A nurse is caring for a patient with suspected hepatitis. What should the nurse include in the patient's care plan? (Select all that apply.)
Monitor vital signs and mental status.
Administer prescribed medications and fluids.
Educate the patient about hepatitis vaccines.
Encourage the patient to engage in high-impact exercise.
Implement infection control measures to prevent transmission.
Correct Answer : A,B,E
Choice A rationale:
Monitoring vital signs and mental status is crucial in patients with suspected hepatitis as they may develop complications such as hepatic encephalopathy, which can lead to changes in mental status.
Choice B rationale:
Administering prescribed medications and fluids is important to support the patient's liver function and manage symptoms of hepatitis. Antiviral medications may be used to treat certain types of viral hepatitis.
Choice C rationale:
Educating the patient about hepatitis vaccines is not applicable in a patient with suspected hepatitis since vaccines are used for prevention and are not effective in treating an ongoing infection.
Choice D rationale:
Encouraging the patient to engage in high-impact exercise is not recommended in patients with suspected hepatitis, as strenuous physical activity may worsen hepatic injury or lead to complications.
Choice E rationale:
Implementing infection control measures to prevent transmission is crucial in suspected hepatitis cases, as the disease can spread through contact with contaminated blood or body fluids. Standard precautions should be followed to prevent healthcare-associated infections and protect others from contracting the virus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Fatigue is a common side effect of antiviral therapy for hepatitis
C. The medications used to treat hepatitis C can cause general fatigue and tiredness in some patients. The nurse should monitor the client for signs of increased fatigue and address any concerns.
Choice D rationale:
Muscle aches are another possible side effect of antiviral therapy for hepatitis
C. Some patients may experience muscle pain or discomfort while on these medications. The nurse should assess the client for muscle aches and provide appropriate interventions if necessary.
Choice E rationale:
Blurred vision can occur as a side effect of antiviral therapy for hepatitis
C. Some medications used in the treatment of hepatitis C can affect vision in some patients. The nurse should be vigilant in monitoring the client's visual acuity and report any changes to the healthcare provider.
Choice B rationale:
Insomnia is not a common side effect of antiviral therapy for hepatitis
C. While some individuals may experience sleep disturbances due to the stress of managing a chronic condition, insomnia is not directly related to the antiviral medications used in hepatitis C treatment.
Choice C rationale:
Headache is not a typical side effect of antiviral therapy for hepatitis
C. Headaches may occur for various reasons, but they are not directly associated with the medications used to treat hepatitis
C.
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