(ATI/HESI question from external source) A nurse is caring for a patient with suspected hepatitis D infection. Which interventions should the nurse include in the care plan? (Select all that apply.)

Choice A rationale:

The administration of the hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) to exposed contacts is an appropriate intervention for suspected hepatitis D infection. Hepatitis D is a defective virus that requires the presence of hepatitis B to replicate, so administering the hepatitis B vaccine can prevent hepatitis D infection in exposed contacts. HBIG contains antibodies against hepatitis B, which can provide temporary protection to exposed contacts.

Choice B rationale:

Advising the patient to avoid sexual contact or use condoms until cleared of infection is crucial in preventing the spread of hepatitis D. The virus can be transmitted through blood and sexual contact, so precautionary measures are essential.

Choice C rationale:

The availability and benefits of the hepatitis D vaccine for prevention should be communicated to the patient. Currently, there is no specific treatment for hepatitis D infection, and vaccination is the most effective preventive measure.

Choice D rationale:

Educating the patient about the need for regular monitoring of liver function and viral load is essential in managing hepatitis D. Hepatitis D can lead to severe liver complications, and monitoring liver function and viral load helps in evaluating disease progression and treatment effectiveness.

Choice E rationale:

Disinfecting contaminated surfaces or instruments with bleach or autoclave is not directly related to the care of a patient with suspected hepatitis D infection. Hepatitis D is primarily transmitted through blood and sexual contact, not through contaminated surfaces or instruments.

Choice A rationale:

The nurse should expect to assess fever in a client with suspected hepatitis A infection. Hepatitis A can cause flu-like symptoms, and fever is a common manifestation of the infection.

Choice C rationale:

Dark urine is another symptom the nurse should expect to assess in a client with hepatitis

A. Hepatitis A can cause jaundice, leading to dark-colored urine due to the accumulation of bilirubin in the bloodstream.

Choice D rationale:

Abdominal pain is a symptom that the nurse should anticipate in a client with hepatitis A infection. Hepatitis A can cause inflammation of the liver, leading to abdominal discomfort or pain in the right upper quadrant.

Choice E rationale:

Confusion is another possible symptom in a client with hepatitis

A. Severe cases of hepatitis A can lead to hepatic encephalopathy, causing confusion, altered mental status, and even coma.