A 66-year-old man presents to his nurse practitioner for a routine physical exam. While reviewing his chart, the NP notes that the patient has never been tested for hepatitis C (HCV). What are the current guidelines for HCV testing?
All people born between 1945 and 1965 should get tested for hepatitis C.
Patients older than 65 do not need to be tested for hepatitis C.
All patients 18 years and older should be screened for hepatitis C at least once.
Patients older than 65 may be tested for hepatitis C on a case-by-case basis.
The Correct Answer is C
Choice A reason: Historically, testing focused on the birth cohort of 1945–1965 because of higher prevalence, but updated guidelines now recommend universal screening for all adults.
Choice B reason: This is incorrect because age alone should not exclude HCV testing. Older adults may still have undiagnosed HCV, and screening can identify infections for treatment.
Choice C reason: This is correct. Current recommendations advise that all adults aged 18 and older should receive at least one lifetime HCV screening, regardless of risk factors, to ensure early diagnosis and treatment.
Choice D reason: Testing on a case-by-case basis may have been applied before universal screening guidelines but is no longer the primary recommendation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Administering supplemental oxygen can support oxygenation in patients receiving transfusions and help manage symptoms of hypoxia, which may reduce the risk of complications.
Choice B reason: Rapid transfusion increases the risk of circulatory overload (TACO), particularly in patients with low hemoglobin and possible compromised cardiac function. Slower, controlled transfusion is recommended.
Choice C reason: Administering furosemide between units can help prevent fluid overload by promoting diuresis, especially in patients receiving multiple transfusions.
Choice D reason: Monitoring for signs of hypoxia, edema, and fever is essential to detect TACO or other transfusion reactions early, allowing timely intervention.
Correct Answer is A
Explanation
Choice A reason: A score of 10 falls within the mild range, indicating that obsessive-compulsive behaviors are present but only cause minor interference with daily functioning.
Choice B reason: Moderate symptoms generally correspond to higher scores, reflecting noticeable functional impairment or distress.
Choice C reason: Moderate to severe symptoms indicate significant interference in social or occupational functioning, not consistent with a score of 10.
Choice D reason: Severe symptoms represent extreme impairment with frequent, intrusive obsessions and compulsions, which is inconsistent with this low score.
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