A client with hepatitis B asks the nurse about ways to prevent transmission. What should the nurse include in the education?
Avoiding contact with infected animals.
Practicing safe sex with a monogamous partner.
Sharing personal care items with family members.
Using intravenous drugs with a clean needle.
The Correct Answer is B
Choice A rationale:
Avoiding contact with infected animals is not a primary mode of transmission for hepatitis
B. Although some animal species can carry the hepatitis B virus, the primary modes of transmission in humans are through exposure to infected blood, sexual contact, and perinatal transmission from mother to child.
Choice B rationale:
Practicing safe sex with a monogamous partner is an important preventive measure for hepatitis B transmission. The virus can be transmitted through sexual contact, so using barrier methods like condoms and having a mutually monogamous relationship can reduce the risk of infection.
Choice C rationale:
Sharing personal care items with family members is not a preventive measure for hepatitis B transmission. In fact, sharing personal items like toothbrushes or razors can potentially increase the risk of transmission, especially if there is any exchange of blood.
Choice D rationale:
Using intravenous drugs with a clean needle is a preventive measure for blood-borne infections like hepatitis B and C. However, it is not a preventive measure for hepatitis B transmission through sexual contact or perinatal transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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