NSG 3850 Final Exam 4

hepatic dysfunction
jaundice
/

:




In billikubin
metabolism
⑧
1. The nurse is caring for a client with chronic alcoholism
who has jaundice. The nurse determines the etiological
process of this condition is
A. Increased bile salt excretion



?
B. An alteration of protein metabolism
0
C. Hepatic dysfunction in bilirubin metabolism
(page 755?) agree
D. Prehepatic alterations in erythropoiesis
2. The nurse is caring for a client who has cholelithiasis.
Which of the following should the nurse identify as a risk
factor for this condition?
RFfor
A. Excessive alcohol abuse
Correct Cholelith
⑧
B. Rapid weight loss in an obese individual RApiq
(page 744 last sentence) night LoSS
an
in
C. A nasogastric (NG) tube to low wall suction
vole
D. Hepatitis virus B (HVB) pt .




0
3. The nurse is caring for a client who has chronic
cholelithiasis. Which of the following would the nurse
expect the client to report? chronic
ithias

?
A. Abdominal pain upon waking up chole
-
B. Left upper quadrant abdominal pain persistent
C. Persistent epigastric pain (page 746) epigastric
⑧ pain

, Acute CholiLi=
D. Diarrhea obstruction of

4. The nurse is caring for a client who has acute the
cholecystitis. Which of the following would the nurse common
recognize as contributing to the pathological process of cystic
this condition? duct
A. Increased lecithin production by the win tre
gallbladder
gallbladder
B. Enzymatic activation causing autodigestion of
the gallbladder
C. Vascular insufficiency to the gallbladder
resulting in ischemic injury
0
D. Obstruction of the common cystic duct within
the gallbladder (page 747)
D
5. The nurse has attended a continuing education
conference about hepatitis. Which of the following
statements by the nurse indicates a need for further
teaching?
True
A. Depending on the virus, both DNA and RNA ~

I strands can be affected
True
B. Hepatitis virus B (HVB) is most similar to
hepatitis virus D (HVD)
v
True
hep
·

C. Serologic testing is necessary to differentiate ~
further the various types of hepatitis
-




False
teaching =0
D. Hepatitis virus C has an incubation period of
HePC 2 to 5 weeks (page 769 table 38.4) 2 2bWKS:




incubation time 2-3 wis
6. The nurse is caring for a client who has an acute
infection of hepatitis virus A. The nurse expects the
presence of

, HeP A =


X A. HVE antibody IgG and IgM
Anti-HVA
C B. HVB DNA polymerase activity
orre C. Anti-HVA IgG marker Correct -gM
I
makeR
C
.




⑧
D. Anti-HVA IgM marker (page 767
diagnosis,treatment)
7. The nurse is caring for a client who has a viral hepatitis
screen with a positive hepatitis B surface antigen. The
nurse should interpret these results to indicate that the
client pos B Surface Antigen Active :




i
infection
.




.




A. Has chronic inflammation Correct on slide 5

0
B. Has an active infection p. 768 sentence
before last key word is antigen KB
C. Is recovering from acute disease (page 768
last sentence)
D. Has a positive titer
8. The nurse is caring for a client with hepatitis virus C
who has a positive anti-HCV laboratory value. Which of
the following conclusions should the nurse make?

c A. The client is in the early stage of infection
HEPC

corre
B. The client has immunity to the virus
C. The infection is resolving Correct pos Anti-
.




0
D. These are antibodies to the virus present p. HW
768 Table 38.3 lab =



Antibodies to
9. The nurse is caring for a client who has hepatitis virus viMS
D. The nurse is aware that this is primarily transmitted by

HePD =


Parental A goes W/B .