A nurse is providing discharge instructors to a client with hepatitis B. Which of the following statements should be included in the teaching?

"You can donate blood as long as your symptoms have resolved.”"

" It is safe to consume alcohol in moderation.”

"You should inform your sexual partners about your diagnosis."

"You do not need to follow up with your healthcare provider once you feel better."

Answer and Explanation

The Correct Answer is C

A. "You can donate blood as long as your symptoms have resolved.": Clients with a history of hepatitis B can never donate blood, even if symptoms have resolved, due to the risk of latent infection and transmission.

B. "It is safe to consume alcohol in moderation.": Alcohol should be avoided because it worsens liver inflammation and damage in hepatitis B.

C. "You should inform your sexual partners about your diagnosis.": Hepatitis B (HBV) is a bloodborne virus transmitted through sexual contact, blood, and bodily fluids. Clients should inform sexual partners and practice safe sex to prevent transmission.

D. "You do not need to follow up with your healthcare provider once you feel better.": Follow-up is essential to monitor liver function, prevent complications, and check for chronic hepatitis B, which may lead to cirrhosis or liver cancer.

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Correct Answer is C

Explanation

A. High fiber, low protein diet: A high-fiber diet is contraindicated during an acute episode of diverticulitis because it can exacerbate inflammation. Instead, a low-residue or clear-liquid diet is recommended.

B. Prednisone to decrease inflammation: While corticosteroids like prednisone are used for inflammatory conditions like IBD, they are not the first-line treatment for diverticulitis. Antibiotics and bowel rest are preferred.

C. Nasogastric tube to low intermittent suction: An NG tube is used to decompress the stomach and relieve bowel obstruction symptoms, such as bloating and cramping. This is appropriate if an obstruction is suspected.

D. Increase with meals and snacks: Increasing food intake is not recommended during an acute episode of diverticulitis. The client is typically placed on bowel rest or a clear liquid diet.

A. Decrease in the respiratory rate from 20 to 16/min. B. Increase in the heart rate from 88 to 110/min C. Decrease in the urinary output from 50 mL to 30 ml per hour. D. increase in the temperature from 99.5°F to 101.5°F

Correct Answer is B

Explanation

A. Decrease in the respiratory rate from 20 to 16/min: Hypovolemic shock typically causes tachypnea (increased respiratory rate) as the body tries to increase oxygen delivery. A decreasing respiratory rate is not an expected finding.

B. Increase in the heart rate from 88 to 110/min: Tachycardia is an early sign of hypovolemic shock because the heart compensates for low blood volume by pumping faster.

C. Decrease in the urinary output from 50 mL to 30 mL per hour: A drop in urine output suggests early organ perfusion issues, but hypovolemic shock is suspected when urine output falls below 20 mL/hr.

D. Increase in the temperature from 99.5°F to 101.5°F: Fever suggests infection or inflammatory response, not hypovolemic shock. Shock typically causes hypothermia (low body temperature) as circulation is compromised.

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A nurse is providing discharge instructors to a client with hepatitis B. Which of the following statements should be included in the teaching?

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Naxlex Comprehensive Predictor Exams

Assessment findings of a client presenting to the emergency room include cramping pain in the left lower quadrant, weakness, bloating high-pitched bowel sounds, and a low grade fever. Which of the following orders would the nurse anticipate?

Correct Answer is C

Explanation

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding, which finding indicates to the nurse that the client may be developing hypovolemic shock?

Correct Answer is B

Explanation

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