What therapeutic intervention provides the best chance of ...

[JMatthes]

What therapeutic intervention provides the best chance of survival for a child with cirrhosis?
 
  a. Nutritional support
  b. Liver transplantation
  c. Blood component therapy
  d. Treatment with corticosteroids

Question 2

The nurse is discussing home care with a mother whose 6-year-old child has hepatitis A. What information should the nurse include?
 
  a. Advise bed rest until 1 week after the icteric phase.
  b. Teach infection control measures to family members.
  c. Inform the mother that the child cannot return to school until 3 weeks after onset of jaundice.
  d. Reassure the mother that hepatitis A cannot be transmitted to other family members.

[shailee]

Answer to Question 1

ANS: B
The only successful treatment for end-stage liver disease and liver failure may be liver transplantation, which has improved the prognosis for many children with cirrhosis. Liver transplantation reflects the failure of other medical and surgical measures to prevent or treat cirrhosis. Nutritional support is necessary for the child with cirrhosis, but it does not stop the progression of the disease. Blood components are indicated when the liver can no longer produce clotting factors. It is supportive therapy, not curative. Corticosteroids are not used in end-stage liver disease.

Answer to Question 2

ANS: B
Hand washing is the single most effective measure in preventing and controlling hepatitis. Hepatitis A can be transmitted through the fecaloral route. Family members must be taught preventive measures. Rest and quiet activities are essential and adjusted to the child's condition, but bed rest is not necessary. The child is not infectious 1 week after the onset of jaundice and may return to school as activity level allows.

[JMatthes]

Thank you

[shailee]

No problemo