Toxic hepatitis has a poor prognosis if there is a prolonged period between the exposure to the toxin and the onset of symptoms. There are no effective antidotes. What is the clinical course of toxic hepatitis?
1. Fever rises. 2. Hematemisis. 3. Clotting abnormalities. 4. Vascular collapse. 5. Coma.
A) 12543
B) 12345
C) 23145
D) 31254
Ans: B
Feedback: Recovery from acute toxic hepatitis is rapid if the hepatotoxin is identified early and removed or if exposure to the agent has been limited. Recovery is unlikely if there is a prolonged period between exposure and onset of symptoms. There are no effective antidotes. The fever rises; the patient becomes toxic and prostrated. Vomiting may be persistent, with the emesis containing blood. Clotting abnormalities may be severe, and hemorrhages may appear under the skin. The severe GI symptoms may lead to vascular collapse. Delirium, coma, and seizures develop, and within a few days the patient may die of fulminant hepatic failure (discussed later) unless he or she receives a liver transplant.
You might also like to view...
The patient has end-stage renal disease (ESRD) and is admitted to the hospital with a blood urea nitrogen (BUN) level of 48 mg/dL. An excessive elevation of BUN could result from:
a. dehydration. b. disorientation. c. edema. d. catabolism.
When the nurse uses the PQRST tool for pain assessment, the "R" prompts an inquiry about the __________ of the pain
Fill in the blank(s) with correct word
A patient who was recently diagnosed with ovarian cancer wants to have children. Which type of treatment should the nurse expect to be prescribed first for this patient?
1. chemotherapy 2. radiation therapy 3. surgery to remove one ovary 4. hormone replacement therapy
Which additional nursing intervention(s) would be effective with pain management in the pediatric population? (Select all that apply.)
a. Provide diversional activities such as coloring, puzzles, and games. b. Allow uninterrupted sleep and rest. c. Perform hygiene measures. d. Encourage parental participation with caregiving to diminish the child's anxiety. e. With the health care provider's approval, encourage the child to drink eight to ten 8-ounce glasses of fluid daily.