Which of the following concepts should the nurse keep in mind when preparing a plan of care for a patient with hepatitis C virus (HCV) infection?
A) The initial infection is always highly symptomatic.
B) Most HCV infections become chronic.
C) Antibodies to HCV are protective.
D) There is only one genotype of HCV infection in the United States.
B) Most HCV infections become chronic.
Explanation: A) Acute infection with HCV is often asymptomatic.
B) Most HCV infections become chronic (75-80%).
C) Unfortunately, the antibodies are not protective and do not indicate eradication of the virus.
D) Seven major genotypes exist. However, genotypes 1a and 1b are the most common in the United States followed by genotypes 2 and 3.
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When the patient with a Salem sump tube for decompression complains of feeling full and has dyspnea and nausea, the initial intervention by the nurse should be to:
a. increase the amount of suction from low to high. b. notify the charge nurse. c. irrigate the tube with normal saline. d. pull the tube out about 3 inches.
The intradermal skin test conducted on a patient is positive. What did the nurse most likely assess in this patient?
1. a wheal larger than 5 cm from the control and erythema 2. localized, itchy wheal 3. papules 4. ulceration
Which is a life threatening cause of abdominal pain?
1) Abdominal aortic aneurysm (AAA) 2) Cholecystitis 3) Gastroesophageal reflux disease (GERD) 4) Sickle cell disease
The nurse is providing care to a Muslim patient who is near death. Which question by the nurse is appropriate in this situation?
1) "Will you want an autopsy performed after death?" 2) "Will you want to wash your loved one's body once death occurs?" 3) "Will you want Santero at the bedside for a prayer?" 4) "Will you want candles lit in the room after your loved one passes?"