You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?
Droplet precautions
Contact precautions
Standard precautions are only necessary as there is no risk of transmission.
Airborne precautions
The Correct Answer is B
Choice A reason (precautions): Droplet precautions are not the primary recommendation for Hepatitis A, as it is not primarily spread through droplets.
Choice B reason (precautions): Contact precautions are recommended for patients with Hepatitis A due to the risk of fecal-oral transmission, especially in a patient with incontinence.
Choice C reason (precautions): While standard precautions are always necessary, they are not sufficient alone for Hepatitis A, which requires additional precautions due to its mode of transmission.
Choice D reason (precautions): Airborne precautions are not required for Hepatitis A, as it is not spread through the air.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This description is too clinical and not the simplest explanation.
Choice B reason: This statement is medically accurate but not the most simplistic description.
Choice C reason: Comparing Crohn's disease to a second-degree burn is not accurate as it does not only affect the colon and rectum.
Choice D reason: Describing Crohn's disease as having the appearance of a patchwork quilt with some areas clear and some with sores provides a simple visual that is easy to understand without medical knowledge.
Correct Answer is C
Explanation
Choice A reason: Stopping seizure medication such as phenytoin without medical advice can lead to life-threatening seizures. It is not recommended to stop after a set period of being seizure-free without consulting a healthcare provider.
Choice B reason: Phenytoin should not be taken only during periods of stress; it is intended to be used consistently to maintain therapeutic levels in the body.
Choice C reason: Phenytoin may need to be continued indefinitely, depending on the individual's condition and the doctor's recommendation. It is often used as a long-term treatment for seizure control.
Choice D reason: This statement is misleading; while phenytoin helps control seizures, it does not cure the underlying condition causing them.
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