Hepatitis Case Study Essay

3905 Words Aug 19th, 2013 16 Pages
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) Each of the injections is specifically formulated to protect against Hepatitis A, B, or C.
INCORRECT
There is currently no vaccination for Hepatitis C.

B) Each of the injections is specifically formulated to protect
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Jaundice is also often noted in the sclerae of the eyes.

C) 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.

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.

Jaundice
Since Chad has jaundice, the nurse carefully observes his urine and stool.

6.
Which observation about the stool is consistent with the presence of jaundice?
A) Stool is green, meconium-like.
INCORRECT
This is not a reflection of increased bilirubin.

B) Stool is liquid and frothy, with a foul odor.
INCORRECT
This is not a reflection of increased bilirubin.

C) Stool is clay-colored.
CORRECT
Stool will be light or clay-colored if conjugated bilirubin is not able to leave the liver.

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

7.
Which observation about the urine is consistent with the presence of jaundice?
A) Urine is thick and contains sediment.
INCORRECT
This is not a reflection of increased bilirubin.

B) Urine is tea-colored.
CORRECT
As excess bilirubin builds in the bloodstream, some is excreted in the urine which causes a tea-colored

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