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Hepatitis goes viral

doi: 10.1097/01.NURSE.0000437467.29687.05
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INSTRUCTIONS Hepatitis goes viral

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Lippincott Williams & Wilkins, publisher of Nursing2013 journal, will award 2.0 contact hours for this continuing nursing education activity.

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Hepatitis goes viral

GENERAL PURPOSE: To provide nurses with information about viral hepatitis. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Differentiate five types of viral hepatitis. 2. Identify possible complications of viral hepatitis. 3. Discuss management strategies for five types of viral hepatitis.

  1. Which hepatitis virus is transmitted by the fecal-oral route?
    1. HBV
    2. HCV
    3. HDV
    4. HEV
  2. Pathophysiologic changes of hepatitis typically cause pain in the
    1. left lower quadrant.
    2. right lower quadrant.
    3. right upper quadrant.
    4. left upper quadrant.
  3. The stool of patients with hepatitis and hyperbilirubinemia is described as
    1. dark-green colored.
    2. hematochezia.
    3. melena.
    4. clay-colored.
  4. When hepatitis is caused by a virus, lab findings usually show
    1. ALT higher than AST.
    2. AST higher than ALT.
    3. low alkaline phosphatase levels.
    4. low serum total bilirubin levels.
  5. Which of the following is commonly monitored to assess hepatic dysfunction?
    1. white blood cells
    2. basophils
    3. international normalized ratio
    4. red blood cells
  6. What physical assessment finding is related to hypoalbuminemia?
    1. jaundice
    2. peripheral edema
    3. hepatomegaly
    4. asterixis
  7. Patients with HAV usually return to their optimal level of health within
    1. 2 weeks.
    2. 4 weeks.
    3. 6 weeks.
    4. 8 weeks.
  8. Patients with chronic HBV infection may be treated with
    1. boceprevir.
    2. lamivudine.
    3. ketoconazole.
    4. sofosbuvir.
  9. TwinRix is a combination vaccine for
    1. HCV and HAV.
    2. HDV and HCV.
    3. HAV and HBV.
    4. HBV and HDV.
  10. Vaccination against HBV typically requires injections given
    1. exclusively to adults.
    2. in a series of three doses.
    3. over a period of 3 months.
    4. after HBV has been diagnosed.
  11. All of the following are extrahepatic complications of chronic HCVexcept
    1. vasculitis.
    2. glomerulonephritis.
    3. hepatocellular carcinoma.
    4. autoimmune thyroiditis.
  12. Ribavirin treats chronic HCV infection by
    1. promoting angiogenesis.
    2. inhibiting viral replication.
    3. reducing T-lymphocyte activity.
    4. inhibiting macrophage activity.
  13. HDV is a defective virus that causes infection only in the presence of
    1. HBV.
    2. HCV.
    3. HDV.
    4. HEV.
  14. Prophylaxis for patients at risk for HDV includes
    1. peginterferon alfa-2a.
    2. peginterferon alfa-2b.
    3. hepatitis A vaccine.
    4. hepatitis B vaccine.
  15. Which virus is self-limiting and requires only symptomatic and supportive care?
    1. HBV
    2. HCV
    3. HDV
    4. HEV
  16. The urine of patients with hepatitis and hyperbilirubinemia is usually
    1. red.
    2. dark ambler.
    3. green.
    4. fluorescent blue.
  17. Educate patients with hepatitis to avoid all the followingexcept
    1. alcohol.
    2. acetaminophen.
    3. blood transfusions.
    4. unprotected sex.
  18. Altered liver function may result in which lab abnormality?
    1. hypoglycemia
    2. hypocortisolemia
    3. hyperalbuminemia
    4. hypoammonemia
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