A nurse is providing care to a patient with hepatitis
Monitoring pregnant women closely for signs of fulminant hepatitis.
Administering hepatitis B immunoglobulin (HBIG) to exposed contacts.
Educating the patient about the benefits of hepatitis C vaccine.
Advising the patient to avoid sexual contact until cleared of infection.
Which intervention should the nurse prioritize?
The Correct Answer is A
Choice A rationale:
Fulminant hepatitis is a severe and life-threatening complication of hepatitis E, particularly in pregnant women. It can lead to liver failure, and timely monitoring is crucial to detect any early signs of deterioration in the patient's condition. Pregnant women with hepatitis E require close observation and frequent assessment of liver function to ensure prompt intervention if needed.
Choice B rationale:
Administering hepatitis B immunoglobulin (HBIG) to exposed contacts is not the priority in managing a patient with hepatitis
E. Hepatitis E is caused by a different virus (hepatitis E virus) and is not effectively prevented by hepatitis B immunoglobulin.
Choice C rationale:
Educating the patient about the benefits of hepatitis C vaccine is not relevant to the care of a patient with hepatitis
E. These are two different types of viral hepatitis, caused by distinct viruses (hepatitis C virus and hepatitis E virus), and each requires specific management.
Choice D rationale:
Advising the patient to avoid sexual contact until cleared of infection is important in some cases, but it is not the priority intervention for a patient with hepatitis
E. The primary concern in hepatitis E is monitoring for complications, especially in pregnant women, as discussed in choice A rationale.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Needle sharing is associated with the transmission of hepatitis C and HIV, but not hepatitis
A. Hepatitis A is primarily transmitted through the fecal-oral route, usually by consuming food or water contaminated with the virus. Poor sanitation, inadequate hygiene, and consumption of raw or undercooked shellfish are common factors in the spread of hepatitis
A.
Choice B rationale:
Blood transfusion is not a mode of transmission for hepatitis
A. Hepatitis A is mainly transmitted through oral-fecal contact and does not involve the exchange of blood products.
Choice C rationale:
Ingestion of contaminated food or water is the primary mode of transmission for hepatitis
A. The virus is excreted in the feces of infected individuals, and people can become infected by ingesting food or water that has been contaminated with the virus. Proper food handling, handwashing, and access to clean drinking water are essential in preventing the spread of hepatitis
A.
Choice D rationale:
Sexual contact is associated with the transmission of hepatitis B and other sexually transmitted infections, but it is not a significant mode of transmission for hepatitis
A. Hepatitis A is mainly spread through fecal-oral transmission and does not commonly involve sexual contact.
Correct Answer is A
Explanation
Choice A rationale:
Fulminant hepatitis is a severe and life-threatening complication of hepatitis E, particularly in pregnant women. It can lead to liver failure, and timely monitoring is crucial to detect any early signs of deterioration in the patient's condition. Pregnant women with hepatitis E require close observation and frequent assessment of liver function to ensure prompt intervention if needed.
Choice B rationale:
Administering hepatitis B immunoglobulin (HBIG) to exposed contacts is not the priority in managing a patient with hepatitis
E. Hepatitis E is caused by a different virus (hepatitis E virus) and is not effectively prevented by hepatitis B immunoglobulin.
Choice C rationale:
Educating the patient about the benefits of hepatitis C vaccine is not relevant to the care of a patient with hepatitis
E. These are two different types of viral hepatitis, caused by distinct viruses (hepatitis C virus and hepatitis E virus), and each requires specific management.
Choice D rationale:
Advising the patient to avoid sexual contact until cleared of infection is important in some cases, but it is not the priority intervention for a patient with hepatitis
E. The primary concern in hepatitis E is monitoring for complications, especially in pregnant women, as discussed in choice A rationale.
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