Viral Hepatitis Questions: Correct Answers
- Your patient was recently diagnosed with Hepatitis C. The nursing student then asks, why is the patient’s skin turning yellow? As the provider how would you explain the skin discoloration to the nursing student?
A. Jaundice is a yellow or greenish pigmentation of the skin or sclera of the eyes caused by increases in the plasma bilirubin concentration known as hyperbilirubinemia. Selections B, C, & D are all functions of the liver
B. Because of the production of bile that is utilized to emulsify fats and absorption.
C. The liver converts glucose during fasting and stores glycogen as muscle fuel.
D. The liver removes ammonia from the body and converts it to urea that is excreted by urine.
- Which statement is true regarding the transmission of viral hepatitis?
A. Hepatitis A mode(s) of transmission are fecal-oral, parental and sexual transmission.
B. Hepatitis B mode(s) of transmission are infected mother to fetus, parental and sexual transmission.
C. Hepatitis E mode(s) of transmission is fecal-oral.
D. All of the above. Modes of transmission for Hep A is fecal-oral, parental and sexual transmission, Hep B is parental, sexual transmission and infected mother to infant; Hep C and Hep D are parental and sexual transmission; and Hep E is fecal-oral transmission
- Which clinical manifestations are associated with hepatitis? Select all that apply.
A. Fever, malaise, and anorexia
B. Liver enlargement and tenderness
C. Jaundice and hyperbilirubinemia- Selections A, B, and C are all correct signs and symptoms of viral hepatitis in the prodromal and icteric phases; while selections D are symptoms of Cholelithiasis.
D. Epigastric pain, fatty foods intolerance, and heartburn
- Hepatitis C can be transmitted through contaminated water and uncooked meat. It is most common in Asia and Africa.
A. True
B. False- Because hepatitis E is most common in Asia and Africa and can be transmitted through contaminated water and uncooked meat.
- What are the stages of hepatitis infection?
A. Novice, Competent and Proficient
B. Cognitive, Sensory, and Motor
C. Incubation, Prodromal, Icteric, and Recovery- Incubation phase the virus is replicating with no symptoms. Prodromal phase begins about 2 weeks after exposure. Icteric phase begins about 1-2 weeks after the prodromal phase and last 2-6 weeks. Recovery phase begins with resolution of jaundice about 6-8 weeks after exposure. Selection A are levels of nursing expertise, selection B are the major neural systems involved with functional adequacy; and selection D clinical manifestations of meningitis
D. Bacterial, Viral, Aseptic and Fungal
References
Berkowitz, Aaron. (2007). Clinical pathophysiology made ridiculously simple (1 st ed.). MedMaster, Inc
McCance, K. L., & Huether, S. E. (2019). Pathophysiology: The biological basis for disease in adults and children (8 th ed.). St. Louis, MO: Mosby.