During a health assessment the nurse becomes concerned that a ...

[nelaaney]

During a health assessment the nurse becomes concerned that a patient is at high risk for pancreatic cancer. What assessment findings caused this concern?
 
  Select all that apply.
 
  1. The patient smokes cigarettes.
  2. The patient has a body mass index of 32.5.
  3. The patient has been treated for osteoarthritis.
  4. The patient's uncle died from pancreatic cancer.
  5. The patient has been diagnosed with chronic pancreatitis.

Question 2

A patient is notified of a diagnosis of hepatitis by the healthcare provider and informed that it can be transmitted to others even though the patient has not been ill. The patient has a distant history of injection substance use.
 
  For which type of hepatitis should the nurse plan care for this patient?
 
  1. hepatitis A
  2. hepatitis B
  3. hepatitis C
  4. hepatitis D

[amanda_14]

Answer to Question 1

Correct Answer: 1, 2, 4, 5
Identified risk factors for pancreatic cancer include cigarette smoking, obesity, a genetic predisposition, and chronic pancreatitis. Osteoarthritis is not a risk factor for pancreatic cancer.

Answer to Question 2

Correct Answer: 3
Hepatitis C is the primary worldwide cause of chronic hepatitis, cirrhosis, and liver cancer. It is transmitted through infected blood and body fluids. Injection drug use is the primary risk factor for HCV infection, accounting for nearly half of all new infections. Acute hepatitis C usually is asymptomatic; if symptoms do develop, they often are mild and nonspecific. The disease often is recognized long after exposure occurred, when secondary effects of the disease (such as chronic hepatitis or cirrhosis) develop. Few acute infections completely resolve; most progress to chronic active hepatitis. Hepatitis A usually resolves completely and rarely results in a carrier state. Patients with hepatitis B are typically very ill following the preicteric phase, which is not consistent with this patient's history. Hepatitis D infects only people already infected with hepatitis B.