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Which of the following types of hepatitis are spread by the fecal-oral route? (select all that apply) a. HAV

HCV

HDV

HEV

HBV

Answer and Explanation

Correct Answer : A,D

A. HAV: Hepatitis A is spread via the fecal-oral route, often through contaminated food or water.

B. HCV: Hepatitis C is primarily spread through blood-to-blood contact, not the fecal-oral route.

C. HDV: Hepatitis D is spread through blood contact and requires Hepatitis B for replication.

D. HEV: Hepatitis E is spread through the fecal-oral route, similar to Hepatitis A.

E. HBV: Hepatitis B is spread through blood, sexual contact, and perinatal transmission, not the fecal-oral route.

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Correct Answer is B

Explanation

A. Patient stopped smoking five years prior to hospitalization: Smoking cessation materials are typically targeted to current smokers or those who have quit very recently (usually within the last year). This patient may not need smoking cessation materials as they have been smoke-free for a significant period.

B. Patient smokes five cigars a week: Smoking cigars still carries health risks similar to cigarettes and indicates the need for smoking cessation materials.

C. Patient uses chewing tobacco: Chewing tobacco is a form of smokeless tobacco, and while harmful, it would require different educational materials focused on smokeless tobacco cessation rather than smoking cessation.

D. Patient smoked cigarettes any time during the last year prior to hospitalization: This indicates current or recent smoking behavior which is a significant risk factor that needs to be addressed.

A. Avoid positioning the client supine. B. Limit the client's activity level. C. Administer supplemental oxygen at all times. D. Teach the client deep breathing and coughing exercises.

Correct Answer is A

Explanation

A. Avoid positioning the client supine: Orthopnea is the inability to breathe comfortably while lying flat, so the nurse should avoid placing the client in a supine position and instead elevate the head of the bed.

B. Limit the client's activity level: While activity may need to be adjusted, this is not the primary concern for orthopnea.

C. Administer supplemental oxygen at all times: Oxygen may be necessary, but the key issue with orthopnea is the need to avoid lying flat, not necessarily the need for constant supplemental oxygen.

D. Teach the client deep breathing and coughing exercises: While beneficial for other conditions, this does not directly address orthopnea, which is primarily positional.

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Which of the following types of hepatitis are spread by the fecal-oral route? (select all that apply) a. HAV

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Naxlex Comprehensive Predictor Exams

The nurse is preparing adult smoking cessation material for a patient admitted with heart failure. What criteria did the nurse use to determine that the patient should receive this material?

Correct Answer is B

Explanation

The nurse is reviewing a newly admitted client's electronic health record, which notes a history of orthopnea. What nursing action is most clearly indicated?

Correct Answer is A

Explanation

Which of the following is an indication of Left sided heart failure?

What action would be most helpful to the nurse in determining whether the chest pain of a patient who has just entered the emergency department is cardiac in origin?

Which of the following types of hepatitis are spread by the fecal-oral route? (select all that apply) a. HAV

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