NUR328: Medical Management of Peptic Ulcer

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What is the typical incubation period of Hepatitis B?

6 to 12 months

1 to 6 months (correct)

1 to 2 weeks

1 to 2 years

Which of the following healthcare professionals is most at risk of contracting Hepatitis B?

Hemodialysis staff (correct)

Operating room staff

Pediatrician

Dermatologist

What is a common symptom of Hepatitis B?

Coughing

Sore throat

Arthralgias and rashes (correct)

Respiratory symptoms

Which of the following is NOT a risk factor for Hepatitis B?

Receiving a vaccine (B) Signup and view all the answers

What is a common physical examination finding in patients with Hepatitis B?

Tender and enlarged liver (B) Signup and view all the answers

What is a possible mode of transmission of Hepatitis B?

Male homosexual and bisexual activity (C) Signup and view all the answers

What is the primary goal of dietary modification for patients with peptic ulcers?

To avoid over secretion of acid and hypermotility in the GI tract (D) Signup and view all the answers

What is a common consequence of continued smoking in patients with peptic ulcers?

Delayed healing of peptic ulcers (B) Signup and view all the answers

What medication is used to prophylactically treat patients at high risk for stress ulcers?

H2 blockers or proton pump inhibitors (A) Signup and view all the answers

Why is it recommended to avoid extremes of temperature in food and beverages in peptic ulcer patients?

To minimize acid secretion and hypermotility (C) Signup and view all the answers

What is the purpose of eating three regular meals a day in peptic ulcer patients?

To neutralize acid and reduce symptoms (D) Signup and view all the answers

What is the effect of smoking on the secretion of bicarbonate from the pancreas?

Decreases the secretion of bicarbonate (A) Signup and view all the answers

What is the duration of HBsAg persistence in patients considered to be HBsAg carriers?

6 months or longer (A) Signup and view all the answers

When does HBeAg usually appear in the serum?

Within 1 week of the appearance of HBsAg (C) Signup and view all the answers

What is the purpose of screening blood donors for HBAg?

To reduce the risk of transmission by blood transfusion (A) Signup and view all the answers

Why are gloves worn in the laboratory and hemodialysis unit?

To handle all blood and body fluids, and to prevent exposure to blood or patients' secretions (A) Signup and view all the answers

What is the benefit of using disposable syringes and needles?

To reduce the risk of spreading HBV infection from one patient to another (B) Signup and view all the answers

What is prohibited in the laboratory and other areas exposed to secretions, blood, or blood products?

Eating (D) Signup and view all the answers

What is part of patient and family education in terms of medication therapy?

Continuing therapy indefinitely after discharge (B) Signup and view all the answers

Why does the nurse provide a written plan for the patient with hyperthyroidism to take home?

Because of the hyperexcitability and decreased attention span associated with hyperthyroidism (C) Signup and view all the answers

How does the nurse tailor the education provided to the patient with hyperthyroidism?

Based on the patient's stress and anxiety levels (C) Signup and view all the answers

What type of education do family members receive about the patient's medication?

Both verbal and written education (A) Signup and view all the answers

Why does the nurse repeat information as the time of surgery approaches?

To ensure the patient remembers the education provided (D) Signup and view all the answers

What type of instruction does the nurse provide to the patient with hyperthyroidism about their medication?

How to take the medication as prescribed (B) Signup and view all the answers

What is a potential consequence of a severe reaction to a medication?

Fulminant hepatic failure (D) Signup and view all the answers

What is the duration of jaundice before the onset of encephalopathy in hyperacute liver failure?

0 to 7 days (B) Signup and view all the answers

What is a common cause of fulminant hepatic failure?

Viral hepatitis (B) Signup and view all the answers

What is a recommended course of action if a patient experiences fever, rash, or pruritus from a medication?

Stop the medication immediately (D) Signup and view all the answers

What is a potential treatment option for severe liver failure?

A short course of high-dose corticosteroids (C) Signup and view all the answers

What is the definition of fulminant hepatic failure?

A sudden and severely impaired liver function in a previously healthy person (D) Signup and view all the answers