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Med Surg Exam 3
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nutrition exam 3 Med Surg 1 Exam 3 RN Infection Contro
75 terms 74 terms 25 terms
Angelina_Scheuerma... Preview beccahennick Preview nina_diaz16
A patient newly diagnosed with A
acute hep B asks about drug
therapy to treat the disease. The No specific drugs are effective in treating acute viral hepatitis,
most appropriate response by although supportive drugs, such as anti-emetics, sedative, or
the nurse is informing the atipruritics, may be used for symptom control. Antiviral agents,
patient that: such as lamivudine or ribavirin, and alpha interferon may be used
for treating chronic hepatitis B or C.
a. there are no specific drugs
that are effective for treating
acute viral hepatitis
b. only chronic hep C is
treatable, primarily with antiviral
agents and alpha interferon.
c. no drugs can be used for
treatment of viral hepatitis
because of the risk of additional
liver damage.
d. alpha interferon combined
with lamivudine (EPivir) will
decrease viral load and liver
damage if taken for 1 year
,The nurse identifies a need for B
further teaching when the
patient with hepatitis B states: The patient with hep B is infectious for 4 to 6 months, and
precautions to prevent transmission through percutaneous and
a. I should avoid alcohol sexual contact should be maintained until tests for HBsAg are
completely for as long as a year negative. Close contact does not have to be avoided, but close
b. I must avoid all physical contacts of the patient should be vaccinated. Alcohol should not
contact with my family until the be used for at least a year, and rest with increasing activity
jaundice is gone during convalescence is recommended
c. I should use a condom to
prevent spread of the disease to
my sexual partners
d. I will need to rest several
times a day, gradually increasing
my activity as I tolerate it.
The nurse recognizes early signs D
of hepatic encephalopathy in
the patient who Early signs of this neurologic condition include euphoria,
depression, apathy, irritability, confusion, agitation, drowsiness,
a. manifests asterixis and lethargy. Loss of consciousness is usually preceded by
b. becomes unconscious asterixis, disorientation, hyperventilation, hypothermia, and
c. has increasing oliguria alterations in reflexes. Increasing oliguria is a sign of hepatorenal
d. is irritable and lethargic syndrome.
In discussing long term C
management with the patient
with alcoholic cirrhosis, the
nurse advises the patient that: Abstinence from alcohol is very important in alcoholic cirrhosis
and may result in improvement if started when liver damage is
a. a daily exercise regimen is reduced by rest and nutrition, most changes in the liver cannot
important to increase the blood be reversed. Exercise does not promote portal circulation, and
flow through the liver very moderate exercise is recommended. Acetaminophen should
b. cirrhosis can be reversed if not be used by the patient with liver disease because it is
the patient follows a regimen of potentially hepatotoxic.
proper rest and nutrition
c. abstinence from alcohol is the
most important factor in
improvement of the patient's
condition
d. the only over the counter
analgesic that should be used
for minor aches and pains is
acetaminophen
Which topic would the nurse B
plan to teach the patient
diagnosed with acute hepatitis Maintaining adequate nutritional intake is important for
B? regeneration of hepatocytes. Interferon and antivirals may be
used for chronic hepatitis B, but they are not prescribed for acute
a. Administering a-interferon hepatitis B infection. Rest is recommended
b. Measures for improving
appetite
c. Side effects of nucleotide
analogs
d. Ways to increase activity and
exercise
, Which topic is most important B
for the nurse to include in
teaching for a 41-yr-old patient The disease progression can be stopped or reversed by alcohol
diagnosed with early alcoholic abstinence. The other interventions may be used when cirrhosis
cirrhosis? becomes more severe to decrease symptoms or complications,
but the priority for this patient is to stop the progression of the
a. Taking lactulose disease.
b. Avoiding all alcohol use
c. Maintaining good nutrition
d. Using vitamin B supplements
See an expert-written answer!
Which action would the nurse B
take to evaluate treatment
effectiveness for a patient who Extending the arms allows the nurse to check for asterixis, a
has hepatic encephalopathy? classic sign of hepatic encephalopathy. The other tests might be
done as part of the neurologic assessment but would not be
a. Request that the patient stand diagnostic for hepatic encephalopathy.
on one foot.
b. Ask the patient to extend both
arms forward.
c. Request that the patient walk
with eyes closed.
d. Ask the patient to perform the
Valsalva maneuver.
See an expert-written answer!
Which action will be included in D
the care for a patient who has
recently been diagnosed with Some medications can increase the risk for NAFLD, and they
asymptomatic nonalcoholic fatty should be discontinued. NAFLD is not associated with hepatitis,
liver disease (NAFLD)? weight loss is usually indicated, and variceal bleeding would not
be expected in a patient with asymptomatic NAFLD
a. Teach symptoms of variceal
bleeding.
b. Draw blood for hepatitis
serology testing.
c. Discuss the need to increase
caloric intake.
d. Review the patient's current
medication list.
See an expert-written answer!
Med Surg Exam 3
Save
Students also studied
Flashcard sets Study guides
nutrition exam 3 Med Surg 1 Exam 3 RN Infection Contro
75 terms 74 terms 25 terms
Angelina_Scheuerma... Preview beccahennick Preview nina_diaz16
A patient newly diagnosed with A
acute hep B asks about drug
therapy to treat the disease. The No specific drugs are effective in treating acute viral hepatitis,
most appropriate response by although supportive drugs, such as anti-emetics, sedative, or
the nurse is informing the atipruritics, may be used for symptom control. Antiviral agents,
patient that: such as lamivudine or ribavirin, and alpha interferon may be used
for treating chronic hepatitis B or C.
a. there are no specific drugs
that are effective for treating
acute viral hepatitis
b. only chronic hep C is
treatable, primarily with antiviral
agents and alpha interferon.
c. no drugs can be used for
treatment of viral hepatitis
because of the risk of additional
liver damage.
d. alpha interferon combined
with lamivudine (EPivir) will
decrease viral load and liver
damage if taken for 1 year
,The nurse identifies a need for B
further teaching when the
patient with hepatitis B states: The patient with hep B is infectious for 4 to 6 months, and
precautions to prevent transmission through percutaneous and
a. I should avoid alcohol sexual contact should be maintained until tests for HBsAg are
completely for as long as a year negative. Close contact does not have to be avoided, but close
b. I must avoid all physical contacts of the patient should be vaccinated. Alcohol should not
contact with my family until the be used for at least a year, and rest with increasing activity
jaundice is gone during convalescence is recommended
c. I should use a condom to
prevent spread of the disease to
my sexual partners
d. I will need to rest several
times a day, gradually increasing
my activity as I tolerate it.
The nurse recognizes early signs D
of hepatic encephalopathy in
the patient who Early signs of this neurologic condition include euphoria,
depression, apathy, irritability, confusion, agitation, drowsiness,
a. manifests asterixis and lethargy. Loss of consciousness is usually preceded by
b. becomes unconscious asterixis, disorientation, hyperventilation, hypothermia, and
c. has increasing oliguria alterations in reflexes. Increasing oliguria is a sign of hepatorenal
d. is irritable and lethargic syndrome.
In discussing long term C
management with the patient
with alcoholic cirrhosis, the
nurse advises the patient that: Abstinence from alcohol is very important in alcoholic cirrhosis
and may result in improvement if started when liver damage is
a. a daily exercise regimen is reduced by rest and nutrition, most changes in the liver cannot
important to increase the blood be reversed. Exercise does not promote portal circulation, and
flow through the liver very moderate exercise is recommended. Acetaminophen should
b. cirrhosis can be reversed if not be used by the patient with liver disease because it is
the patient follows a regimen of potentially hepatotoxic.
proper rest and nutrition
c. abstinence from alcohol is the
most important factor in
improvement of the patient's
condition
d. the only over the counter
analgesic that should be used
for minor aches and pains is
acetaminophen
Which topic would the nurse B
plan to teach the patient
diagnosed with acute hepatitis Maintaining adequate nutritional intake is important for
B? regeneration of hepatocytes. Interferon and antivirals may be
used for chronic hepatitis B, but they are not prescribed for acute
a. Administering a-interferon hepatitis B infection. Rest is recommended
b. Measures for improving
appetite
c. Side effects of nucleotide
analogs
d. Ways to increase activity and
exercise
, Which topic is most important B
for the nurse to include in
teaching for a 41-yr-old patient The disease progression can be stopped or reversed by alcohol
diagnosed with early alcoholic abstinence. The other interventions may be used when cirrhosis
cirrhosis? becomes more severe to decrease symptoms or complications,
but the priority for this patient is to stop the progression of the
a. Taking lactulose disease.
b. Avoiding all alcohol use
c. Maintaining good nutrition
d. Using vitamin B supplements
See an expert-written answer!
Which action would the nurse B
take to evaluate treatment
effectiveness for a patient who Extending the arms allows the nurse to check for asterixis, a
has hepatic encephalopathy? classic sign of hepatic encephalopathy. The other tests might be
done as part of the neurologic assessment but would not be
a. Request that the patient stand diagnostic for hepatic encephalopathy.
on one foot.
b. Ask the patient to extend both
arms forward.
c. Request that the patient walk
with eyes closed.
d. Ask the patient to perform the
Valsalva maneuver.
See an expert-written answer!
Which action will be included in D
the care for a patient who has
recently been diagnosed with Some medications can increase the risk for NAFLD, and they
asymptomatic nonalcoholic fatty should be discontinued. NAFLD is not associated with hepatitis,
liver disease (NAFLD)? weight loss is usually indicated, and variceal bleeding would not
be expected in a patient with asymptomatic NAFLD
a. Teach symptoms of variceal
bleeding.
b. Draw blood for hepatitis
serology testing.
c. Discuss the need to increase
caloric intake.
d. Review the patient's current
medication list.
See an expert-written answer!
