A nurse is caring for a client with suspected hepatitis A infection. Which signs and symptoms should the nurse expect to assess in the client? (Select all that apply)
Fever.
Rash.
Dark urine.
Abdominal pain.
Confusion.
Correct Answer : A,C,D,E
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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Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Getting vaccinated with the hepatitis B vaccine is an effective prevention strategy for hepatitis
B. It helps protect the individual from acquiring the virus and developing the disease. Vaccination is crucial, especially for individuals at risk of exposure to the virus, such as healthcare workers, sexually active individuals, and household contacts of infected individuals.
Choice B rationale:
Drinking alcohol occasionally is not a safe practice for individuals with hepatitis
B. Alcohol can further damage the liver and worsen the condition. Avoiding alcohol entirely is essential to protect the liver and promote healing.
Choice C rationale:
Clearance of infection does not confer immunity to hepatitis
B. The patient should still take precautions to prevent potential reinfection through sexual contact or other means.
Choice D rationale:
Screening blood donors and recipients for HBV infection is necessary to prevent the transmission of the virus through blood transfusions. It is a crucial safety measure to ensure that blood and blood products are free from hepatitis B virus and other infectious agents.
Correct Answer is D
Explanation
Choice D rationale:
This statement accurately differentiates between acute and chronic hepatitis. Acute hepatitis is a short-term inflammation of the liver that typically resolves within six months. It can be caused by various factors, including viral infections (e.g., hepatitis A, B, and C), alcohol consumption, or drug toxicity. On the other hand, chronic hepatitis is a long-lasting inflammation of the liver that persists for more than six months. Chronic hepatitis can result from ongoing viral infections (e.g., hepatitis B and C) or other causes, such as autoimmune diseases.
Choice A rationale:
This statement is incorrect. Acute hepatitis is a short-term condition that resolves within a few weeks to six months, while chronic hepatitis is the condition that can persist for an extended period.
Choice B rationale:
This statement is also incorrect. Acute hepatitis is primarily caused by viruses (e.g., hepatitis viruses), not bacteria. Chronic hepatitis is also related to viral infections, not bacterial infections.
Choice C rationale:
This statement is not accurate. Both acute and chronic hepatitis can have severe consequences, including liver cancer. Chronic hepatitis, especially when caused by hepatitis B or C viruses, can lead to the development of cirrhosis and increase the risk of liver cancer (hepatocellular carcinoma)
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