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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:   QUESTION: What is most likely the diagnosis of the patient

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:   QUESTION: What is most likely the diagnosis of the patient

Phlebotomy Essentials
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
Problem 1SRQ
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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:

 

QUESTION: What is most likely the diagnosis of the patient? Explain your answer

Laboratory 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
Transcribed Image Text:Laboratory 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
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