A nurse is planning to provide community education about viral hepatitis. Which of the following should the nurse plan to include in the teaching?
A series of four hepatitis vaccines is recommended to prevent viral hepatitis.
Hepatitis B is transmitted by contaminated food
Chronic hepatitis can lead to renal cell cancer
Clients who have a history of viral hepatitis are unable to donate blood
The Correct Answer is D
A. A series of four hepatitis vaccines is recommended: This is incorrect. Vaccines are available for hepatitis A and hepatitis B only, and they are not given as a single four-vaccine series to prevent all viral hepatitis types.
B. Hepatitis B is transmitted by contaminated food: This describes hepatitis A, not hepatitis B. Hepatitis B is transmitted through blood, sexual contact, and perinatal exposure.
C. Chronic hepatitis can lead to renal cell cancer: Chronic hepatitis (especially B and C) increases the risk of hepatocellular carcinoma (liver cancer), not renal cell cancer.
D. Individuals with a history of viral hepatitis are not eligible to donate blood due to the risk of transmitting hepatitis viruses to recipients. Blood donation screening excludes donors with past hepatitis infection to ensure blood safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clear fluid drainage from the nares: Clear, watery drainage following facial trauma can indicate cerebrospinal fluid (CSF) leakage, which is a hallmark sign of a basilar skull fracture. The presence of CSF raises concern for a more serious intracranial injury and requires immediate reporting and further evaluation.
B. Report of pain around the eyes: Periorbital pain is common with nasal fractures and facial trauma but is not specific for a skull fracture. While it warrants assessment, it does not suggest intracranial involvement or CSF leakage.
C. Dried blood in the mouth: Blood in the mouth may result from oral or nasal trauma and is expected with nasal fractures. It does not indicate a skull fracture unless accompanied by other neurological or cerebrospinal signs.
D. Mandibular asymmetry: Misalignment of the jaw is consistent with a mandibular fracture rather than a skull fracture. While it may be present in facial trauma, it does not indicate intracranial injury or CSF leakage.
Correct Answer is D
Explanation
A. Diminished bowel sounds: Diminished bowel sounds indicate decreased gastrointestinal motility or possible ileus, but they are not a sign of fluid overload. This finding is unrelated to the client’s fluid status.
B. Bradycardia: Bradycardia refers to a slow heart rate, which is more often associated with conduction abnormalities, medications, or vagal stimulation. It does not typically indicate fluid overload.
C. Hypotension: Hypotension usually reflects fluid deficit, blood loss, or cardiovascular compromise. Fluid overload is more likely to cause hypertension rather than low blood pressure.
D. Bounding pulses: Bounding pulses are a classic cardiovascular manifestation of fluid overload. Excess intravascular volume increases stroke volume and arterial pressure, resulting in strong, forceful pulses, making this an important sign for the nurse to recognize.
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