blood
that the patient should be screened for hepatitis C? transfusions
a. The patient had a blood transfusion in 2005. given after 1992 (when an antibody test for hepatitis C became available) do not
b. The patient used IV drugs about 20 years ago. pose a risk
c. The patient frequently eats in fast-food restaurants. for hepatitis C. Hepatitis C is not spread by the oral-fecal route and therefore is
d. The patient traveled to a country with poor sanitation. not caused by
contaminated food or by traveling in underdeveloped countries.
DIF: Cognitive Level: Apply (application) REF: 976
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
Problems UPDATED ACTUAL Questions and CORRECT
Answers
A young adult contracts hepatitis from contaminated ANS: D
food. During the acute (icteric) phase of the patient's Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV IgM
illness, the nurse would expect serologic testing to reveal appears
a. antibody to hepatitis D (anti-HDV). during the acute phase of hepatitis A. The patient would not have antigen for
b. hepatitis B surface antigen (HBsAg). hepatitis B or
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG). antibody for hepatitis D. Anti-HAV IgG would indicate past infection and lifelong
d. anti-hepatitis A virus immunoglobulin M (anti-HAV immunity.
IgM). DIF: Cognitive Level: Apply (application) REF: 980
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
The nurse evaluates that administration of hepatitis B ANS: B
vaccine to a healthy patient has been effective when the The presence of surface antibody to HBV (anti-HBs) is a marker of a positive
patient's blood specimen reveals response to the
a. HBsAg. vaccine. The other laboratory values indicate current infection with HBV.
b. anti-HBs. DIF: Cognitive Level: Apply (application) REF: 980
c. anti-HBc IgG. TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and
d. anti-HBc IgM. Maintenance
, A patient in the outpatient clinic is diagnosed with acute ANS: A
hepatitis C (HCV) infection. Which action by the nurse is Genotyping of HCV has an important role in managing treatment and is done
appropriate? before drug
a. Schedule the patient for HCV genotype testing. therapy is initiated. Because most patients with acute HCV infection convert to the
b. Administer the HCV vaccine and immune globulin. chronic
c. Teach the patient about ribavirin (Rebetol) treatment. state, the nurse should not teach the patient that the HCV will resolve in a few
d. Explain that the infection will resolve over a few months.
months. Immune globulin or vaccine is not available for HCV. Ribavirin is used for chronic
HCV
infection.
DIF: Cognitive Level: Apply (application) REF: 980
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
The nurse will plan to teach the patient diagnosed with ANS: C
acute hepatitis B about Maintaining adequate nutritional intake is important for regeneration of
a. administering a-interferon hepatocytes.
b. side effects of nucleotide analogs. Interferon and antivirals may be used for chronic hepatitis B, but they are not
c. measures for improving the appetite. prescribed for
d. ways to increase activity and exercise. acute hepatitis B infection. Rest is recommended.
DIF: Cognitive Level: Apply (application) REF: 980
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
The nurse administering a-interferon and ribavirin ANS: A
(Rebetol) to a patient with chronic hepatitis C will plan to Therapy with ribavirin and -interferon may cause leukopenia. The other problems
monitor for are not
a. leukopenia. associated with this drug therapy.
b. hypokalemia. DIF: Cognitive Level: Apply (application) REF: 981
c. polycythemia. TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
d. hypoglycemia.
Which information given by a 70-yr-old patient during a ANS: B
health history indicates to the nurse Any patient with a history of IV drug use should be tested for hepatitis C. Blood
that the patient should be screened for hepatitis C? transfusions
a. The patient had a blood transfusion in 2005. given after 1992 (when an antibody test for hepatitis C became available) do not
b. The patient used IV drugs about 20 years ago. pose a risk
c. The patient frequently eats in fast-food restaurants. for hepatitis C. Hepatitis C is not spread by the oral-fecal route and therefore is
d. The patient traveled to a country with poor sanitation. not caused by
contaminated food or by traveling in underdeveloped countries.
DIF: Cognitive Level: Apply (application) REF: 976
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
