A nurse is providing discharge instructors to a client with hepatitis B. Which of the following statements should be included in the teaching?

"You can donate blood as long as your symptoms have resolved.”"

" It is safe to consume alcohol in moderation.”

"You should inform your sexual partners about your diagnosis."

"You do not need to follow up with your healthcare provider once you feel better."

Answer and Explanation

The Correct Answer is C

A. "You can donate blood as long as your symptoms have resolved.": Clients with a history of hepatitis B can never donate blood, even if symptoms have resolved, due to the risk of latent infection and transmission.

B. "It is safe to consume alcohol in moderation.": Alcohol should be avoided because it worsens liver inflammation and damage in hepatitis B.

C. "You should inform your sexual partners about your diagnosis.": Hepatitis B (HBV) is a bloodborne virus transmitted through sexual contact, blood, and bodily fluids. Clients should inform sexual partners and practice safe sex to prevent transmission.

D. "You do not need to follow up with your healthcare provider once you feel better.": Follow-up is essential to monitor liver function, prevent complications, and check for chronic hepatitis B, which may lead to cirrhosis or liver cancer.

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Correct Answer is C

Explanation

A. A client who works in a child care center: Hepatitis A is more commonly spread in child care settings due to fecal-oral transmission, not hepatitis C, which is bloodborne.

B. A client who has recently traveled to an underdeveloped country: Hepatitis A and E are more common in developing countries due to poor sanitation. Hepatitis C is primarily transmitted through blood.

C. A client who has multiple tattoos: Clients with multiple tattoos are at risk if proper sterilization techniques were not followed, as hepatitis C is transmitted through contaminated blood.

D. A client who eats raw shellfish: Raw shellfish is associated with hepatitis A, not hepatitis C.

A. Cholelithiasis B. Constipation C. Splenomegaly D. Ascites

Correct Answer is A

Explanation

A. Cholelithiasis: Gallstones (cholelithiasis) are a major cause of acute pancreatitis because they can block the pancreatic duct, leading to inflammation and autodigestion of the pancreas.

B. Constipation: Pancreatitis is more commonly associated with diarrhea due to malabsorption, rather than constipation.

C. Splenomegaly: Splenomegaly (enlarged spleen) is associated with portal hypertension from liver disease, not pancreatitis.

D. Ascites: Ascites is seen in advanced liver disease (e.g., cirrhosis) rather than acute pancreatitis, though severe cases of pancreatitis can lead to fluid accumulation in the abdomen.

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A nurse is providing discharge instructors to a client with hepatitis B. Which of the following statements should be included in the teaching?

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