(ATI/HESI question from external source) A patient is diagnosed with hepatitis C, and antiviral therapy is initiated. What should the nurse include in the patient's education regarding antiviral therapy side effects?
Instruct the patient to report any visual disturbances immediately.
Advise the patient to avoid alcohol and hepatotoxic drugs during therapy.
Educate the patient about the need for a high-protein diet during treatment.
Encourage the patient to engage in strenuous physical activities to alleviate fatigue.
The Correct Answer is B
Choice A rationale:
While visual disturbances can occur as side effects of some medications, it is not the priority education for a patient undergoing antiviral therapy for hepatitis
C. Visual disturbances are not common or specific to antiviral therapy.
Choice B rationale:
Choice B is the correct answer because it is essential to educate the patient about avoiding alcohol and hepatotoxic drugs during antiviral therapy for hepatitis
C. Alcohol and certain medications can worsen liver function and interfere with the effectiveness of antiviral treatment.
Choice C rationale:
Educating the patient about the need for a high-protein diet during treatment is not a priority in antiviral therapy for hepatitis
C. While a balanced diet is important for overall health, there is no specific requirement for a high-protein diet during antiviral treatment.
Choice D rationale:
Encouraging the patient to engage in strenuous physical activities to alleviate fatigue is not the priority education for a patient undergoing antiviral therapy. Strenuous physical activities might be counterproductive, as the patient may experience fatigue as a side effect of the therapy. Instead, the focus should be on adequate rest and moderate exercise.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale:
Encouraging the client to rest and limit physical activity is an essential nursing intervention for a client with acute hepatitis
A. Rest is crucial for liver recovery and reducing the risk of complications. Physical activity can put additional stress on the liver and may worsen symptoms. The client should avoid alcohol and any medications that can potentially harm the liver during this period.
Choice A rationale:
Isolating the client in a negative pressure room is not necessary for acute hepatitis
A. Hepatitis A is primarily transmitted through the fecal-oral route, and standard precautions are sufficient to prevent its spread. Negative pressure rooms are usually reserved for clients with airborne infections, such as tuberculosis.
Choice C rationale:
Administering live attenuated hepatitis A vaccine is not indicated for a client with acute hepatitis
A. The vaccine is used for pre-exposure prophylaxis and is not effective in treating an active infection.
Choice D rationale:
Providing antiviral medications to treat the infection is not a standard intervention for acute hepatitis
A. Antiviral therapy is generally reserved for chronic hepatitis B and C infections and is not effective for acute hepatitis A, which usually resolves on its own with supportive care.
Correct Answer is A
Explanation
Choice A rationale:
Getting vaccinated with the hepatitis B vaccine is an effective prevention strategy for hepatitis
B. It helps protect the individual from acquiring the virus and developing the disease. Vaccination is crucial, especially for individuals at risk of exposure to the virus, such as healthcare workers, sexually active individuals, and household contacts of infected individuals.
Choice B rationale:
Drinking alcohol occasionally is not a safe practice for individuals with hepatitis
B. Alcohol can further damage the liver and worsen the condition. Avoiding alcohol entirely is essential to protect the liver and promote healing.
Choice C rationale:
Clearance of infection does not confer immunity to hepatitis
B. The patient should still take precautions to prevent potential reinfection through sexual contact or other means.
Choice D rationale:
Screening blood donors and recipients for HBV infection is necessary to prevent the transmission of the virus through blood transfusions. It is a crucial safety measure to ensure that blood and blood products are free from hepatitis B virus and other infectious agents.
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