The patient was positive for hepatitis B virus although she had the disease 4 years ago and now is symptom-free. The nurse explains that the patient:
1. is likely to have hepatitis B again.
2. now has noninfectious hepatitis.
3. is an infectious carrier and always will be.
4. is at risk for hepatitis E.
3
A certain percentage of persons who have had hepatitis B convert to carriers. They have the live virus, which causes no symptoms in them, but they are able to transmit the disease and always will be infectious.
PTS: 1 DIF: Cognitive Level: Evaluation REF: 804
OBJ: 4 TOP: Carrier State for Hepatitis B
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
# 20. The nurse explains to a patient with pancreatitis that the drug Pancrease (lipase, protease, amylase), a pancreatic enzyme, should be:
1. taken before meals.
2. sprinkled on warm food.
3. mixed with juice.
4. taken 1 hour after eating.
3
Pancreatic enzyme medication takes the place of enzymes missing from the damaged pan-creas. The drug should be mixed with juice or applesauce or sprinkled on cold food, but should not be chewed, because it will irritate the mouth and lips.
PTS: 1 DIF: Cognitive Level: Application REF: 828, Table 39-3
OBJ: 4 TOP: Administration of Pancreatic Replacement
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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