Question

For a 24-year old client with hepatitis A, which of the following is the most likely etiological factor?

Answer 1

Correct Answers:

Eating shrimp at the local pub

Rationale :

💎 Hepatitis A is caused by the Hepatitis A virus (HAV), which is primarily transmitted by the fecal–oral route.

💎 The virus spreads through ingestion of food or water contaminated with fecal matter containing HAV.

💎 Eating seafood, especially shellfish like shrimp, from unsanitary sources or polluted waters is a common cause.

💎 The infection leads to acute liver inflammation, causing jaundice, malaise, fatigue, nausea, and right upper quadrant discomfort.

💎 Prevention involves good hand hygiene, proper food handling, and vaccination against HAV for high-risk individuals.

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Answer 2

Correct Answers:

Shortness of urethra

Rationale :

🔷 In females, the urethra is only about 1.5 inches long, compared to 8 inches in males.

🔷 The shorter distance allows bacteria to travel quickly from the external genitalia to the bladder, causing infection.

🔷 The urethral opening’s close proximity to the anus increases exposure to fecal bacteria like E. coli.

🔷 Poor perineal hygiene or wiping back to front can further introduce bacteria into the urinary tract.

🔷 This anatomic difference makes urinary tract infections (UTIs) significantly more common in females than males.

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Answer 3

Correct Answers:

Decreased albumin

Rationale :

✴️ The liver synthesizes albumin, a major plasma protein responsible for maintaining oncotic (colloid osmotic) pressure.

✴️ In liver cirrhosis, hepatocellular damage reduces albumin production, leading to hypoalbuminemia.

✴️ Without sufficient albumin, fluid shifts from the blood vessels into the peritoneal cavity, resulting in ascites (abdominal fluid accumulation).

✴️ Additional factors like portal hypertension and aldosterone retention further aggravate fluid buildup.

✴️ Management includes sodium restriction, diuretics (spironolactone), and paracentesis if severe.

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Answer 4

Correct Answers:

It is often difficult to diagnose and treat

Rationale :

🌟 Chronic pain lasts beyond normal healing time (more than 3–6 months) and may not have an identifiable physical cause.

🌟 It involves psychological, emotional, and behavioral components, making assessment and management complex.

🌟 Unlike acute pain, vital signs often remain stable due to physiological adaptation over time.

🌟 Chronic pain can result from conditions such as fibromyalgia, arthritis, or neuropathic pain.

🌟 Effective management requires a multidisciplinary approach, including pharmacologic, physical, and psychological therapies.

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Answer 5

Correct Answers:

Hypertension

Rationale :

💠 Increased intracranial pressure (ICP) compresses cerebral vessels, reducing cerebral perfusion pressure (CPP).

💠 The body compensates by raising systemic blood pressure to maintain adequate cerebral blood flow — leading to hypertension.

💠 This forms part of Cushing’s triad: hypertension, bradycardia, and irregular respirations.

💠 Severe ICP can damage brainstem centers regulating autonomic functions, worsening outcomes if not treated promptly.

💠 Nursing management includes elevating the head of bed, avoiding neck flexion, and administering osmotic diuretics (mannitol)

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Answer 6

Correct Answers:

Pain is a warning sign of a problem in the body

Rationale :

🔶 Pain is a protective and subjective sensation that alerts the body to actual or potential tissue injury.

🔶 It activates the nervous system to prompt withdrawal, rest, or medical attention — preventing further harm.

🔶 The nurse should treat the client’s self-report of pain as the most reliable indicator of its presence and intensity.

🔶 Understanding pain’s role helps guide assessment and individualized pain management interventions.

🔶 Early recognition of pain can also help detect underlying pathology and prevent complications.

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Answer 7

Correct Answers:

Creatinine
Blood urea nitrogen
Glomerular filtration rate

Rationale :

✅ Creatinine

🔹 Produced by muscle metabolism and excreted by the kidneys.

🔹 Elevated serum creatinine indicates impaired renal filtration or kidney damage.

🔹 It is a more specific marker for kidney function than BUN.

🔹 Normal range: 0.6–1.3 mg/dL (adult).

🔹 Used to assess chronic kidney disease and monitor dialysis effectiveness.

✅ Blood Urea Nitrogen (BUN)

🔹 BUN measures the amount of urea nitrogen in the blood, a byproduct of protein metabolism.

🔹 The kidneys filter urea; thus, elevated levels indicate renal dysfunction or dehydration.

🔹 Normal range: 7–20 mg/dL in adults.

🔹 Influenced by hydration, diet, and liver function, so must be interpreted alongside creatinine.

🔹 Helps evaluate renal perfusion and metabolic waste clearance.

✅ Glomerular Filtration Rate (GFR)

🔹 GFR estimates how much blood passes through the glomeruli each minute.

🔹 It is the best indicator of overall kidney function.

🔹 A GFR < 60 mL/min/1.73m² for 3 months or more indicates chronic kidney disease (CKD).

🔹 Values depend on age, sex, and body size.

🔹 Used to stage kidney disease and guide medication dosage adjustments.

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Answer 8

Correct Answers:

Increased skin dryness

Rationale :

💎 Diarrhea causes excessive loss of fluids and electrolytes, leading to dehydration.

💎 One of the earliest and most visible signs of dehydration is dry, flaky skin and mucous membranes.

💎 The body loses more water than it takes in, reducing tissue hydration and skin elasticity (poor turgor).

💎 Other related findings may include low urine output, thirst, fatigue, and hypotension—not elevated blood pressure.

💎 Nurses should assess for orthostatic changes, encourage oral rehydration, and monitor electrolytes closely.

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Answer 9

Correct Answers:

Abdominal distention
Absence of flatulence
Dehydration

Rationale :

✅ Abdominal distention

🔹 Bowel obstruction causes trapped gas and fluid accumulation in the intestines, leading to visible swelling or bloating of the abdomen.

🔹 Distention results from impaired peristalsis and blockage preventing movement of intestinal contents.

🔹 The abdomen may feel tight and tender, often with visible peristaltic waves early on, then absent bowel sounds later.

✅ Absence of flatulence

🔹 When the bowel is obstructed, gas cannot pass through, resulting in no passage of flatus or stool.

🔹 This finding helps differentiate obstruction from partial motility issues.

🔹 It is a key indicator of complete intestinal blockage, requiring urgent medical or surgical attention.

✅ Dehydration

🔹 Obstruction leads to vomiting, decreased fluid absorption, and third spacing of fluids into the bowel lumen.

🔹 This fluid shift results in hypovolemia, dry mucous membranes, tachycardia, and hypotension.

🔹 Fluid replacement with IV isotonic solutions (e.g., normal saline or lactated Ringer’s) is essential to stabilize the patient.

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Answer 10

Correct Answers:

Neuropathic pain

Rationale :

🔷 Neuropathic pain arises from damage or dysfunction of peripheral or central nerves, not tissue injury.

🔷 Descriptors like “sharp,” “shooting,” “burning,” or “tingling” are characteristic of this type.

🔷 It commonly occurs in conditions such as diabetic neuropathy, spinal cord injury, or postherpetic neuralgia.

🔷 Pain results from abnormal nerve firing or hypersensitivity, making it often chronic and difficult to treat.

🔷 Treatment includes anticonvulsants (gabapentin), antidepressants (amitriptyline), and topical agents.

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NR283_Quiz3A

No.

1 :
For a 24-year old client with hepatitis A, which of the following is the most likely etiological factor?

2 :
Which anatomic characteristic of females increases the chance of developing urinary tract infections?

3 :
What causes a client with liver cirrhosis to develop ascites?

4 :
Which is a characteristic of chronic pain?

5 :
A nurse is caring for an adolescent who sustained a head injury and has severe increased intracranial pressure. Which finding should the nurse expect?

6 :
Which statement about pain is true?

7 :
Which lab tests would be included in the diagnostic evaluation of a client's kidney function? Select all that apply

✅ Creatinine

✅ Blood Urea Nitrogen (BUN)

✅ Glomerular Filtration Rate (GFR)

8 :
A nurse is caring for a client who has had diarrhea for the past week. Which additional assessment finding will the nurse expect?

9 :
A nurse is caring for a client with a bowel obstruction. Which clinical manifestation(s) is consistent with this diagnosis? Select all that apply.

✅ Abdominal distention

✅ Absence of flatulence

✅ Dehydration

10 :
During a pain assessment, the client describes the pain in their feet as "sharp, shooting, and tingling." The nurse knows that this is likely what type of pain?

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NR283_Quiz3A

No.

1 : For a 24-year old client with hepatitis A, which of the following is the most likely etiological factor?

2 : Which anatomic characteristic of females increases the chance of developing urinary tract infections?

3 : What causes a client with liver cirrhosis to develop ascites?

4 : Which is a characteristic of chronic pain?

5 : A nurse is caring for an adolescent who sustained a head injury and has severe increased intracranial pressure. Which finding should the nurse expect?

6 : Which statement about pain is true?

7 : Which lab tests would be included in the diagnostic evaluation of a client's kidney function? Select all that apply

✅ Creatinine

✅ Blood Urea Nitrogen (BUN)

✅ Glomerular Filtration Rate (GFR)

8 : A nurse is caring for a client who has had diarrhea for the past week. Which additional assessment finding will the nurse expect?

9 : A nurse is caring for a client with a bowel obstruction. Which clinical manifestation(s) is consistent with this diagnosis? Select all that apply.

✅ Abdominal distention

✅ Absence of flatulence

✅ Dehydration

10 : During a pain assessment, the client describes the pain in their feet as "sharp, shooting, and tingling." The nurse knows that this is likely what type of pain?

1 :
For a 24-year old client with hepatitis A, which of the following is the most likely etiological factor?

2 :
Which anatomic characteristic of females increases the chance of developing urinary tract infections?

3 :
What causes a client with liver cirrhosis to develop ascites?

4 :
Which is a characteristic of chronic pain?

5 :
A nurse is caring for an adolescent who sustained a head injury and has severe increased intracranial pressure. Which finding should the nurse expect?

6 :
Which statement about pain is true?

7 :
Which lab tests would be included in the diagnostic evaluation of a client's kidney function? Select all that apply

8 :
A nurse is caring for a client who has had diarrhea for the past week. Which additional assessment finding will the nurse expect?

9 :
A nurse is caring for a client with a bowel obstruction. Which clinical manifestation(s) is consistent with this diagnosis? Select all that apply.

10 :
During a pain assessment, the client describes the pain in their feet as "sharp, shooting, and tingling." The nurse knows that this is likely what type of pain?