A nurse is providing care to a patient with hepatitis
Monitoring pregnant women closely for signs of fulminant hepatitis.
Administering hepatitis B immunoglobulin (HBIG) to exposed contacts.
Educating the patient about the benefits of hepatitis C vaccine.
Advising the patient to avoid sexual contact until cleared of infection.
Which intervention should the nurse prioritize?
The Correct Answer is A
Choice A rationale:
Fulminant hepatitis is a severe and life-threatening complication of hepatitis E, particularly in pregnant women. It can lead to liver failure, and timely monitoring is crucial to detect any early signs of deterioration in the patient's condition. Pregnant women with hepatitis E require close observation and frequent assessment of liver function to ensure prompt intervention if needed.
Choice B rationale:
Administering hepatitis B immunoglobulin (HBIG) to exposed contacts is not the priority in managing a patient with hepatitis
E. Hepatitis E is caused by a different virus (hepatitis E virus) and is not effectively prevented by hepatitis B immunoglobulin.
Choice C rationale:
Educating the patient about the benefits of hepatitis C vaccine is not relevant to the care of a patient with hepatitis
E. These are two different types of viral hepatitis, caused by distinct viruses (hepatitis C virus and hepatitis E virus), and each requires specific management.
Choice D rationale:
Advising the patient to avoid sexual contact until cleared of infection is important in some cases, but it is not the priority intervention for a patient with hepatitis
E. The primary concern in hepatitis E is monitoring for complications, especially in pregnant women, as discussed in choice A rationale.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Prioritizing hydration is essential in the care of a client with hepatitis E infection. Hepatitis E is transmitted through contaminated water and can cause dehydration due to symptoms like vomiting and diarrhea. Hydration helps maintain fluid balance and supports overall recovery.
Choice C rationale:
Pain relief is crucial for managing symptoms associated with hepatitis E infection. The client may experience abdominal pain and discomfort, and providing appropriate pain relief measures can enhance their comfort during the recovery period.
Choice D rationale:
Nutrition support is vital in the care of a client with hepatitis E infection. The disease can cause nausea, vomiting, and loss of appetite, leading to malnutrition. Providing adequate nutrition helps support the immune system and aids in the healing process.
Choice E rationale:
Antipyretics may be necessary for managing fever, which is a common symptom of hepatitis
E. Controlling fever can help improve the client's comfort and prevent complications associated with high body temperature.
Choice B rationale:
Antiviral therapy is not a standard treatment for hepatitis E infection. In most cases, the infection is self-limiting and resolves on its own without specific antiviral medications.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
Leptospirosis is a non-viral cause of hepatitis. It is caused by the bacterium Leptospira and can lead to liver inflammation. Leptospirosis is typically contracted through exposure to contaminated water, soil, or urine of infected animals.
Choice B rationale:
Malaria is not a cause of hepatitis. Malaria is a parasitic infection transmitted through the bite of infected mosquitoes and does not directly affect the liver in the way hepatitis does.
Choice C rationale:
Acetaminophen is a non-viral cause of hepatitis when taken in excessive amounts or in cases of overdose. Acetaminophen toxicity can lead to acute liver failure and hepatitis-like symptoms.
Choice D rationale:
Autoimmune hepatitis is a non-viral cause of hepatitis. It occurs when the body's immune system mistakenly attacks the liver, leading to inflammation and liver damage. The exact cause of autoimmune hepatitis is not well understood.
Choice E rationale:
Hepatitis B is a viral cause of hepatitis and is not a non-viral cause. It is caused by the hepatitis B virus (HBV) and is transmitted through exposure to infected blood, sexual contact, or perinatal transmission from mother to child.
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