Hepatitis (Case Study)

Hepatitis (Case Study) Assessment 1. What additional information would be helpful to the nurse as related to Shanda's presentation? A. "Can you tell me more about your mission work?" B. "Have you ever been diagnosed with anemia?" C. "Do you have any underlying chronic illnesses?" D. "Tell me about your family history." - ANS A. The social conditions in foreign countries can help to focus other areas of assessment. 2. After a more thorough history and assessment, the healthcare provider (HCP) notes that Shanda reports being a little bit sore under her right rib cage. Based on this information, the nurse anticipates which priority lab test? A. CXR. B. ALT, AST. C. Serum electrolytes. D. Complete blood count. - ANS B. An enlarged liver can produce soreness/tenderness under the right rib cage area. 3. Shanda's lab results reveal an elevated liver enzymes. The healthcare provider (HCP) sends blood for hepatitis screening. The results indicate that Shanda has hepatitis. Based on her history, which type of hepatitis does the nurse suspect? A. Hepatitis C. B. Hepatitis A. C. Hepatitis D. D. Hepatitis B. - ANS B. 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 Shanda at high risk. 4. When Shanda 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? A. I would feel that way too if I were you. This has to be a shock. B. Why would you think something like that? C. Would you like me to contact your roommate? D. You must feel scared and afraid. Tell me more about that. - ANS D.