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 A

Explanation

A. Reduce the client's intake of protein: Protein metabolism produces ammonia, which worsens hepatic encephalopathy. Reducing dietary protein (especially red meat) helps lower ammonia levels. However, some protein is necessary, so a diet high in plant-based protein is preferred.

B. Administer vitamin K: Vitamin K is used to manage coagulopathy in liver disease but does not affect ammonia levels.

C. Restrict the client's intake of fluids: Fluid restriction is necessary for hyponatremia or ascites, but it does not help reduce ammonia levels.

D. Administer diuretics: Diuretics are used for ascites and edema, not ammonia reduction.

Correct Answer is ["25"]

Explanation

Total volume to be infused = 50 mL
Infusion rate = 2 mL/min

Time required = Total volume / Infusion rate
= 50 mL ÷ 2 mL/min
= 25 minutes

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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

A nurse is planning care for a client who has end-stage cirrhosis of the liver with hepatic encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Correct Answer is A

Explanation

The nurse is reviewing an order of infuse 12.5 grams of V Albumin to the client. The albumin is dispensed as 12.5 grams in 50 mL bottles and can be infused at 2 mL/minute. How long will it take to administer this dose of Albumin.

Correct Answer is ["25"]

Explanation

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