A 23-year-old college student is diagnosed with hepatitis A after returning from an international trip. During health education, the nurse explains how hepatitis A is transmitted. Which statement by the patient indicates a correct understanding of how the virus is spread?
"It must have been from sharing needles with my roommate."
"It is likely transmitted through kissing or sexual activity."
"I think I caught it because I have a family history of liver problems."
"I probably got it from drinking contaminated water or eating food handled by someone who didn't wash their hands properly."
The Correct Answer is D
Choice A reason: "It must have been from sharing needles with my roommate." This statement is incorrect because hepatitis A is not typically transmitted through sharing needles. Hepatitis A is primarily spread through the fecal-oral route, which involves ingestion of contaminated food or water.
Choice B reason: "It is likely transmitted through kissing or sexual activity." This statement is also incorrect. Hepatitis A is not commonly spread through kissing or sexual activity. It is mainly transmitted through consuming contaminated food or water or close contact with an infected person.
Choice C reason: "I think I caught it because I have a family history of liver problems." This statement reflects a misunderstanding of how hepatitis A is transmitted. Hepatitis A is not linked to genetic predisposition or family history of liver problems. It is an infectious disease spread through the fecal-oral route.
Choice D reason: "I probably got it from drinking contaminated water or eating food handled by someone who didn't wash their hands properly." This statement is correct and indicates an accurate understanding of how hepatitis A is transmitted. The virus is often spread through consumption of contaminated food or water, particularly in areas with poor sanitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["133"]
Explanation
Step 1: First, we need to determine how many mL per hour the IV is administering. We know that 100 mL is administered over 45 minutes.
Step 2: Convert 45 minutes to hours. 45 minutes ÷ 60 minutes = 0.75 hours
Step 3: Calculate the flow rate in mL per hour. 100 mL ÷ 0.75 hours
Step 4: Perform the division. 100 ÷ 0.75 = 133.33
Step 5: Round to the nearest whole number. 133.33 rounds to 133.
Answer: The flow rate is 133 mL per hour.
Correct Answer is ["B","C"]
Explanation
Choice A reason: Low T4 levels do not indicate hyperthyroidism. In fact, low levels of T4 are typically associated with hypothyroidism, a condition in which the thyroid gland does not produce enough thyroid hormones.
Choice B reason: High T4 levels are indicative of hyperthyroidism. In hyperthyroidism, the thyroid gland is overactive and produces excessive amounts of thyroid hormone (T4), leading to elevated T4 levels in the blood.
Choice C reason: Low TSH levels are also indicative of hyperthyroidism. The pituitary gland secretes TSH to regulate thyroid hormone production. When thyroid hormone levels are high, as in hyperthyroidism, the pituitary gland reduces TSH secretion, resulting in low TSH levels.
Choice D reason: High TSH levels are not associated with hyperthyroidism. Elevated TSH levels are more commonly seen in hypothyroidism, where the thyroid gland is underactive, and the pituitary gland compensates by increasing TSH production to stimulate the thyroid gland.
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