Exam 3: NSG554/ NSG 554 (NEW 2023/ 2024) - Nurse Practitioners in Primary Care I Exam Review | 100% Correct | Complete Guide with Verified Answers

Exam 3: NSG554/ NSG 554 (NEW 2023/ 2024) - Nurse Practitioners in Primary Care I Exam Review | 100% Correct | Complete Guide with Verified Answers QUESTION Hepatitis A -transmitted by fecal-oral rout by either person to person contact or ingestion of contaminated food/water QUESTION Hepatitis A incubation period Answer: -30 days; excreted in feces up to 2 weeks before clinical illness QUESTION Hepatitis A: Signs and Symptoms Answer: *more severe in adults than children (usu- ally asymptomatic) - onset abrupt & insidious with malaise, arthralgia, easy fatiguability, upper respira- tory symptoms, anorexia -distaste for smoking may occur early -Nausea and vomiting are frequent and constipation/diarrhea may occur -Low grade fever -Defervescence and fall in pulse rate coincide with onset of jaundice -Abdmoinal pain mild/constant in RUQ or epigastrium -- aggravated by jarring/exer- tion -Jaundice occurs 5-10 after initial symptoms QUESTION Hepatitis A: Signs and Symptoms with jaundice Answer: -Prodromal symptoms worsen followed by progressive clinical improvement -stools may be acholic -hepatomegaly -splenomegaly -soft, enlarged lump nodes- esp. cervical & epitrochlear QUESTION Hepatitis A: Acute illness timeframe Answer: -Subsides over 2-3 with complete clinical and laboratory recovery by 9 weeks -May have 1-2 relapses -Can be complicated by acute cholecystitis QUESTION Hepatitis B Answer: -Transmitted by inoculation of infected blood or blood products or by sexual contact -Present in saliva, semen, vaginal secretions -can be transmitted during delivery QUESTION Hepatitis B: Incubation period Answer: -6 weeks to 6 months -Average 12-14 weeks QUESTION Hepatitis B: signs and symptoms Answer: -ranges from asymptotic without jaundice to acute liver failure and death -onset may be abrupt or insidious -Low grade fever -fall of pulse with onset of jaundice -Acute illness subsides over 2-3 weeks with complete clinical/laboratory recovery by 16 weeks -May become chronic QUESTION Acute Cholelithiasis (Gallstones) Answer: -more common in women -over age 60 -classified according to chemical composition as cholesterol or calcium bilirubinate stones QUESTION Acute Cholelithiasis: Signs and Symptoms (asymptomatic) Answer: - Asympto- matic, normal lab feature, no treatment QUESTION Acute Cholelithiasis: Signs and Symptoms (symptomatic gallston