A client has been diagnosed with chronic hepatitis B infection. What antiviral agents may the nurse expect to be prescribed for this client's treatment? (Select all that apply)
Ribavirin.
Lamivudine.
Interferon-alpha.
Entecavir.
Telbivudine.
Correct Answer : C,D,E
Choice C rationale:
Interferon-alpha may be prescribed for the treatment of chronic hepatitis B infection. It is an antiviral agent that can help boost the immune system's response to the virus and inhibit viral replication.
Choice D rationale:
Entecavir is an antiviral medication that is commonly used to treat chronic hepatitis B infection. It works by inhibiting viral DNA polymerase, thereby reducing viral replication.
Choice E rationale:
Telbivudine is another antiviral agent that may be prescribed for the treatment of chronic hepatitis
B. It works by inhibiting reverse transcriptase, an enzyme necessary for viral replication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
Choice A rationale:
Advising the patient to avoid alcohol and hepatotoxic drugs is appropriate because in hepatitis A, the liver is already inflamed and compromised. Alcohol and hepatotoxic drugs can further damage the liver and impede the healing process. It is essential to protect the liver from further harm during recovery.
Choice B rationale:
The patient has hepatitis A, not hepatitis C, so there is no need for the hepatitis C vaccine. The hepatitis A vaccine is available for prevention, not the hepatitis C vaccine.
Choice C rationale:
While monitoring liver function is essential for individuals with liver disease, this statement is not specifically relevant to the patient with hepatitis
A. Monitoring liver function is more critical for chronic liver diseases like hepatitis B and C.
Choice D rationale:
Antiviral therapy is not indicated for hepatitis A since the infection usually resolves on its own. This statement is not appropriate for the patient with hepatitis
A.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
The administration of the hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) to exposed contacts is an appropriate intervention for suspected hepatitis D infection. Hepatitis D is a defective virus that requires the presence of hepatitis B to replicate, so administering the hepatitis B vaccine can prevent hepatitis D infection in exposed contacts. HBIG contains antibodies against hepatitis B, which can provide temporary protection to exposed contacts.
Choice B rationale:
Advising the patient to avoid sexual contact or use condoms until cleared of infection is crucial in preventing the spread of hepatitis D. The virus can be transmitted through blood and sexual contact, so precautionary measures are essential.
Choice C rationale:
The availability and benefits of the hepatitis D vaccine for prevention should be communicated to the patient. Currently, there is no specific treatment for hepatitis D infection, and vaccination is the most effective preventive measure.
Choice D rationale:
Educating the patient about the need for regular monitoring of liver function and viral load is essential in managing hepatitis D. Hepatitis D can lead to severe liver complications, and monitoring liver function and viral load helps in evaluating disease progression and treatment effectiveness.
Choice E rationale:
Disinfecting contaminated surfaces or instruments with bleach or autoclave is not directly related to the care of a patient with suspected hepatitis D infection. Hepatitis D is primarily transmitted through blood and sexual contact, not through contaminated surfaces or instruments.
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