What is the best question to evaluate a client’s understanding of infection control measures while receiving treatment for hepatitis A?
Do you eat raw shellfish?.
How do you cook pork products?.
How often do you travel out of the country?.
Do you wash your hands after using the toilet?.
The Correct Answer is D
This question evaluates the client’s understanding of the most important infection control measure for hepatitis A, which is hand hygiene. Hepatitis A is transmitted through ingestion of contaminated food and water or through direct contact with an infectious person’s feces.
Washing hands after using the toilet can prevent the spread of the virus to others and to oneself.
Choice A is wrong because eating raw shellfish is not a risk factor for hepatitis A unless the shellfish is contaminated with the virus from polluted water.
Choice B is wrong because cooking pork products does not affect hepatitis A transmission, as the virus is not found in pork or other meats.
Choice C is wrong because traveling out of the country is not a risk factor for hepatitis A unless the destination has poor sanitation and hygiene conditions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
30 to 40 mL/hour. This is the normal range of urine output for a typical adult client. The urine output should be at least 0.5 mL/kg/hour for adults.
Assuming an average weight of 70 kg, this would be 35 mL/hour.
Choice A is wrong because 5 to 10 mL/hour is too low and indicates oliguria, which is a sign of inadequate kidney function or dehydration.
Choice B is wrong because 12 to 15 mL/hour is also below the normal range and may indicate oliguria.
Choice C is wrong because 16 to 25 mL/hour is slightly below the normal range and may indicate reduced kidney perfusion or fluid intake.
Correct Answer is B
Explanation
Leave the needle in place for at least 10 seconds before removing it to trap the medication in the muscle.
The Z-track method is a technique used to administer intramuscular injections that prevent leakage of medication into the subcutaneous tissue. The nurse should pull the skin laterally before inserting the needle, inject the medication slowly, leave the needle in place for at least 10 seconds, and release the skin after withdrawing the needle.
Choice A is wrong because the total volume of the injection is not limited to 1 milliliter in the Z-track method. The Z-track method can be used to administer up to 3 milliliters of medication depending on the site and muscle mass of the client.
Choice C is wrong because the needle size and gauge depend on the site, medication, and client characteristics, not on the Z-track method. The Z-track method can be performed with different needle sizes and gauges as long as they are appropriate for intramuscular injections.
Choice D is wrong because the nurse should not administer the medication rapidly in the Z- track method.
Rapid injection can cause pain, tissue damage, and leakage of medication into the subcutaneous tissue. The nurse should inject the medication slowly and steadily in the Z-track method.
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