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 B
Explanation
Choice A rationale:
While visual disturbances can occur as side effects of some medications, it is not the priority education for a patient undergoing antiviral therapy for hepatitis
C. Visual disturbances are not common or specific to antiviral therapy.
Choice B rationale:
Choice B is the correct answer because it is essential to educate the patient about avoiding alcohol and hepatotoxic drugs during antiviral therapy for hepatitis
C. Alcohol and certain medications can worsen liver function and interfere with the effectiveness of antiviral treatment.
Choice C rationale:
Educating the patient about the need for a high-protein diet during treatment is not a priority in antiviral therapy for hepatitis
C. While a balanced diet is important for overall health, there is no specific requirement for a high-protein diet during antiviral treatment.
Choice D rationale:
Encouraging the patient to engage in strenuous physical activities to alleviate fatigue is not the priority education for a patient undergoing antiviral therapy. Strenuous physical activities might be counterproductive, as the patient may experience fatigue as a side effect of the therapy. Instead, the focus should be on adequate rest and moderate exercise.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
The nurse should expect to assess fever in a client with suspected hepatitis A infection. Hepatitis A can cause flu-like symptoms, and fever is a common manifestation of the infection.
Choice C rationale:
Dark urine is another symptom the nurse should expect to assess in a client with hepatitis
A. Hepatitis A can cause jaundice, leading to dark-colored urine due to the accumulation of bilirubin in the bloodstream.
Choice D rationale:
Abdominal pain is a symptom that the nurse should anticipate in a client with hepatitis A infection. Hepatitis A can cause inflammation of the liver, leading to abdominal discomfort or pain in the right upper quadrant.
Choice E rationale:
Confusion is another possible symptom in a client with hepatitis
A. Severe cases of hepatitis A can lead to hepatic encephalopathy, causing confusion, altered mental status, and even coma.
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