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?.

Answer and Explanation

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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Correct Answer is B

Explanation

Face the client while speaking and ask them to verify understanding. This intervention would help the client to read the nurse’s lips and confirm the message.

It would also show respect and empathy for the client’s condition.

Choice A is wrong because using exaggerated mouth and hand movements when speaking can be distracting and insulting to the client.

It can also distort the words and make them harder to understand.

Choice C is wrong because standing in front of a light when speaking to the client can create glare and make it difficult for the client to see the nurse’s face.

Touching the client to be sure they know where you are can be startling and unnecessary if the client is not visually impaired.

Choice D is wrong because obtaining an interpreter for sign language is inappropriate unless the client knows sign language.

Not all hearing-impaired clients use sign language, and some may prefer other methods of communication.

A. A 37-year-old who has insulin-dependent diabetes mellitus. B. A 58-year-old who wears dentures. C. A 26-year-old who is on bed rest. D. A 45-year-old who is NPO.

Correct Answer is A

Explanation

A 37-year-old who has insulin-dependent diabetes mellitus has the greatest need for special mouth care. This is because diabetes can affect the blood vessels and nerves in the mouth, leading to dry mouth, gum disease, infections, and delayed healing. Special mouth care for this client would include regular brushing and flossing, using a soft toothbrush or foam brush, rinsing with water or saline, checking for signs of inflammation or infection, and avoiding sugary or acidic foods and drinks.

Choice B is wrong because a 58-year-old who wears dentures does not have a greater need for special mouth care than a diabetic client.

Dentures can be removed and cleaned with a soft toothbrush and denture cleaner, and soaked overnight in a denture solution. The gums and mouth should also be cleaned daily with a soft toothbrush or gauze.

Choice C is wrong because a 26-year-old who is on bed rest does not have a greater need for special mouth care than a diabetic client. Bed rest can cause dry mouth and plaque accumulation, but these can be prevented by regular brushing and rinsing, drinking water frequently, and using sugar-free gum or lozenges.

Choice D is wrong because a 45-year-old who is NPO (nothing by mouth) does not have a greater need for special mouth care than a diabetic client. NPO can cause dry mouth and bad breath, but these can be alleviated by regular rinsing with water or saline, applying water-based lip balm or moisturizer, and using artificial saliva products if needed.

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What is the best question to evaluate a client’s understanding of infection control measures while receiving treatment for hepatitis A?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with hearing loss. Which nursing intervention will best facilitate communication with the client?

Correct Answer is B

Explanation

Which client has the greatest need for special mouth care?

Correct Answer is A

Explanation

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