A client has been diagnosed with hepatitis C and started on antiviral therapy. What side effects should the nurse monitor for in this client? (Select all that apply.)
Fatigue.
Insomnia.
Headache.
Muscle aches.
Blurred vision.
Correct Answer : A,D,E
Choice A rationale:
Fatigue is a common side effect of antiviral therapy for hepatitis
C. The medications used to treat hepatitis C can cause general fatigue and tiredness in some patients. The nurse should monitor the client for signs of increased fatigue and address any concerns.
Choice D rationale:
Muscle aches are another possible side effect of antiviral therapy for hepatitis
C. Some patients may experience muscle pain or discomfort while on these medications. The nurse should assess the client for muscle aches and provide appropriate interventions if necessary.
Choice E rationale:
Blurred vision can occur as a side effect of antiviral therapy for hepatitis
C. Some medications used in the treatment of hepatitis C can affect vision in some patients. The nurse should be vigilant in monitoring the client's visual acuity and report any changes to the healthcare provider.
Choice B rationale:
Insomnia is not a common side effect of antiviral therapy for hepatitis
C. While some individuals may experience sleep disturbances due to the stress of managing a chronic condition, insomnia is not directly related to the antiviral medications used in hepatitis C treatment.
Choice C rationale:
Headache is not a typical side effect of antiviral therapy for hepatitis
C. Headaches may occur for various reasons, but they are not directly associated with the medications used to treat hepatitis
C.
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Related Questions
Correct Answer is D
Explanation
Choice D rationale:
This statement accurately differentiates between acute and chronic hepatitis. Acute hepatitis is a short-term inflammation of the liver that typically resolves within six months. It can be caused by various factors, including viral infections (e.g., hepatitis A, B, and C), alcohol consumption, or drug toxicity. On the other hand, chronic hepatitis is a long-lasting inflammation of the liver that persists for more than six months. Chronic hepatitis can result from ongoing viral infections (e.g., hepatitis B and C) or other causes, such as autoimmune diseases.
Choice A rationale:
This statement is incorrect. Acute hepatitis is a short-term condition that resolves within a few weeks to six months, while chronic hepatitis is the condition that can persist for an extended period.
Choice B rationale:
This statement is also incorrect. Acute hepatitis is primarily caused by viruses (e.g., hepatitis viruses), not bacteria. Chronic hepatitis is also related to viral infections, not bacterial infections.
Choice C rationale:
This statement is not accurate. Both acute and chronic hepatitis can have severe consequences, including liver cancer. Chronic hepatitis, especially when caused by hepatitis B or C viruses, can lead to the development of cirrhosis and increase the risk of liver cancer (hepatocellular carcinoma)
Correct Answer is A
Explanation
Choice A rationale:
The client's statement, "I will take pegylated interferon-alpha as the antiviral agent," demonstrates understanding of the treatment regimen for chronic hepatitis
D. Pegylated interferon-alpha is the recommended antiviral therapy for chronic hepatitis
D. It helps suppress viral replication and reduce liver inflammation, which is essential in managing the disease. Interferon therapy can be used alone or in combination with antiviral agents like lamivudine or adefovir. However, it is crucial to note that interferon therapy may have side effects, and the client should be educated about them.
Choice B rationale:
"I will use ribavirin to suppress viral replication" is incorrect. Ribavirin is an antiviral agent used for the treatment of hepatitis C but is not typically recommended for hepatitis
D. The primary antiviral therapy for hepatitis D is pegylated interferon-alpha.
Choice C rationale:
"I need to continue the treatment for a shorter duration than hepatitis B or C" is incorrect. The treatment duration for chronic hepatitis D is generally longer than that for hepatitis B or
C. The therapy may last for six months to a year or even longer, depending on the individual response to treatment and the level of liver damage.
Choice D rationale:
"The goal of treatment is to achieve undetectable HDV RNA after the treatment ends" is incorrect. While achieving undetectable HDV RNA is a favorable outcome, it may not always be achievable with current therapies. The primary goal of treatment is to suppress viral replication, reduce liver inflammation, and slow down the progression of liver disease.
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