Nokea
The nurse is aware that the hepatitis A immunization provides immunity in:
- A. 5 days.
- B. 10 days.
- C. 15 days.
- D. 30 days.
Correct Answer: D
Rationale: Primary immunization with hepatitis A vaccine provides immunity within 30 days.
You may also like to solve these questions
Viral hepatitis may be treated at home. Which should be taught to the patient's family?
- A. Clothes should be laundered separately with hot water.
- B. Personal items and drinking glasses should not be shared.
- C. Articles soiled with feces do not require extra care.
- D. Hands need to be thoroughly washed after toileting.
- E. Contaminated items may be disposed of with regular trash.
Correct Answer: A,B,D
Rationale: For the patient with viral hepatitis being cared for in the home, the family needs to be taught necessary precautions. Clothes should be laundered separately with hot water. Personal items used by the patient should not be shared. Articles soiled with feces must be disinfected. Any contaminated items should be disposed of properly.
Which action will the nurse take to prepare a patient for an endoscopic retrograde cholangiopancreatography (ERCP)?
- A. Confirm that a recent chest x-ray is on file.
- B. Confirm the presence of a consent form.
- C. Warn patient that the procedure will take about 3 hours.
- D. Confirm the presence of a prothrombin time/INR.
- E. Withhold food and drink for 4 hours.
Correct Answer: B,D
Rationale: Before the ERCP, the patient will be held NPO for 8 hours. It is necessary that a consent form be signed as well as evidence of a prothrombin time INR.
Why is it advantageous for a live person to be a liver donor?
- A. Because the donor is not at risk for any complication.
- B. Because the recipient is more likely to avoid rejection.
- C. Because the donor donates only a part of the liver.
- D. Because the blood supply is more dependable in the donated liver.
Correct Answer: C
Rationale: A live donor may donate only a portion of their liver and within weeks the donor's liver has grown to the size to meet the body's needs. The same is true for the recipient.
A patient with a T tube for an open cholecystectomy has resumed oral intake. The T tube is clamped 2 hours before meals and unclamped 2 hours after meals to aid in the digestion of fat. During the time the tube is clamped the patient complains of abdominal pain and nausea. Which intervention is most appropriate?
- A. Notify the health care provider.
- B. Unclamp the tube immediately.
- C. Increase the IV fluids.
- D. Change the T-tube dressing.
Correct Answer: B
Rationale: While the tube is clamped, the patient may show signs of abdominal pain, nausea, vomiting, etc. Unclamp the tube immediately to allow for drainage and relief of both nausea and pain.
The nurse assisting in the treatment of a patient with ruptured esophageal varices who has received vasopressin IV will carefully assess for which complication?
- A. muscular twitching/spasm.
- B. hematuria.
- C. macular rash on trunk and arms.
- D. evidence of cardiac ischemia.
Correct Answer: D
Rationale: Vasopressin is a strong vasoconstrictor given to try to stop the hemorrhage of the varices. Unfortunately it also constricts all vessels and may cause cardiac ischemia.