A client is diagnosed with hepatitis.

C.Which client risk factor would be most related to this diagnosis?

Drinking contaminated water.

Eating raw chicken.

IV drug use.

Unprotected intercourse.

Answer and Explanation

The Correct Answer is C

This is because hepatitis C is a viral infection that spreads through contaminated blood and body fluids. IV drug use is one of the most common ways to get hepatitis C, especially if people share needles or other equipment.

Choice A is wrong because drinking contaminated water is not a risk factor for hepatitis

C. Hepatitis A and E are transmitted by the fecal-oral route, which can happen through contaminated water.

Choice B is wrong because eating raw chicken is not a risk factor for hepatitis C. Hepatitis E can be transmitted by eating undercooked meat from infected animals, but not chicken.

Choice D is wrong because unprotected intercourse is not a major risk factor for hepatitis

C. Hepatitis B and D are more likely to be transmitted by sexual contact than hepatitis

C. However, having multiple sexual partners or having sexually transmitted diseases can increase the risk of hepatitis

C. Normal ranges for hepatitis C tests depend on the type of test and the laboratory that performs it.

Some common tests are:

Anti-HCV antibody test: This test detects antibodies to the hepatitis C virus in the blood.

A positive result means that the person has been exposed to the virus, but does not necessarily mean that they have an active infection. A negative result means that the person has never been exposed to the virus or has cleared it from their body.

HCV RNA test: This test measures the amount of hepatitis C virus in the blood.

A positive result means that the person has an active infection and can transmit the virus to others. A negative result means that the person does not have an active infection or has cleared it from their body.

HCV genotype test: This test identifies the strain or type of hepatitis C virus that the person has. There are six major genotypes of hepatitis C, numbered 1 to 6, and each one may respond differently to treatment.

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Correct Answer is C

Explanation

Just prior to the next scheduled dose. A trough level is the lowest concentration of a drug in the blood, and it is measured just before the next dose is due to be administered.

This helps to ensure that the drug level does not fall below the therapeutic range or rise above the toxic range.

Choice A is wrong because every morning at 08:00 AM (0800) is not a consistent time interval for a drug that is administered every twenty-four hours.

The trough level should be measured at the same time before each dose.

Choice B is wrong because halfway between next scheduled dose is not a trough level, but a midpoint level.

This does not reflect the lowest concentration of the drug in the blood.

Choice D is wrong because two hours after a scheduled dose is not a trough level, but a peak level. This is the highest concentration of the drug in the blood, and it is measured after the drug has been absorbed and distributed. Peak levels are no longer routinely recommended for vancomycin.

A. Limit the total volume of the injection to 1 milliliter. B. Leave the needle in place for at least 10 seconds before removing it to trap the medication in the muscle. C. Use a 1 inch, 23 gauge needle to prevent tissue trauma. D. Administer the medication rapidly to disperse it into the muscle.

Correct Answer is B

Explanation

Leave the needle in place for at least 10 seconds before removing it to trap the medication in the muscle.

The Z-track method is a technique used to administer intramuscular injections that prevent leakage of medication into the subcutaneous tissue. The nurse should pull the skin laterally before inserting the needle, inject the medication slowly, leave the needle in place for at least 10 seconds, and release the skin after withdrawing the needle.

Choice A is wrong because the total volume of the injection is not limited to 1 milliliter in the Z-track method. The Z-track method can be used to administer up to 3 milliliters of medication depending on the site and muscle mass of the client.

Choice C is wrong because the needle size and gauge depend on the site, medication, and client characteristics, not on the Z-track method. The Z-track method can be performed with different needle sizes and gauges as long as they are appropriate for intramuscular injections.

Choice D is wrong because the nurse should not administer the medication rapidly in the Z- track method.

Rapid injection can cause pain, tissue damage, and leakage of medication into the subcutaneous tissue. The nurse should inject the medication slowly and steadily in the Z-track method.

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A client is diagnosed with hepatitis. C.Which client risk factor would be most related to this diagnosis?

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Naxlex Comprehensive Predictor Exams

The health care provider orders a trough level of an antibiotic administered every twenty four hours. When should the nurse plan for a trough level to be drawn?

Correct Answer is C

Explanation

Which action should a nurse perform when administering an intramuscular injection via the Z- track method?

Correct Answer is B

Explanation

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A client is diagnosed with hepatitis.

C.Which client risk factor would be most related to this diagnosis?