NU272 Week 5 HESI Case Study: Hepatitis
Study online at https://quizlet.com/_a26v13
1. Client is a college student who moved to the United o Have the client to explain
States to attend college. She lives in an apartment her mission work.
complex with two other friends. She has come to
the health clinic with feelings of fatigue that have · The social conditions in for-
been present for a while. She has immediate family eign countries can help to
in Mexico and makes a scheduled visit to see them focus other areas of assess-
each summer. She noticed anorexia recently. Best as ment.
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 mea-
sures, the symptoms have persisted.
What additional information would be helpful to the
nurse as related to client's presentation?
o Have the client to explain her mission work.
o Interview the client for a history of anemia.
o Ask the client is she has any underlying chronic
illnesses.
o Obtain the client's family history.
2. After a more thorough history and assessment, the o ALT, AST.
healthcare provider (HCP) notes that client reports
being a little bit sore under her right rib cage. Based · An enlarged liver can pro-
on this information, the nurse anticipates which pri- duce soreness/tenderness
ority lab test? under the right rib cage area.
o CXR.
o ALT, AST.
, NU272 Week 5 HESI Case Study: Hepatitis
Study online at https://quizlet.com/_a26v13
o Serum electrolytes.
o Complete blood count (CBC).
3. Client's lab results reveal an elevated liver enzymes. o Hepatitis A.
The healthcare provider (HCP) sends blood for he- · Hepatitis A is caused by
patitis screening. The results indicate that client has contaminate fecal contamina-
hepatitis. Based on her history, which type of hepati- tion of food or drinking wa-
tis does the nurse suspect? ter, poor sanitary conditions,
improper handling of food,
o Hepatitis C. poor hygiene and crowded
o Hepatitis A. conditions. Spending time at
o Hepatitis D. a missionary site and be-
o Hepatitis B. ing from a low socioeconomic
area places client at high risk.
4. When client receives the diagnosis, she is upset and o Tell the client that she must
asks, "I am scared, does this mean I am dying?" What feel scared and afraid and al-
is the best response by the nurse? low her to express her feel-
ings.
o Express to the client that you would feel that way
too if it were you. · This reflects the client's feel-
o Ask the client why she would think something like ings and encourages more
that. exploration of concerns.
o See if the client would like her roommate contact-
ed.
o Tell the client that she must feel scared and afraid
and allow her to express her feelings.
5. The HCP prescribes sodium chloride 0.9% for hydra- o 20
tion. The nurse sets up a 1000 mL bag of sodium
chloride 0.9% to administer the prescribed dose of · Using the formula: Vol-
100 mL/hr per IV. The IV tubing has a drop factor ume/Time in minutes x the
(gtt) of 12 drops (gtts)/mL/min. The IV should infuse drop factor (gtt/mL) = X
Study online at https://quizlet.com/_a26v13
1. Client is a college student who moved to the United o Have the client to explain
States to attend college. She lives in an apartment her mission work.
complex with two other friends. She has come to
the health clinic with feelings of fatigue that have · The social conditions in for-
been present for a while. She has immediate family eign countries can help to
in Mexico and makes a scheduled visit to see them focus other areas of assess-
each summer. She noticed anorexia recently. Best as ment.
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 mea-
sures, the symptoms have persisted.
What additional information would be helpful to the
nurse as related to client's presentation?
o Have the client to explain her mission work.
o Interview the client for a history of anemia.
o Ask the client is she has any underlying chronic
illnesses.
o Obtain the client's family history.
2. After a more thorough history and assessment, the o ALT, AST.
healthcare provider (HCP) notes that client reports
being a little bit sore under her right rib cage. Based · An enlarged liver can pro-
on this information, the nurse anticipates which pri- duce soreness/tenderness
ority lab test? under the right rib cage area.
o CXR.
o ALT, AST.
, NU272 Week 5 HESI Case Study: Hepatitis
Study online at https://quizlet.com/_a26v13
o Serum electrolytes.
o Complete blood count (CBC).
3. Client's lab results reveal an elevated liver enzymes. o Hepatitis A.
The healthcare provider (HCP) sends blood for he- · Hepatitis A is caused by
patitis screening. The results indicate that client has contaminate fecal contamina-
hepatitis. Based on her history, which type of hepati- tion of food or drinking wa-
tis does the nurse suspect? ter, poor sanitary conditions,
improper handling of food,
o Hepatitis C. poor hygiene and crowded
o Hepatitis A. conditions. Spending time at
o Hepatitis D. a missionary site and be-
o Hepatitis B. ing from a low socioeconomic
area places client at high risk.
4. When client receives the diagnosis, she is upset and o Tell the client that she must
asks, "I am scared, does this mean I am dying?" What feel scared and afraid and al-
is the best response by the nurse? low her to express her feel-
ings.
o Express to the client that you would feel that way
too if it were you. · This reflects the client's feel-
o Ask the client why she would think something like ings and encourages more
that. exploration of concerns.
o See if the client would like her roommate contact-
ed.
o Tell the client that she must feel scared and afraid
and allow her to express her feelings.
5. The HCP prescribes sodium chloride 0.9% for hydra- o 20
tion. The nurse sets up a 1000 mL bag of sodium
chloride 0.9% to administer the prescribed dose of · Using the formula: Vol-
100 mL/hr per IV. The IV tubing has a drop factor ume/Time in minutes x the
(gtt) of 12 drops (gtts)/mL/min. The IV should infuse drop factor (gtt/mL) = X
