The outpatient clinic nurse prepares to teach a client newly diagnosed with hepatitis B. Which instruction should the nurse give?

Alcohol consumption will not affect recovery in the acute phase of illness.

Hepatitis B has a short incubation period

Hepatitis B is not a risk factor for cirrhosis and liver cancer

Most clients with hepatitis B recover and clear the virus from their system.

Answer and Explanation

The Correct Answer is D

Rationale:

A. This is incorrect because alcohol is directly toxic to the liver. Even during an acute hepatitis B infection, consuming alcohol can worsen liver inflammation, prolong recovery, and increase the risk of complications. The nurse should instruct the client to completely avoid alcohol to protect liver function and promote healing.

B. This is incorrect because hepatitis B has a relatively long incubation period, typically ranging from 6 weeks to 6 months. Misunderstanding the incubation period could lead the client to misinterpret the timing of symptom onset or the risk of transmitting the virus to others. Accurate knowledge helps clients monitor symptoms and understand the course of illness.

C. Chronic hepatitis B infection is a well-established risk factor for cirrhosis and hepatocellular carcinoma. Educating clients about these long-term risks is essential so they understand the importance of follow-up care, liver function monitoring, and lifestyle modifications.

D. In adults, about 90% of acute hepatitis B infections resolve spontaneously, with the immune system clearing the virus. Clients who recover develop immunity, which provides protection against future infections. This statement provides reassurance, emphasizes a positive prognosis, and is accurate for client education. It also helps reduce anxiety associated with a new diagnosis and encourages adherence to follow-up care.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["B","D"]

Explanation

Rationale:

A. While hepatitis can cause liver injury, antibodies do not provide information about current clotting ability or bleeding risk. They indicate past exposure or immunity, not active coagulopathy.

B. Platelets are critical for primary hemostasis, and clients with liver cirrhosis often develop thrombocytopenia due to splenic sequestration or decreased production of thrombopoietin. Low platelet counts increase the risk of bruising and bleeding, which correlates with the observed ecchymoses.

C. Elevated ammonia is associated with hepatic encephalopathy, not directly with bleeding or bruising. Monitoring ammonia is important for neurological status but not for coagulation.

D. Liver cirrhosis impairs the synthesis of clotting factors, leading to prolonged PT, INR, and aPTT. Ecchymosis may indicate coagulopathy, so monitoring coagulation studies helps assess the severity of the bleeding risk.

E. Albumin reflects synthetic liver function and nutritional status, but low albumin itself does not directly cause bruising. While hypoalbuminemia may indicate advanced liver disease, it does not provide immediate information about bleeding risk.

A. Apply ice packs to both hands. B. Apply calamine lotion to itching areas. C. Remove the client's rings. D. Give diphenhydramine 50 mg by mouth.

Correct Answer is C

Explanation

Rationale:

A. Applying ice packs can help reduce pain, inflammation, and swelling. However, ice does not address the immediate risk of vascular compromise caused by constrictive rings. Ice packs are considered a secondary intervention after the rings have been removed.

B. Calamine lotion provides symptomatic relief of itching, but it does not prevent circulatory compromise or tissue damage. This is a low-priority comfort measure in the acute setting.

C. This is the highest-priority action. Bee stings often cause rapid localized swelling, and rings can act as constrictive bands, which may impair venous and arterial blood flow, leading to ischemia, pain, or tissue necrosis. Removing rings immediately prevents these serious complications and protects tissue viability.

D. Oral diphenhydramine can help reduce itching and mild allergic reactions, but its onset is delayed and it does not address immediate circulation concerns caused by swelling. It is a supportive intervention after urgent priorities are addressed.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The outpatient clinic nurse prepares to teach a client newly diagnosed with hepatitis B. Which instruction should the nurse give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes new areas of ecchymosis on the arms and legs of a client with liver cirrhosis. Which laboratory test results should the nurse monitor because of this finding? Select all that apply.

Correct Answer is ["B","D"]

Explanation

A client presents to the emergency department with bee stings to the hand. Which action should the nurse take first?

Correct Answer is C

Explanation

A nurse is preparing a teaching plan for a newly married female client with a cervical spinal cord injury who would like to have children someday. The client does not want to become pregnant at this time. What information would be important for the nurse to include? Select all that apply.

The nurse prepares to administer dobutamine 2.5 mcg/kg/min IV for a client who weighs 193 pounds. The nurse receives dobutamine 250 mg in 250 mL of 5% dextrose from the pharmacy. The IV pump should be set to deliver how many mL/hr? Round to a whole number.

The nurse assesses a client with a pleural chest tube inserted to treat a pneumothorax. Which findings require immediate notification to the provider? Select all that apply.

A nurse assesses a client who is a possible candidate for a liver transplant for contraindications of a liver transplant. Which findings should the nurse report to the provider? Select all that apply.

The nurse has been assigned to care for four clients. Which client should the nurse plan to assess first?

A client with cholelithiasis asks the nurse about measures to prevent future gallstone attacks. Which dietary recommendation should the nurse provide?

A client is admitted to the emergency department with abdominal pain. Which data should the nurse document regarding a client's complaint of abdominal pain? Select all that apply.

Which client admitted to the emergency department should the nurse see first?