Hepatitis & Liver Disorders
Which hepatitis can become chronic?
What is Hepatitis C?
What is the triad that leads to cholelithiasis? 3 answers.
What is Stasis of bile, supersaturation of cholesterol, nucleation of crystals?
What labs are expected with Graves’ disease?
Decreased TSH, increased T3/T4, antibodies.
What type of hypersensitivity reaction is a TB skin test?
What is type 4?
Which cell does HIV target?
What is CD4 (T cells)?
Which hepatitis viruses have vaccines?
What is A and B?
What diagnostic test is used for RUQ abdominal pain?
What is an abdominal ultrasound?
Which thyroid disorder may present with a goiter?
What are both hyperthyroidism and hypothyroidism?
What type of hypersensitivity is lupus?
What is type 3 (antigen antibody complex)?
The nurse is assessing a patient with AIDS. Which finding is most concerning?
Diarrhea and weight loss
Cough with green sputum and fever
Vaginal itching and discharge
Depression and anxiety
What is 2?
What type of genetic material does Hepatitis B have?
What is DNA?
Name 3 risk factors for cholelithiasis.
What is Fair, fat, forty; pregnancy; oral contraceptives; spinal injury; fasting; rapid weight loss; TPN?
A patient with suspected hyperthyroidism is scheduled for lab testing. Which results would the nurse anticipate?
Increased TSH, decreased T3 and T4
Decreased TSH, increased T3 and T4
Increased TSH, normal T3 and T4
Normal TSH, decreased T3 and T4
What is 2?
What is a complication of systemic lupus?
What is Pericarditis, nephritis, stomatitis, thrombocytopenia, atherosclerosis, MI, stroke?
A patient with HIV asks how the virus replicates. Which response by the nurse is best?
“HIV uses reverse transcriptase to copy its RNA into DNA.”
“HIV copies DNA directly into protein.”
“HIV stores its genetic material as DNA.”
“HIV replicates only inside red blood cells.”
What is 1?
A client with fever, malaise, and nausea/vomiting is suspected to have hepatitis. Which action should the nurse anticipate?
Prepare the client for a CT scan
Obtain blood work for hepatitis panel
Place the client on droplet precautions
Begin IV antibiotics
What is Obtain blood work for hepatitis panel?
The nurse is teaching a client diagnosed with cholelithiasis about dietary modifications. Which food choice indicates correct understanding?
Fried chicken with mashed potatoes
Steamed broccoli with grilled salmon
Cheeseburger with French fries
Ice cream with chocolate syrup
What is Steamed broccoli with grilled salmon?
The nurse is educating a patient with thyroid disease about calcitonin. Which statement by the patient indicates correct understanding?
“Calcitonin raises my blood calcium levels.”
“Calcitonin moves calcium from the blood into the bones.”
“Calcitonin increases the release of parathyroid hormone.”
“Calcitonin has no effect on calcium levels.”
What is " Calcitonin moves the calcium from te blood into the bones."?
The nurse is caring for a patient with rheumatoid arthritis who reports joint pain in the hands and feet. Which pathophysiological process is responsible for these symptoms?
Accumulation of immune cells causing inflammation
Direct bacterial invasion of the joints
Increased cartilage production
Decreased antibody response
What is Accumulation of immune cells causing inflammation?
The nurse is reviewing labs for a patient with suspected chronic myeloid leukemia (CML). Which finding supports this diagnosis?
Reed-Sternberg cells
Philadelphia chromosome
Increased immature lymphoblasts
Low white blood cell count
What is Philadelphia chromosome?
The nurse is caring for a patient with hepatitis C. Which assessment finding requires the most immediate intervention?
Jaundice
Nausea and vomiting
Rash on the trunk
Altered mental status
What is Altered mental staus?
A patient with cirrhosis develops ascites. Which pathophysiological processes contribute to this condition? Select all that apply.
Decreased capillary oncotic pressure
Increased hydrostatic pressure
Portal hypertension
Increased albumin production
Decreased sodium reabsorption
What is 1,2,3?
A patient has been taking corticosteroids long-term and stops abruptly. Which finding is the priority for the nurse to report?
Fatigue and weakness
Hypotension and tachycardia
Nausea and vomiting
Weight gain and moon face
What is Hypotension and Tachycardia?
A patient with scleroderma presents with tight, shiny skin and Reynaud’s phenomenon. Which complication is the priority concern for the nurse?
Impaired skin integrity
Impaired mobility due to contractures
Decreased tissue perfusion to fingers and toes
Calcium deposits in soft tissues
What is decreased tissue perfusion to fingers and toes?
The nurse is caring for a patient with multiple myeloma. Which laboratory and assessment findings should the nurse expect? Select all that apply.
Elevated calcium levels
Proteinuria
Splenomegaly
Bone pain
Increased kidney function
What is 1,2,4?