From an online ATI/HESI MCQ: A nurse is caring for a client with chronic hepatitis
Elevated HCV RNA levels.
Presence of anti-HCV antibodies.
Detectable HCV core antigen.
Undetectable HCV RNA 12 weeks after treatment.
The Correct Answer is D
Choice A rationale:
Elevated HCV RNA levels indicate ongoing active viral replication and are not indicative of an effective response to antiviral therapy. The goal of antiviral therapy is to suppress viral replication, leading to decreased or undetectable HCV RNA levels.
Choice B rationale:
Presence of anti-HCV antibodies is a marker of past or current exposure to hepatitis C virus. While it indicates the client's immune response to the virus, it does not provide information about the effectiveness of antiviral therapy in suppressing viral replication.
Choice C rationale:
Detectable HCV core antigen suggests the presence of the virus but does not provide information about viral replication or the effectiveness of antiviral therapy in reducing viral load.
Choice D rationale:
Undetectable HCV RNA 12 weeks after treatment is considered a sustained virological response (SVR) and indicates an effective response to antiviral therapy. SVR means that the virus is undetectable in the blood even after the completion of treatment, which indicates successful viral clearance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Cirrhosis is a late-stage complication of chronic liver disease and is not directly related to hepatitis E during pregnancy.
Choice B rationale:
Encephalopathy is a neurological complication of liver disease, but it is not specific to hepatitis E during pregnancy.
Choice C rationale:
Fetal death is a significant complication of hepatitis E during pregnancy. Pregnant women with hepatitis E have an increased risk of severe outcomes, including miscarriage, stillbirth, or neonatal death. Close monitoring of fetal well-being is essential in these cases.
Choice D rationale:
Liver cancer is not a common complication of acute hepatitis E during pregnancy.
Correct Answer is ["A","C","D","E"]
Explanation
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.
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