The nurse, caring for a patient diagnosed with submassive hepatitis necrosis, realizes that which of the following may occur as this patient heals?
1. hepatic fibrosis
2. intact hepatic tissue
3. fulminant hepatic failure
4. right heart failure
1
Rationale: In submassive hepatic necrosis, necrosis is more generalized. Inflammation is severe and injury leads to the collapse of hepatic tissues with subsequent loss of lobule structure. Fibrosis of hepatic tissue may develop during the healing stage. Intact hepatic tissue is seen in the healing of classic hepatitis. Fulminant hepatic failure is seen in massive hepatic necrosis. Right heart failure is not a manifestation seen with any type of hepatitis.
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