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.

Answer and Explanation

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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Correct Answer is D

Explanation

Choice D rationale:

This statement accurately differentiates between acute and chronic hepatitis. Acute hepatitis is a short-term inflammation of the liver that typically resolves within six months. It can be caused by various factors, including viral infections (e.g., hepatitis A, B, and C), alcohol consumption, or drug toxicity. On the other hand, chronic hepatitis is a long-lasting inflammation of the liver that persists for more than six months. Chronic hepatitis can result from ongoing viral infections (e.g., hepatitis B and C) or other causes, such as autoimmune diseases.

Choice A rationale:

This statement is incorrect. Acute hepatitis is a short-term condition that resolves within a few weeks to six months, while chronic hepatitis is the condition that can persist for an extended period.

Choice B rationale:

This statement is also incorrect. Acute hepatitis is primarily caused by viruses (e.g., hepatitis viruses), not bacteria. Chronic hepatitis is also related to viral infections, not bacterial infections.

Choice C rationale:

This statement is not accurate. Both acute and chronic hepatitis can have severe consequences, including liver cancer. Chronic hepatitis, especially when caused by hepatitis B or C viruses, can lead to the development of cirrhosis and increase the risk of liver cancer (hepatocellular carcinoma)

A. Fatigue. B. Insomnia. C. Headache. D. Muscle aches. E. Blurred vision.

Correct Answer is ["A","D","E"]

Explanation

Choice A rationale:

Fatigue is a common side effect of antiviral therapy for hepatitis

C. The medications used to treat hepatitis C can cause general fatigue and tiredness in some patients. The nurse should monitor the client for signs of increased fatigue and address any concerns.

Choice D rationale:

Muscle aches are another possible side effect of antiviral therapy for hepatitis

C. Some patients may experience muscle pain or discomfort while on these medications. The nurse should assess the client for muscle aches and provide appropriate interventions if necessary.

Choice E rationale:

Blurred vision can occur as a side effect of antiviral therapy for hepatitis

C. Some medications used in the treatment of hepatitis C can affect vision in some patients. The nurse should be vigilant in monitoring the client's visual acuity and report any changes to the healthcare provider.

Choice B rationale:

Insomnia is not a common side effect of antiviral therapy for hepatitis

C. While some individuals may experience sleep disturbances due to the stress of managing a chronic condition, insomnia is not directly related to the antiviral medications used in hepatitis C treatment.

Choice C rationale:

Headache is not a typical side effect of antiviral therapy for hepatitis

C. Headaches may occur for various reasons, but they are not directly associated with the medications used to treat hepatitis

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From an online ATI/HESI MCQ: A nurse is caring for a client with chronic hepatitis

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with hepatitis, and the nurse is discussing the disease classification. What is the main difference between acute and chronic hepatitis?

Correct Answer is D

Explanation

A client has been diagnosed with hepatitis C and started on antiviral therapy. What side effects should the nurse monitor for in this client? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

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?

A nurse is educating a client about hepatitis C transmission. Which statement by the client indicates a need for further teaching?

A client presents with symptoms of hepatitis E infection. What interventions should the nurse prioritize for this client's care? (Select all that apply)

A patient with hepatitis B asks the nurse about prevention strategies. Which statement by the patient indicates understanding of the nurse's teaching?

A nurse is educating a patient diagnosed with hepatitis A about self-care measures. Which statement by the nurse is appropriate?

A nurse is caring for a patient with suspected hepatitis. What should the nurse include in the patient's care plan? (Select all that apply.)

A nurse is caring for a client with suspected hepatitis A infection. Which signs and symptoms should the nurse expect to assess in the client? (Select all that apply)

A client with chronic hepatitis D is prescribed antiviral therapy. What statement by the client demonstrates understanding of the treatment regimen?