A nurse is collecting a health history from a client. Which of the following client data should the nurse identify as a risk factor for contracting hepatitis C?

Working in a child care center

Presence of multiple tattoos

Eating raw shellfish

Recent travel to a second world country

Answer and Explanation

The Correct Answer is B

A. Working in a child care center: Child care increases exposure to fecal–oral pathogens (hepatitis A) and common childhood infections, but it is not a typical risk factor for hepatitis C, which is blood-borne.

B. Presence of multiple tattoos: Tattoos done with nonsterile needles or in unregulated settings can transmit blood-borne infections, including hepatitis C.

C. Eating raw shellfish: Raw shellfish is associated with foodborne/waterborne hepatitis A or norovirus, not hepatitis C.

D. Recent travel to a second world country: Travel alone is not a specific risk for hepatitis C unless it included exposures such as unsafe injections, blood transfusions, or unsterile procedures.

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Correct Answer is C

Explanation

A. "Do you take any recreational drugs?":Recreational drug use is not a major transmission route for Hepatitis A (unless hygiene is poor in communal drug use).

B. "Have you eaten any shellfish lately?":Shellfish from contaminated waters can carry Hepatitis A - important, but not the first question.

C. "Have you traveled to a third world country in the past two months?":Hepatitis A is transmitted via fecal-oral route, and travel to areas with poor sanitation is the most common risk, so this is the priority question.

D. "Did you have a blood transfusion recently?":Hepatitis A is not bloodborne (that applies to Hep B and C), so this question is not relevant.

A. Assure the client that the procedure is painless. B. Have the client increase fluid intake after the procedure. C. Place the client on his back. D. Instruct the client to empty his bladder.

Correct Answer is D

Explanation

A. Assure the client that the procedure is painless:Paracentesis may cause discomfort or pressure; the nurse should explain the procedure and possible sensations rather than guarantee it will be painless.

B. Have the client increase fluid intake after the procedure:Routine instruction to increase fluids is not standard - large-volume paracentesis may require monitoring of hemodynamics and possible albumin replacement; fluid/IV orders are provider-directed.

C. Place the client on his back:The client is usually positioned sitting upright or in semi-Fowler’s position to allow fluid to pool in the lower abdomen and facilitate safe needle placement.

D. Instruct the client to empty his bladder:Emptying the bladder reduces the risk of bladder puncture during the procedure and is standard pre-procedure instruction.

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A nurse is collecting a health history from a client. Which of the following client data should the nurse identify as a risk factor for contracting hepatitis C?

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Naxlex Comprehensive Predictor Exams

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