After teaching a client who has plans to travel to a non-industrialized country, the nurse assesses the client's understanding regarding the prevention of viral hepatitis. Which statement made by the client indicates a need for additional teaching?
a. I should drink bottled water during my travels.
b. I will not eat off another's plate or share utensils.
c. I should eat plenty of fresh fruits and vegetables.
d. I will wash my hands frequently and thoroughly.
Question 2A nurse cares for a client who is prescribed lactulose (Heptalac). The client states, I do not want to take this medication because it causes diarrhea. How should the nurse respond?
a. Diarrhea is expected; that's how your body gets rid of ammonia.
b. You may take Kaopectate liquid daily for loose stools.
c. Do not take any more of the medication until your stools firm up.
d. We will need to send a stool specimen to the laboratory.
Question 3A nurse assesses clients at a community health fair. Which client is at greatest risk for the development of hepatitis B?
a. A 20-year-old college student who has had several sexual partners
b. A 46-year-old woman who takes acetaminophen daily for headaches
c. A 63-year-old businessman who travels frequently across the country
d. An 82-year-old woman who recently ate raw shellfish for dinner
Question 4After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the client's understanding. Which statement by the client indicates a correct understanding of the teaching?
a. Some medications have been known to cause hepatitis A.
b. I may have been exposed when we ate shrimp last weekend.
c. I was infected with hepatitis A through a recent blood transfusion.
d. My infection with Epstein-Barr virus can co-infect me with hepatitis A.
Question 5A nurse assesses a client who is recovering from a paracentesis 1 hour ago. Which assessment finding requires action by the nurse?
a. Urine output via indwelling urinary catheter is 20 mL/hr
b. Blood pressure increases from 110/58 to 120/62 mm Hg
c. Respiratory rate decreases from 18 to 14 breaths/min
d. A decrease in the client's weight by 6 kg
Question 6A nurse cares for a client who is hemorrhaging from bleeding esophageal varices and has an esophagogastric tube. Which action should the nurse take first?
a. Sedate the client to prevent tube dislodgement.
b. Maintain balloon pressure at 15 and 20 mm Hg.
c. Irrigate the gastric lumen with normal saline.
d. Assess the client for airway patency.
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