544.213 Essay

3011 Words Jul 29th, 2013 13 Pages
Types of Hepatitis

Lab test results show a positive anti-HCV and confirm that Chad has Hepatitis C. The nurse explains to Chad that Hepatitis is liver disease with inflammation of the cells of the liver. Chad states "I can't have Hepatitis. I had all three of the vaccinations before I started working as a paramedic."

There are five major types of viral Hepatitis: A, B, C, D, and E.

1.
What information about the vaccination series for Hepatitis received by healthcare workers will the nurse use in response to Chad's statement?
A) All three injections are given to protect against Hepatitis B.
CORRECT
The three routine Hepatitis vaccinations administered to healthcare workers are the three-part hepatitis B vaccination. All
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INCORRECT
It is not necessary to place Hepatitis carriers in isolation.

D) Portable sharps containers available at every emergency situation.
CORRECT
The use of portable sharps containers reduces the risk of accidental needle sticks.

5.
This should be documented as:
A) Pruritus.
INCORRECT
Pruritus means itching. Although pruritus may occur as the result of increased bile salt excretion through the skin, this is not the correct term for skin with a yellow cast.

B) Jaundice.
CORRECT
Jaundice occurs when excess bilirubin diffuses through the skin. Normal total serum bilirubin is 0.1-1.2 mg/dl in adults. Jaundice occurs when the total serum bilirubin exceeds 2.5 mg/dl. Jaundice is also often noted in the sclerae of the eyes.

C) Cyanosis.
INCORRECT
Cyanosis refers to a bluish skin color rather than a yellow skin color. It is the result of decreased tissue oxygenation.

D) Purpura.
INCORRECT
Purpura are areas of bleeding, such as petechiae or ecchymosis. Although this may occur as the result of liver damage, this is not the correct term for skin with a yellow cast.

6.
Which observation about the stool is consistent with the presence of jaundice?
A) Stool is clay-colored.
CORRECT
Stool will be light or clay-colored if conjugated bilirubin is not able to leave the liver.

B) Stool is black and tarry.
INCORRECT
This is common when blood is present in the stool, but it is not a reflection of increased

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