A nurse is reinforcing teaching to a client who has been newly diagnosed with hepatitis C. The client asks how they could have contracted the virus. Which of the following nurse responses best explains how the client may have become infected with hepatitis C?

"Eating contaminated food or water from an infected source can cause you to become infected with hepatitis C

"Coming into contact with infected blood, such as from that of a dirty needle, can cause you to become infected with hepatitis C.

"Coming into contact with an infected person's bodily fluids, such as saliva, can cause you to become infected with hepatitis C.

"Consuming a large amount of alcohol at one time can cause you to become infected with hepatitis C.”

Answer and Explanation

The Correct Answer is B

A. "Eating contaminated food or water from an infected source can cause you to become infected with hepatitis C." This applies to hepatitis A, not hepatitis C. Hepatitis A is transmitted through the fecal-oral route, whereas hepatitis C is bloodborne.

B. "Coming into contact with infected blood, such as from that of a dirty needle, can cause you to become infected with hepatitis C." Hepatitis C is primarily spread through blood-to-blood contact, most commonly through sharing needles, blood transfusions before widespread blood screening, or needle-stick injuries.

C. "Coming into contact with an infected person's bodily fluids, such as saliva, can cause you to become infected with hepatitis C." Hepatitis C is not commonly spread through casual contact or saliva. The risk of transmission through bodily fluids other than blood is extremely low.

D. "Consuming a large amount of alcohol at one time can cause you to become infected with hepatitis C." Alcohol does not cause hepatitis C, though it can worsen liver damage in individuals already infected with the virus.

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Correct Answer is D

Explanation

A. Provide emotional support: While emotional support is important, addressing physical health issues like fluid and electrolyte balance takes priority during an acute exacerbation.

B. Review stress factors that can cause disease exacerbation: This is important for long-term management but is not the immediate priority during an acute exacerbation.

C. Promote physical mobility: Physical mobility may be limited due to pain or weakness, but it is not the primary concern during an exacerbation.

D. Evaluate fluid and electrolyte levels. Fluid and electrolyte imbalances are common during an exacerbation of ulcerative colitis due to diarrhea and bleeding, making it the top priority to assess and manage to prevent complications such as dehydration or hypovolemia.

A. Crohn's disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings. B. Crohn's disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract. C. Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores. D. Crohn's disease looks like what would appear to be a second-degree burn in the colon and rectum areas only.

Correct Answer is C

Explanation

A. Crohn's disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings: This description is more applicable to ulcerative colitis, which involves continuous inflammation and primarily affects the colon and rectum, not Crohn's disease, which can affect any part of the GI tract.

B. Crohn's disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract: While this is an accurate medical description of Crohn’s disease, it uses technical language that may be difficult for a patient to understand.

C. Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores. This description provides a clear and visual explanation of the nature of Crohn’s disease, which typically affects the gastrointestinal tract in a "skip lesion" pattern, where some areas are inflamed (sores), and others appear normal (clear areas).

D. Crohn's disease looks like what would appear to be a second-degree burn in the colon and rectum areas only: This description is inaccurate for Crohn’s disease, as it implies the disease is limited to the colon and rectum, which is not the case. Crohn’s can affect any part of the gastrointestinal tract from the mouth to the anus.

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A nurse is reinforcing teaching to a client who has been newly diagnosed with hepatitis C. The client asks how they could have contracted the virus. Which of the following nurse responses best explains how the client may have become infected with hepatitis C?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?

Correct Answer is D

Explanation

A nurse is providing education to a client who has recently been diagnosed with Crohn's disease. Which of the following explanations by the nurse best simplifies and explains the disorder in non-medical terms?

Correct Answer is C

Explanation

A patient with Crohn's disease is being discharged from the hospital. The nurse is providing dietary teaching to the patient. Which of the following statements by the patient indicates a correct understanding of the dietary recommendations?

A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

A nurse is reinforcing teaching to a client who has been newly diagnosed with hepatitis C. The client asks how they could have contracted the virus. Which of the following nurse responses best explains how the client may have become infected with hepatitis C?

A patient with a nasogastric (NG) tube in place is experiencing respiratory distress. What is the most appropriate initial nursing intervention?

A patient with acute pancreatitis is being discharged from the hospital. Which statement made by the patient indicates a need for further teaching regarding their discharge instructions?

A patient with chronic kidney disease (CKD) is being evaluated for medication management. Which of the following medications should be avoided due to its potential nephrotoxic effects?