Medical-Surgical Nursing In Canada (3rd Edition) Chapter 46| Questions and Answers with complete solution

A physician who has never been immunized for hepatitis B is exposed to the hepatitis B virus (HBV) through a needle stick from an infected patient. What should the infection control nurse inform both the physician and patient that treatment for the exposure should include? a. Evaluation of liver function tests in 60 days b. Active immunization with hepatitis B vaccine c. Hepatitis B immunoglobulin (HBIG) injection d. Both the hepatitis B vaccine and HBIG - d. Both the hepatitis B vaccine and HBIG A patient contracts hepatitis from food contaminated by a worker with hepatitis in a fast-food restaurant. During the icteric phase of the patient's illness, what should the nurse expect serological testing to reveal? a. HBsAg (hepatitis B surface antigen) b. Anti-HBc IgM (antibody to HBV core antigen) c. Anti-HAV IgG (antibody to hepatitis A virus, immunoglobulin G) d. Anti-HAV IgM (antibody to hepatitis A virus, immunoglobulin M) - d. Anti-HAV IgM (antibody to hepatitis A virus, immunoglobulin M) While the nurse is obtaining a nursing history from a patient diagnosed with hepatitis C, what information reported by the patient indicates the highest risk factor for hepatitis C? a. Sexual exposure b. Injection drug use c. Eating contaminated shellfish d. Recent travel to an underdeveloped country - b. Injection drug use Serological testing of a patient reveals the presence of antibodies to the hepatitis C virus (anti-HCV). Which following nursing action is appropriate? a. Schedule the patient for HCV genotype testing. b. Teach the patient that the HCV infection will resolve in 2 to 4 months.c. Administer immunoglobulin and the HCV vaccine. d. Instruct the patient on self-administration of -interferon. - a. Schedule the patient for HCV genotype testing