Please give an explanation on why you chose this answer: A nurse is establishing IV access in a patient when she accidentally sticks herself with the needle used to insert the catheter. She removes her gloves and pushes blood out of her finger, then washes her hands. She is embarrassed that the event occurred and decides not to report the needlestick to her manager or Employee Health. The patient is discharged the next day. Twelve weeks later, the same patient returns and is under the nurse’s care again. The patient is jaundiced and has hepatomegaly and dark urine. The physician orders laboratory work. The nurse reviews the results when they are posted to the patient’s chart. The nurse notices the following results: Reference Range Bilirubin 35 mg/dL 0.1–1.2 mg/dL AST 350 U/L 10–40 U/L ALT 475 U/L 7–56 U/L ALP 145 U/L 45–115 U/L HBsAg Neg Neg IgM anti-HBc Pos Neg IgG anti-HBc Neg Neg 1. What is concerning about these laboratory results? A. There are no concerns; the patient's results are normal. B. The patient has a chronic hepatitis B infection. C. The patient has a recent hepatitis B infection. D. The patient is immune to hepatitis B. 2. The nurse becomes very concerned about her needlestick accident 12 weeks prior. Did her accident involve a route of transmission for hepatitis B? A. No B. Yes
Please give an explanation on why you chose this answer:
A nurse is establishing IV access in a patient when she accidentally sticks herself with the needle used to insert the catheter. She removes her gloves and pushes blood out of her finger, then washes her hands. She is embarrassed that the event occurred and decides not to report the needlestick to her manager or Employee Health. The patient is discharged the next day. Twelve weeks later, the same patient returns and is under the nurse’s care again. The patient is jaundiced and has hepatomegaly and dark urine. The physician orders laboratory work. The nurse reviews the results when they are posted to the patient’s chart. The nurse notices the following results:
|
Reference Range |
||
|
Bilirubin |
35 mg/dL |
0.1–1.2 mg/dL |
|
AST |
350 U/L |
10–40 U/L |
|
ALT |
475 U/L |
7–56 U/L |
|
ALP |
145 U/L |
45–115 U/L |
|
HBsAg |
Neg |
Neg |
|
IgM anti-HBc |
Pos |
Neg |
|
IgG anti-HBc |
Neg |
Neg |
1. What is concerning about these laboratory results?
A. There are no concerns; the patient's results are normal.
B. The patient has a chronic hepatitis B infection.
C. The patient has a recent hepatitis B infection.
D. The patient is immune to hepatitis B.
2. The nurse becomes very concerned about her needlestick accident 12 weeks prior. Did her accident involve a route of transmission for hepatitis B?
A. No
B. Yes
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