A client presents with symptoms of hepatitis E infection. What interventions should the nurse prioritize for this client's care? (Select all that apply)
Hydration.
Antiviral therapy.
Pain relief.
Nutrition support.
Antipyretics.
Correct Answer : A,C,D,E
Choice A rationale:
Prioritizing hydration is essential in the care of a client with hepatitis E infection. Hepatitis E is transmitted through contaminated water and can cause dehydration due to symptoms like vomiting and diarrhea. Hydration helps maintain fluid balance and supports overall recovery.
Choice C rationale:
Pain relief is crucial for managing symptoms associated with hepatitis E infection. The client may experience abdominal pain and discomfort, and providing appropriate pain relief measures can enhance their comfort during the recovery period.
Choice D rationale:
Nutrition support is vital in the care of a client with hepatitis E infection. The disease can cause nausea, vomiting, and loss of appetite, leading to malnutrition. Providing adequate nutrition helps support the immune system and aids in the healing process.
Choice E rationale:
Antipyretics may be necessary for managing fever, which is a common symptom of hepatitis
E. Controlling fever can help improve the client's comfort and prevent complications associated with high body temperature.
Choice B rationale:
Antiviral therapy is not a standard treatment for hepatitis E infection. In most cases, the infection is self-limiting and resolves on its own without specific antiviral medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice C rationale:
The statement "Eating contaminated food can spread hepatitis C" indicates a need for further teaching. Hepatitis C is primarily transmitted through contact with infected blood, such as sharing needles for drug use, getting tattoos with unsterilized equipment, or through unprotected sexual contact. While it is theoretically possible to contract hepatitis C from contaminated food if it has come into contact with infected blood, it is an extremely rare mode of transmission. The nurse should clarify that the main routes of transmission are through blood-to-blood contact.
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