What form of viral hepatitis is likely to be transmitted sexually?
Hepatitis B
Hepatitis C
Hepatitis E
Hepatitis A
The Correct Answer is B
Choice A reason: Hepatitis B is a viral infection that is commonly transmitted through sexual contact, as well as through exposure to infected blood or body fluids. It is highly infectious and can be spread through unprotected sex, sharing needles, or from an infected mother to her baby during childbirth. Hepatitis B can cause both acute and chronic liver disease, and vaccination is the most effective way to prevent infection.
Choice B reason: Hepatitis C is primarily transmitted through direct blood-to-blood contact. While it is less commonly spread through sexual contact compared to Hepatitis B, it is possible, particularly among individuals with multiple sexual partners or those who engage in high-risk sexual behaviors. Hepatitis C often becomes chronic, leading to serious liver damage over time. There is no vaccine for Hepatitis C, but antiviral medications can effectively cure the infection in most cases.
Choice C reason: Hepatitis E is primarily transmitted through the fecal-oral route, usually by consuming contaminated water or food. It is not commonly transmitted sexually. Hepatitis E is more prevalent in regions with poor sanitation, and it typically causes acute liver disease, which generally resolves on its own in most healthy individuals. Prevention includes good sanitation practices and proper hand hygiene.
Choice D reason: Hepatitis A is also transmitted through the fecal-oral route, primarily by ingesting contaminated food or water. It is not typically associated with sexual transmission. Hepatitis A causes acute liver disease, which usually resolves without long-term liver damage. Vaccination is available and effective in preventing Hepatitis A infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Protein restriction is not a primary treatment for prerenal kidney injury. While managing protein intake can be important in chronic kidney disease to reduce the workload on the kidneys, it is not directly relevant to the acute management of prerenal kidney injury, which primarily involves restoring adequate blood flow to the kidneys.
Choice B reason: Potassium supplementation is not typically necessary for prerenal kidney injury. In fact, in many cases of kidney injury, there is a risk of hyperkalemia (elevated potassium levels) due to reduced kidney function. Therefore, potassium levels need to be monitored, but supplementation is not a standard treatment.
Choice C reason: Fluid administration to increase cardiac output is the appropriate therapy for prerenal kidney injury. Prerenal kidney injury is caused by reduced blood flow to the kidneys, often due to factors like hypovolemia (low blood volume) or heart failure. Administering fluids helps to restore adequate blood flow and perfusion to the kidneys, which can improve kidney function and resolve the prerenal injury.
Choice D reason: Fluid restriction is not appropriate for prerenal kidney injury, which is characterized by reduced blood flow to the kidneys. In cases where hypovolemia or low cardiac output is the cause, restricting fluids would worsen the condition. Instead, increasing fluid intake helps to restore adequate perfusion to the kidneys.
Correct Answer is C
Explanation
Choice A reason: Compensated metabolic acidosis is characterized by a low pH (acidemia) with a compensatory decrease in PaCO2 due to hyperventilation, and typically a low HCO3 as well. In this scenario, the pH is elevated (alkalemia), which rules out metabolic acidosis.
Choice B reason: Compensated metabolic alkalosis is characterized by a high pH (alkalemia) with a compensatory increase in PaCO2 due to hypoventilation, and a high HCO3. In this case, the PaCO2 is low rather than high, and the HCO3 is within the normal range, which rules out metabolic alkalosis.
Choice C reason: Respiratory alkalosis is characterized by a high pH (alkalemia) and a low PaCO2, indicating that the alkalosis is due to excessive loss of CO2 through hyperventilation. The HCO3 is usually normal or slightly decreased as a compensatory mechanism. The provided ABG values (pH = 7.53, PaCO2 = 23, HCO3 = 22) are consistent with respiratory alkalosis, where the elevated pH and low PaCO2 point towards hyperventilation as the cause of the alkalemia.
Choice D reason: Uncompensated respiratory alkalosis would present with a high pH and low PaCO2, without significant compensation by the kidneys (i.e., HCO3 would still be normal). In this scenario, the ABG values fit the description of respiratory alkalosis, but it is considered compensated since the HCO3 is within the normal range, indicating some level of renal compensation.
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