A nurse is caring for a client with suspected hepatitis A infection. Which signs and symptoms should the nurse expect to assess in the client? (Select all that apply)
Fever.
Rash.
Dark urine.
Abdominal pain.
Confusion.
Correct Answer : A,C,D,E
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.
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Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Monitoring vital signs and mental status is crucial in patients with suspected hepatitis as they may develop complications such as hepatic encephalopathy, which can lead to changes in mental status.
Choice B rationale:
Administering prescribed medications and fluids is important to support the patient's liver function and manage symptoms of hepatitis. Antiviral medications may be used to treat certain types of viral hepatitis.
Choice C rationale:
Educating the patient about hepatitis vaccines is not applicable in a patient with suspected hepatitis since vaccines are used for prevention and are not effective in treating an ongoing infection.
Choice D rationale:
Encouraging the patient to engage in high-impact exercise is not recommended in patients with suspected hepatitis, as strenuous physical activity may worsen hepatic injury or lead to complications.
Choice E rationale:
Implementing infection control measures to prevent transmission is crucial in suspected hepatitis cases, as the disease can spread through contact with contaminated blood or body fluids. Standard precautions should be followed to prevent healthcare-associated infections and protect others from contracting the virus.
Correct Answer is ["C","D","E"]
Explanation
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.
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