A nurse notes in the client's health history a diagnosis of hepatitis B. Which of the following activities would most likely put the client at risk for this illness?
Worked for a month in an undeveloped area in Mexico four months ago
Attended an ecological conference in a large metropolitan area a month ago
Assisted in the emergency birth of a baby two weeks ago
Had a small tattoo on the arm three months ago
The Correct Answer is D
Choice A reason: Working in undeveloped areas increases general infection risk, but hepatitis B specifically requires blood or fluid exposure, less likely without direct contact.
Choice B reason: Attending a conference poses low hepatitis B risk, as it’s not spread by casual contact, requiring blood or sexual transmission, not typical here.
Choice C reason: Assisting in birth involves fluid exposure, but two weeks is too short for hepatitis B symptoms; incubation is 45-180 days, so unlikely.
Choice D reason: Tattooing with unsterile needles risks hepatitis B via bloodborne transmission, matching the 90-day incubation period, the most likely risk here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Levothyroxine takes weeks to normalize metabolism in hypothyroidism as T4 converts to T3 gradually, so immediate symptom relief isn’t accurate or expected.
Choice B reason: Levothyroxine supplements, not decreases, thyroxine in hypothyroidism. Decreasing overproduction applies to hyperthyroidism treatments like antithyroid drugs, not this condition.
Choice C reason: Hypothyroidism requires lifelong levothyroxine since the thyroid can’t produce hormone. Stopping when symptoms resolve risks recurrence, making this advice incorrect.
Choice D reason: Excess levothyroxine mimics hyperthyroidism, causing tremors, nervousness, and insomnia from overstimulated metabolism, correctly indicating a need for dose adjustment.
Correct Answer is D
Explanation
Choice A reason: Emphysema destroys alveoli, causing air trapping and dyspnea, but doesn’t involve excessive mucus production, focusing on structural loss, not glandular activity.
Choice B reason: Peripheral vascular disease impairs arterial flow, causing ischemia and pain, not affecting airways or mucus glands, unrelated to respiratory secretions.
Choice C reason: Heart failure leads to fluid in alveoli (edema), causing crackles, but not excessive mucus, as it’s a circulatory, not inflammatory airway issue.
Choice D reason: Bronchitis inflames bronchial tubes, overactivating goblet cells to produce excess mucus, leading to productive cough, a hallmark of this condition.
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