Name: Score:
25 Multiple choice questions
Term 1 of 25
Discharge Teaching:
Client's acute symptoms are resolved, and she is preparing to be discharged home.
Which discharge instruction should the nurse include in the teaching plan?
Follow a gluten free diet.
A client with hepatitis should adhere to a well-balanced diet, but it is not necessary to
adhere to a gluten free diet.
Avoid crowded settings.
This is an important measure for clients at high risk for infection, but a client with hepatitis is
not considered at high risk for infection.
Do not share personal hygiene items.
Sharing personal hygiene items (i.e., nail clippers, razors, etc.) may increase the risk for
virus transmission.
May use acetaminophen for headaches and mild pain.
Acetaminophen is metabolized in the liver and should only be used under the direction of a
HCP.
,Term 2 of 25
Client is being discharged. While talking with the nurse, she asks if she can return to school. What
advice should the nurse give?
You may return when your symptoms subside and you feel able to tackle the rigors of
school.
Once client feels able to return to school, she may do so. She should be instructed to
follow good handwashing techniques.
You will need to wait until your liver enzyme levels return to normal.
Alanine aminotransferase (ALS) levels may fluctuate in clients with acute and chronic
hepatitis, but they are not a determinant in the client's ability to return to school.
Once your hepatitis antibody levels are negative, you'll be safe to return to school.
After exposure and seroconversion, hepatitis antibody levels will remain positive, but that is
not a determinant in the client returning to school.
It will be ok after 6 months with no relapse of symptoms.
Hepatitis A generally resolves
Term 3 of 25
What infection prevention interventions are required by the hospital staff who come in direct
contact with client?
Place the client in a private room.
A private room is not necessary. Hepatitis is not airborne.
Ensure that all persons entering the room wear a gown and mask.
Hepatitis is not airborne and a gown is worn if handling contaminated specimens.
Gown and gloves are to be used when handling urine or feces.
Hepatitis A is transmitted by the fecal-oral route; therefore, precautions should be used
when handling contaminated specimens.
Don mask only when in face to face contact with client.
Hepatitis is not airborne.
, Term 4 of 25
Which information communicated by client needs intervention from the nurse?
The client states that she and her mother love baked potatoes with margarine.
This is consistent with a high calorie high carbohydrate diet.
The client states that her mother snacks on a lot of sweets and sugared cola drinks.
Although snacks and sugary drinks are not the best source, they are high in calories.
The client states that her mother only takes acetaminophen when she has a head ache or
body aches.
Acetaminophen can cause hepatotoxicity in large doses. A client with hepatitis should
avoid substances that may cause liver damage, such as hepatotoxic medications and
alcohol.
The client states that sometimes when she is really busy, she will eat a high-calorie, protein
bar.
This can be a substitute on occasion.
Term 5 of 25
Jaundice:
Since client has jaundice, the nurse carefully observes the urine and stool.
Which observation about the stool is consistent with the presence of jaundice?
Stool is clay-colored.
Stool will be light or clay-colored if conjugated bilirubin is not able to leave the liver.
Stool is currant jelly colored and has a ribbon like appearance.
This is commonly present in children with Hirsprung disease.
Stool is green and slimy.
This is more reflective of a newborn's stool, not a reflection of increased bilirubin.
Stool is liquid and frothy, with a foul odor.
Stool will have these characteristics if an individual has cystic fibrosis; therefore this is not a
reflection of increased bilirubin.
25 Multiple choice questions
Term 1 of 25
Discharge Teaching:
Client's acute symptoms are resolved, and she is preparing to be discharged home.
Which discharge instruction should the nurse include in the teaching plan?
Follow a gluten free diet.
A client with hepatitis should adhere to a well-balanced diet, but it is not necessary to
adhere to a gluten free diet.
Avoid crowded settings.
This is an important measure for clients at high risk for infection, but a client with hepatitis is
not considered at high risk for infection.
Do not share personal hygiene items.
Sharing personal hygiene items (i.e., nail clippers, razors, etc.) may increase the risk for
virus transmission.
May use acetaminophen for headaches and mild pain.
Acetaminophen is metabolized in the liver and should only be used under the direction of a
HCP.
,Term 2 of 25
Client is being discharged. While talking with the nurse, she asks if she can return to school. What
advice should the nurse give?
You may return when your symptoms subside and you feel able to tackle the rigors of
school.
Once client feels able to return to school, she may do so. She should be instructed to
follow good handwashing techniques.
You will need to wait until your liver enzyme levels return to normal.
Alanine aminotransferase (ALS) levels may fluctuate in clients with acute and chronic
hepatitis, but they are not a determinant in the client's ability to return to school.
Once your hepatitis antibody levels are negative, you'll be safe to return to school.
After exposure and seroconversion, hepatitis antibody levels will remain positive, but that is
not a determinant in the client returning to school.
It will be ok after 6 months with no relapse of symptoms.
Hepatitis A generally resolves
Term 3 of 25
What infection prevention interventions are required by the hospital staff who come in direct
contact with client?
Place the client in a private room.
A private room is not necessary. Hepatitis is not airborne.
Ensure that all persons entering the room wear a gown and mask.
Hepatitis is not airborne and a gown is worn if handling contaminated specimens.
Gown and gloves are to be used when handling urine or feces.
Hepatitis A is transmitted by the fecal-oral route; therefore, precautions should be used
when handling contaminated specimens.
Don mask only when in face to face contact with client.
Hepatitis is not airborne.
, Term 4 of 25
Which information communicated by client needs intervention from the nurse?
The client states that she and her mother love baked potatoes with margarine.
This is consistent with a high calorie high carbohydrate diet.
The client states that her mother snacks on a lot of sweets and sugared cola drinks.
Although snacks and sugary drinks are not the best source, they are high in calories.
The client states that her mother only takes acetaminophen when she has a head ache or
body aches.
Acetaminophen can cause hepatotoxicity in large doses. A client with hepatitis should
avoid substances that may cause liver damage, such as hepatotoxic medications and
alcohol.
The client states that sometimes when she is really busy, she will eat a high-calorie, protein
bar.
This can be a substitute on occasion.
Term 5 of 25
Jaundice:
Since client has jaundice, the nurse carefully observes the urine and stool.
Which observation about the stool is consistent with the presence of jaundice?
Stool is clay-colored.
Stool will be light or clay-colored if conjugated bilirubin is not able to leave the liver.
Stool is currant jelly colored and has a ribbon like appearance.
This is commonly present in children with Hirsprung disease.
Stool is green and slimy.
This is more reflective of a newborn's stool, not a reflection of increased bilirubin.
Stool is liquid and frothy, with a foul odor.
Stool will have these characteristics if an individual has cystic fibrosis; therefore this is not a
reflection of increased bilirubin.
