From an online ATI/HESI MCQ: A nurse is caring for a pregnant client with hepatitis
Cirrhosis.
Encephalopathy.
Fetal death.
Liver cancer.
What complication should the nurse closely monitor for in this client?
The Correct Answer is C
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.
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Related Questions
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.
Correct Answer is ["C","D","E"]
Explanation
Choice C rationale:
Interferon-alpha may be prescribed for the treatment of chronic hepatitis B infection. It is an antiviral agent that can help boost the immune system's response to the virus and inhibit viral replication.
Choice D rationale:
Entecavir is an antiviral medication that is commonly used to treat chronic hepatitis B infection. It works by inhibiting viral DNA polymerase, thereby reducing viral replication.
Choice E rationale:
Telbivudine is another antiviral agent that may be prescribed for the treatment of chronic hepatitis
B. It works by inhibiting reverse transcriptase, an enzyme necessary for viral replication.
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