A client with chronic hepatitis D is prescribed antiviral therapy. What statement by the client demonstrates understanding of the treatment regimen?
"I will take pegylated interferon-alpha as the antiviral agent.”
"I will use ribavirin to suppress the viral replication.”
"I need to continue the treatment for a shorter duration than hepatitis B or C.”
"The goal of treatment is to achieve undetectable HDV RNA after the treatment ends.”
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
Leptospirosis is a non-viral cause of hepatitis. It is caused by the bacterium Leptospira and can lead to liver inflammation. Leptospirosis is typically contracted through exposure to contaminated water, soil, or urine of infected animals.
Choice B rationale:
Malaria is not a cause of hepatitis. Malaria is a parasitic infection transmitted through the bite of infected mosquitoes and does not directly affect the liver in the way hepatitis does.
Choice C rationale:
Acetaminophen is a non-viral cause of hepatitis when taken in excessive amounts or in cases of overdose. Acetaminophen toxicity can lead to acute liver failure and hepatitis-like symptoms.
Choice D rationale:
Autoimmune hepatitis is a non-viral cause of hepatitis. It occurs when the body's immune system mistakenly attacks the liver, leading to inflammation and liver damage. The exact cause of autoimmune hepatitis is not well understood.
Choice E rationale:
Hepatitis B is a viral cause of hepatitis and is not a non-viral cause. It is caused by the hepatitis B virus (HBV) and is transmitted through exposure to infected blood, sexual contact, or perinatal transmission from mother to child.
Correct Answer is B
Explanation
Choice B rationale:
Encouraging the client to rest and limit physical activity is an essential nursing intervention for a client with acute hepatitis
A. Rest is crucial for liver recovery and reducing the risk of complications. Physical activity can put additional stress on the liver and may worsen symptoms. The client should avoid alcohol and any medications that can potentially harm the liver during this period.
Choice A rationale:
Isolating the client in a negative pressure room is not necessary for acute hepatitis
A. Hepatitis A is primarily transmitted through the fecal-oral route, and standard precautions are sufficient to prevent its spread. Negative pressure rooms are usually reserved for clients with airborne infections, such as tuberculosis.
Choice C rationale:
Administering live attenuated hepatitis A vaccine is not indicated for a client with acute hepatitis
A. The vaccine is used for pre-exposure prophylaxis and is not effective in treating an active infection.
Choice D rationale:
Providing antiviral medications to treat the infection is not a standard intervention for acute hepatitis
A. Antiviral therapy is generally reserved for chronic hepatitis B and C infections and is not effective for acute hepatitis A, which usually resolves on its own with supportive care.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.