Hepatitis HESI Case study (evolve)
Exam Questions and Answers 100% Pass
Client is a college student who moved to the United States to attend college. She
lives in an apartment complex with two other friends. She has come to the health
clinic with feelings of fatigue that have been present for a while. She has immediate
family in Mexico and makes a scheduled visit to see them each summer. She
noticed anorexia recently. Best as she can remember, these symptoms began about
a month after her return from her summer trip. At first, she attributed her
symptoms to the bug she had while she was gone and the long hours she worked
at a missionary site, but despite all her measures, the symptoms have persisted. -
ANSWER-
What additional information would be helpful to the nurse as related to client's
presentation?
Have the client to explain her mission work.
Interview the client for a history of anemia.
Ask the client is she has any underlying chronic illnesses.
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,Obtain the client's family history. - ANSWER-Have the client to explain her
mission work.
The social conditions in foreign countries can help to focus other areas of
assessment.
After a more thorough history and assessment, the healthcare provider (HCP)
notes that client reports being a little bit sore under her right rib cage. Based on
this information, the nurse anticipates which priority lab test
CXR
ALT,AST
Serum electrolytes
CBC - ANSWER-ALT,AST
An enlarged liver can produce soreness/tenderness under the right rib cage area
Client's lab results reveal an elevated liver enzymes. The healthcare provider (HCP)
sends blood for hepatitis screening. The results indicate that client has hepatitis.
Based on her history, which type of hepatitis does the nurse suspect?
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, Hepatitis C.
Hepatitis A.
Hepatitis D.
Hepatitis B. - ANSWER-Hepatitis A.
Hepatitis A is caused by contaminate fecal contamination of food or drinking
water, poor sanitary conditions, improper handling of food, poor hygiene and
crowded conditions. Spending time at a missionary site and being from a low
socioeconomic area places client at high risk.
When client receives the diagnosis, she is upset and asks, "I am scared, does this
mean I am dying?" What is the best response by the nurse?
Express to the client that you would feel that way too if it were you.
Ask the client why she would think something like that.
See if the client would like her roommate contacted.
Tell the client that she must feel scared and afraid and allow her to express her
feelings. - ANSWER-Tell the client that she must feel scared and afraid and allow
her to express her feelings.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
Exam Questions and Answers 100% Pass
Client is a college student who moved to the United States to attend college. She
lives in an apartment complex with two other friends. She has come to the health
clinic with feelings of fatigue that have been present for a while. She has immediate
family in Mexico and makes a scheduled visit to see them each summer. She
noticed anorexia recently. Best as she can remember, these symptoms began about
a month after her return from her summer trip. At first, she attributed her
symptoms to the bug she had while she was gone and the long hours she worked
at a missionary site, but despite all her measures, the symptoms have persisted. -
ANSWER-
What additional information would be helpful to the nurse as related to client's
presentation?
Have the client to explain her mission work.
Interview the client for a history of anemia.
Ask the client is she has any underlying chronic illnesses.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,Obtain the client's family history. - ANSWER-Have the client to explain her
mission work.
The social conditions in foreign countries can help to focus other areas of
assessment.
After a more thorough history and assessment, the healthcare provider (HCP)
notes that client reports being a little bit sore under her right rib cage. Based on
this information, the nurse anticipates which priority lab test
CXR
ALT,AST
Serum electrolytes
CBC - ANSWER-ALT,AST
An enlarged liver can produce soreness/tenderness under the right rib cage area
Client's lab results reveal an elevated liver enzymes. The healthcare provider (HCP)
sends blood for hepatitis screening. The results indicate that client has hepatitis.
Based on her history, which type of hepatitis does the nurse suspect?
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
, Hepatitis C.
Hepatitis A.
Hepatitis D.
Hepatitis B. - ANSWER-Hepatitis A.
Hepatitis A is caused by contaminate fecal contamination of food or drinking
water, poor sanitary conditions, improper handling of food, poor hygiene and
crowded conditions. Spending time at a missionary site and being from a low
socioeconomic area places client at high risk.
When client receives the diagnosis, she is upset and asks, "I am scared, does this
mean I am dying?" What is the best response by the nurse?
Express to the client that you would feel that way too if it were you.
Ask the client why she would think something like that.
See if the client would like her roommate contacted.
Tell the client that she must feel scared and afraid and allow her to express her
feelings. - ANSWER-Tell the client that she must feel scared and afraid and allow
her to express her feelings.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
