A client has been diagnosed with chronic hepatitis B infection. What antiviral agents may the nurse expect to be prescribed for this client's treatment? (Select all that apply)
Ribavirin.
Lamivudine.
Interferon-alpha.
Entecavir.
Telbivudine.
Correct Answer : C,D,E
Choice C rationale:
Interferon-alpha may be prescribed for the treatment of chronic hepatitis B infection. It is an antiviral agent that can help boost the immune system's response to the virus and inhibit viral replication.
Choice D rationale:
Entecavir is an antiviral medication that is commonly used to treat chronic hepatitis B infection. It works by inhibiting viral DNA polymerase, thereby reducing viral replication.
Choice E rationale:
Telbivudine is another antiviral agent that may be prescribed for the treatment of chronic hepatitis
B. It works by inhibiting reverse transcriptase, an enzyme necessary for viral replication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
The nurse should expect to assess fever in a client with suspected hepatitis A infection. Hepatitis A can cause flu-like symptoms, and fever is a common manifestation of the infection.
Choice C rationale:
Dark urine is another symptom the nurse should expect to assess in a client with hepatitis
A. Hepatitis A can cause jaundice, leading to dark-colored urine due to the accumulation of bilirubin in the bloodstream.
Choice D rationale:
Abdominal pain is a symptom that the nurse should anticipate in a client with hepatitis A infection. Hepatitis A can cause inflammation of the liver, leading to abdominal discomfort or pain in the right upper quadrant.
Choice E rationale:
Confusion is another possible symptom in a client with hepatitis
A. Severe cases of hepatitis A can lead to hepatic encephalopathy, causing confusion, altered mental status, and even coma.
Correct Answer is A
Explanation
Choice A rationale:
Fulminant hepatitis is a severe and life-threatening complication of hepatitis E, particularly in pregnant women. It can lead to liver failure, and timely monitoring is crucial to detect any early signs of deterioration in the patient's condition. Pregnant women with hepatitis E require close observation and frequent assessment of liver function to ensure prompt intervention if needed.
Choice B rationale:
Administering hepatitis B immunoglobulin (HBIG) to exposed contacts is not the priority in managing a patient with hepatitis
E. Hepatitis E is caused by a different virus (hepatitis E virus) and is not effectively prevented by hepatitis B immunoglobulin.
Choice C rationale:
Educating the patient about the benefits of hepatitis C vaccine is not relevant to the care of a patient with hepatitis
E. These are two different types of viral hepatitis, caused by distinct viruses (hepatitis C virus and hepatitis E virus), and each requires specific management.
Choice D rationale:
Advising the patient to avoid sexual contact until cleared of infection is important in some cases, but it is not the priority intervention for a patient with hepatitis
E. The primary concern in hepatitis E is monitoring for complications, especially in pregnant women, as discussed in choice A rationale.
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