The nurse decides to report her accident to Employee Health. They ask her if she has been vaccinated for hepatitis B. She cannot remember, and there is no record of her immunization. Employee Health orders liver enzymes and hepatitis analysis for the nurse.      Reference Range Bilirubin 35 mg/dL 0.1–1.2 mg/dL AST 33 U/L 10–40 U/L ALT 41 U/L 7–56 U/L ALP 87 U/L 45–115 U/L HBsAg Neg Neg IgM anti-HBc Neg Neg IgG anti-HBc Neg Neg Anti-HBs 12 mIU/L Neg 1. What do the laboratory results indicate?  A. The nurse contracted hepatitis B from her accident. B. The nurse has a chronic hepatitis B infection. C. The nurse has protective immunity to hepatitis B. She must have been vaccinated in the past.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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The nurse decides to report her accident to Employee Health. They ask her if she has been vaccinated for hepatitis B. She cannot remember, and there is no record of her immunization. Employee Health orders liver enzymes and hepatitis analysis for the nurse. 

   

Reference Range

Bilirubin

35 mg/dL

0.1–1.2 mg/dL

AST

33 U/L

10–40 U/L

ALT

41 U/L

7–56 U/L

ALP

87 U/L

45–115 U/L

HBsAg

Neg

Neg

IgM anti-HBc

Neg

Neg

IgG anti-HBc

Neg

Neg

Anti-HBs

12 mIU/L

Neg

1. What do the laboratory results indicate? 

A. The nurse contracted hepatitis B from her accident.

B. The nurse has a chronic hepatitis B infection.

C. The nurse has protective immunity to hepatitis B. She must have been vaccinated in the past.

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