What precaution should a nurse initiate when caring for a patient with hepatitis B?
Standard Precautions
Respiratory precautions
Reverse isolation
Enteric precautions
The Correct Answer is A
A. Standard Precautions: These are appropriate for hepatitis B since the virus is primarily transmitted through blood and body fluids. Hand hygiene and gloves are sufficient unless there is an additional infection requiring other precautions.
B. Respiratory precautions: Not needed as hepatitis B is not airborne or droplet-transmitted.
C. Reverse isolation: This is used for immunocompromised patients, not for patients with hepatitis B.
D. Enteric precautions: These are used for infections spread via the fecal-oral route, such as Clostridioides difficile, not hepatitis B.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Flush the tube: Flushing the tube before administering a feeding ensures that the tube is patent and free of blockages, which helps prevent aspiration or feeding tube complications.
B. Roll the patient flat: Rolling the patient flat is not necessary for administering a tube feeding, as most feeding tubes are positioned with the head of the bed elevated to reduce the risk of aspiration.
C. Check for a residual formula and return the residual to his or her stomach: While checking for residuals is important for assessing gastric emptying and tolerance to the feeding, it is not the first action before starting the feeding.
D. Place the end of the tube in water and check for bubbles: This action is used to check the placement of the tube (i.e., confirming it is in the stomach or intestine), but it’s not directly related to the initial steps before administering a feeding.
Correct Answer is B
Explanation
A. 1 hour after meals: Sucralfate works by forming a protective barrier over ulcers. It is best absorbed when the stomach is empty, so taking it after meals reduces its effectiveness.
B. 1 hour before meals: Sucralfate should be administered 1 hour before meals to allow it to form a protective barrier in the stomach lining without interference from food.
C. With meals: Taking sucralfate with meals can interfere with its ability to coat the stomach effectively.
D. With a bedtime snack: Sucralfate should be taken on an empty stomach for optimal effectiveness, not with food.
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