A client has been diagnosed with hepatitis C and started on antiviral therapy. What side effects should the nurse monitor for in this client? (Select all that apply.)
Fatigue.
Insomnia.
Headache.
Muscle aches.
Blurred vision.
Correct Answer : A,D,E
Choice A rationale:
Fatigue is a common side effect of antiviral therapy for hepatitis
C. The medications used to treat hepatitis C can cause general fatigue and tiredness in some patients. The nurse should monitor the client for signs of increased fatigue and address any concerns.
Choice D rationale:
Muscle aches are another possible side effect of antiviral therapy for hepatitis
C. Some patients may experience muscle pain or discomfort while on these medications. The nurse should assess the client for muscle aches and provide appropriate interventions if necessary.
Choice E rationale:
Blurred vision can occur as a side effect of antiviral therapy for hepatitis
C. Some medications used in the treatment of hepatitis C can affect vision in some patients. The nurse should be vigilant in monitoring the client's visual acuity and report any changes to the healthcare provider.
Choice B rationale:
Insomnia is not a common side effect of antiviral therapy for hepatitis
C. While some individuals may experience sleep disturbances due to the stress of managing a chronic condition, insomnia is not directly related to the antiviral medications used in hepatitis C treatment.
Choice C rationale:
Headache is not a typical side effect of antiviral therapy for hepatitis
C. Headaches may occur for various reasons, but they are not directly associated with the medications used to treat hepatitis
C.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Hepatitis B can be transmitted through needle sharing, especially in the context of intravenous drug use. Contaminated needles can carry the virus from one person to another.
Choice B rationale:
Hepatitis B can be transmitted through blood transfusion if the donated blood is infected with the virus. However, routine blood screening has significantly reduced the risk of hepatitis B transmission through blood transfusions.
Choice C rationale:
Hepatitis B can be transmitted through sexual contact with an infected partner. The virus is present in the bodily fluids, including blood and semen, making sexual transmission possible.
Choice D rationale:
This statement is incorrect. Hepatitis B is not typically transmitted through the ingestion of contaminated food or water. Hepatitis A virus is the one commonly associated with contaminated food or water.
Choice E rationale:
This statement is incorrect. Hepatitis B is not transmitted through inhaling infected air particles. It primarily spreads through blood contact and sexual contact.
Correct Answer is A
Explanation
Choice A rationale:
The client's statement, "I will take pegylated interferon-alpha as the antiviral agent," demonstrates understanding of the treatment regimen for chronic hepatitis
D. Pegylated interferon-alpha is the recommended antiviral therapy for chronic hepatitis
D. It helps suppress viral replication and reduce liver inflammation, which is essential in managing the disease. Interferon therapy can be used alone or in combination with antiviral agents like lamivudine or adefovir. However, it is crucial to note that interferon therapy may have side effects, and the client should be educated about them.
Choice B rationale:
"I will use ribavirin to suppress viral replication" is incorrect. Ribavirin is an antiviral agent used for the treatment of hepatitis C but is not typically recommended for hepatitis
D. The primary antiviral therapy for hepatitis D is pegylated interferon-alpha.
Choice C rationale:
"I need to continue the treatment for a shorter duration than hepatitis B or C" is incorrect. The treatment duration for chronic hepatitis D is generally longer than that for hepatitis B or
C. The therapy may last for six months to a year or even longer, depending on the individual response to treatment and the level of liver damage.
Choice D rationale:
"The goal of treatment is to achieve undetectable HDV RNA after the treatment ends" is incorrect. While achieving undetectable HDV RNA is a favorable outcome, it may not always be achievable with current therapies. The primary goal of treatment is to suppress viral replication, reduce liver inflammation, and slow down the progression of liver disease.
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