A patient who had a thyroidectomy tells the nurse, “I need to restrict my activities and not return to work for 4 weeks.” Which statement indicates a need for further teaching?

Choice A reason: Family history of liver problems doesn’t cause hepatitis A, which is infectious. Contaminated food or water is the correct transmission route, making this incorrect, as it reflects a misunderstanding of the fecal-oral spread of the virus in the patient’s education.

Choice B reason: Hepatitis A is rarely transmitted through kissing or sexual activity, unlike hepatitis B. Contaminated food or water is the primary route, making this incorrect, as it misattributes the transmission method compared to the nurse’s teaching on hepatitis A spread.

Choice C reason: Hepatitis A is spread via the fecal-oral route, often through contaminated water or food handled by unwashed hands. This statement shows correct understanding, aligning with infectious disease education, making it the accurate choice for the patient’s grasp of hepatitis A transmission.

Choice D reason: Sharing needles transmits hepatitis B or C, not A, which spreads through contaminated food or water. This is incorrect, as it confuses hepatitis A with bloodborne hepatitis viruses, unlike the correct understanding of fecal-oral transmission in the patient’s statement.

Choice A reason: Placing the patient near the nurse’s station allows close monitoring, reducing wandering risks in Alzheimer’s disease. This aligns with safety protocols in rehab facilities, making it the correct action to include in the care plan to manage the patient’s wandering behavior effectively.

Choice B reason: Reorienting frequently may not prevent wandering in Alzheimer’s, as cognitive deficits persist. Proximity to the nurse’s station ensures safety, making this less effective and incorrect compared to the nurse’s priority of physical monitoring to address the patient’s wandering risk.

Choice C reason: Familiar items provide comfort but don’t directly prevent wandering, a safety concern in Alzheimer’s. A room near the nurse’s station is more effective, making this secondary and incorrect compared to the nurse’s focus on immediate safety in the care plan.

Choice D reason: Asking why the patient wanders is ineffective, as Alzheimer’s impairs insight into behavior. Close monitoring via room placement prevents wandering, making this impractical and incorrect compared to the nurse’s action to ensure safety in the rehab facility care plan.