The nurse is working in an area experiencing an outbreak of hepatitis. The manifestations that the nurse would identify as early manifestations of the disease are

a. clay-colored stools and dark urine.
b. epigastric pain and flu-like manifestations.
c. jaundice and severe pruritus.
d. petechiae and purpura.


B
Epigastric pain and flu-like manifestations with nausea and vomiting are common initial manife-stations of hepatitis. Other early manifestations include jaundice, lethargy, irritability, myalgia, arthralgia, anorexia, abdominal pain, fever, and diarrhea or constipation. Anicteric hepatitis may or may not precede jaundice.

Nursing

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A child with growth hormone deficiency is receiving growth hormone. Which finding would the nurse interpret as indicating effectiveness of this therapy?

A) Rapid weight gain B) Complaints of headaches C) Height increase of 4 inches D) Growth plate closure

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The nurse is talking to the parent of a 13-month-old child. The mother states, "My child does not make noises like ‘da' or ‘na' like my sister's baby, who is only 9 months old." Which statement by the nurse would be most appropriate to make?

a. "I am going to request a referral to a hearing specialist." b. "You should not compare your child to your sister's child." c. "I think your child is fine, but we will check again in 3 months." d. "You should ask other parents what noises their children made at this age."

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The reason administration of IV 10% calcium gluconate is utilized in the management of hyperkalemia in the neonate is to:

a. facilitate renal excretion of potassium b. increase potassium influx into the cells c. stabilize the myocardium

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A patient has been on prolonged bed rest, and the nurse is observing for signs associated with immobility. While assessing the patient, the nurse is alert to which of the following signs?

a. Increased blood pressure b. Decreased heart rate c. Increased urinary output d. Decreased peristalsis

Nursing