A nurse is contributing to a plan of care for a client who has Hepatitis B. Which of the following should the nurse include in the plan?

Use disposable plates and utensils.

Limit activity.

Administer antibiotics.

Provide a high-fat diet.

Answer and Explanation

The Correct Answer is B

A. Use disposable plates and utensils: Hepatitis B is transmitted via blood and body fluids, not by casual household utensil sharing; routine use of disposable plates/utensils is unnecessary with standard precautions and proper cleaning.

B. Limit activity: Rest and activity restriction during the acute phase help the liver recover and reduce symptom exacerbation - activity limitation is an appropriate part of the care plan.

C. Administer antibiotics: Hepatitis B is viral; antibiotics have no role unless there is a documented secondary bacterial infection.

D. Provide a high-fat diet: A high-fat diet is not recommended; clients are typically advised to eat small, well-balanced meals and avoid alcohol and foods that exacerbate nausea - high fat may worsen GI symptoms.

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Correct Answer is C

Explanation

A. Increase the client's sodium intake:Increased sodium promotes fluid retention and worsens ascites.

B. Increase the client's saturated fat intake:Increased saturated fat is not beneficial and may worsen overall nutrition/metabolic status; focus is on balanced nutrition.

C. Decrease the client's fluid intake:Fluid restriction may be recommended for clients with hyponatremia or refractory ascites to help control fluid overload; it is a commonly used intervention when indicated. (Note: the primary and universal intervention is sodium restriction; fluid restriction is used selectively based on sodium status and provider orders.)

D. Decrease the client's carbohydrate intake:Restricting carbohydrates is not a standard intervention for ascites; overall adequate calories with protein (unless contraindicated) and sodium restriction are more important.

A. "Monitor for any changes in the color of your urine such as maroon or red-colored urine." B. "Monitor for the appearance of ecchymosis on the sides of your abdomen/pelvic areas." C. "Monitor for any increase or unintentional weight gain." D. "Monitor for any changes in the color of your stool such as dark or black-colored stool."

Correct Answer is D

Explanation

A. "Monitor for any changes in the color of your urine such as maroon or red-colored urine.":Hematuria (red urine) is unrelated to upper GI bleeding from peptic ulcers; this is not the correct sign to monitor for GI bleeding.

B. "Monitor for the appearance of ecchymosis on the sides of your abdomen/pelvic areas.":Ecchymosis on the flanks (Grey Turner sign) can indicate severe retroperitoneal hemorrhage but is uncommon and not a routine discharge teaching point; also ecchymosis on sides of abdomen is nonspecific.

C. "Monitor for any increase or unintentional weight gain.":Weight gain is not a primary concern for peptic ulcer complications; unintentional weight loss would be more relevant.

D. "Monitor for any changes in the color of your stool such as dark or black-colored stool.":Dark, tarry stools (melena) indicate upper GI bleeding (digested blood) and should prompt immediate contact with a provider - this is the correct discharge warning sign.

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A nurse is contributing to a plan of care for a client who has Hepatitis B. Which of the following should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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