The nurse is assessing a client with hepatitis C. The client asks the nurse how it was possible to have this disease. What questions might the nurse ask to help the client determine how the disease was contracted? (Select all that apply.)
"How old are you?"
"Do you work in health care?
"Are you receiving hemodialysis?"
"Do you use IV drugs?"
"Did you receive blood before 1992?"
"Have you even been in prison or jail?"
Correct Answer : B,C,D,E,F
A. Age alone is not a risk factor for hepatitis C, though older adults may have higher rates due to past exposure, it’s not a direct means of transmission.
B. Health care workers are at risk due to potential needlestick injuries and blood exposure.
C. Clients receiving long-term hemodialysis may have increased risk due to repeated vascular access and potential blood contamination.
D. IV drug use is a major risk factor for hepatitis C due to needle sharing and blood exposure.
E. Blood transfusions before 1992 pose a risk because routine screening for hepatitis C was not implemented until that year.
F. Incarcerated individuals are at higher risk due to potential exposure to unsterile tattooing, shared drug equipment, and lack of proper health care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Maintaining NPO status is appropriate to prepare for possible surgery and prevent complications like aspiration.
B. Monitoring temperature helps detect fever or worsening infection and is a standard part of assessment.
C. Providing pain relief is appropriate and humane, even if appendicitis is suspected. It should not delay diagnosis.
D. Sodium biphosphate/sodium phosphate is a laxative and should be avoided in suspected appendicitis, as stimulating bowel activity can increase the risk of perforation. This order should be clarified.
Correct Answer is A
Explanation
A. Aging affects liver function, which can reduce the metabolism of many drugs. This means medications may stay in the body longer and reach toxic levels, even if the dosage hasn't changed.
B. While this may be true, it doesn't explain why the same dose might now be too much.
C. Slower digestion is not the main reason for drug toxicity; liver and kidney changes are more relevant.
D. This is vague and non-specific, and does not educate the client on the physiological changes that occur with aging.
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