A nurse is assisting in the care of a client who has the hepatitis A virus.
Which of the following modes of transmission should the nurse identify as how the client acquired the virus?
Fecal-to-oral route.
In utero from mother to infant.
Sexual contact.
Blood transfusion.
The Correct Answer is A
Choice A rationale
Hepatitis A virus is transmitted through the fecal-oral route via contaminated food or water. The virus replicates in hepatocytes and spreads through feces, causing acute liver inflammation.
Choice B rationale
Hepatitis A is not transmitted in utero from mother to infant. Vertical transmission is associated with other viruses such as hepatitis B or C, but not hepatitis A.
Choice C rationale
Sexual contact is not a typical transmission route for hepatitis A virus. Hepatitis A does not rely on sexual fluids for transmission.
Choice D rationale
Blood transfusion is not a recognized transmission route for hepatitis A. The virus is enteric, favoring gastrointestinal spread rather than bloodborne transmission.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pulling the glove cuff over the wrist of the gown ensures a proper seal, reducing the risk of exposure to pathogens during respiratory suctioning. This technique is a standard practice in PPE protocols to maintain contamination prevention and does not indicate improper teaching.
Choice B rationale
Removing gloves after completing suctioning is an essential step in infection control. Gloves are contaminated during the procedure, and removing them first prevents cross-contamination when handling other parts of PPE or surfaces.
Choice C rationale
An N95 respiratory mask is required to protect the healthcare worker from inhaling airborne pathogens during suctioning for clients with pneumonia. It is essential for respiratory protection in procedures involving potential aerosolization of infectious particles.
Choice D rationale
Limiting conversation with the client while wearing a mask is not scientifically grounded as an infection control measure. Masks are designed to prevent pathogen transmission without restricting verbal communication, making this statement incorrect and in need of correction.
Correct Answer is A
Explanation
Choice A rationale
Vitamin C is crucial for collagen synthesis, which is necessary for tissue repair and wound healing. It also enhances the immune response and promotes iron absorption, supporting the overall healing process.
Choice B rationale
Thiamine, a B-vitamin, facilitates carbohydrate metabolism and neural function. While essential, it does not have a direct role in wound healing or tissue regeneration.
Choice C rationale
Niacin supports energy production and DNA repair but lacks a specific role in promoting collagen synthesis or wound healing, making it less critical for this purpose.
Choice D rationale
Vitamin D maintains calcium-phosphorus homeostasis and bone health. While important for skeletal support, it does not directly enhance wound healing mechanisms.
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