From an online ATI/HESI MCQ: A client with acute hepatitis A is admitted to the hospital. Which nursing intervention should be included in the client's plan of care?
Isolating the client in a negative pressure room.
Encouraging the client to rest and limit physical activity.
Administering live attenuated hepatitis A vaccine.
Providing antiviral medications to treat the infection.
The Correct Answer is B
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.
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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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