A nurse is reinforcing discharge instructions with a client who has hepatitis
"I will not eat fried foods."
"I will abstain from sexual intercourse."
"I will refrain from international travel."
"I will not order a salad in a restaurant."
The Correct Answer is B
Choice A reason: While a healthy diet is important, avoiding fried foods alone is not sufficient for managing hepatitis A. This statement does not fully address the necessary precautions to prevent transmission.
Choice B reason: The correct answer is b because abstaining from sexual intercourse is essential to prevent the spread of hepatitis A. The virus can be transmitted through close personal contact, including sexual activity.
Choice C reason: Refraining from international travel may be advisable in some cases, but it is not a specific requirement for managing hepatitis A. This statement does not directly address transmission prevention.
Choice D reason: Avoiding salads in restaurants can help reduce the risk of foodborne transmission of hepatitis A, but it is not as comprehensive as abstaining from sexual intercourse, which directly prevents person-to-person transmission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: An apical pulse rate different than the radial pulse rate is known as a pulse deficit, which can indicate atrial fibrillation or other cardiac arrhythmias, but it is not related to paradoxical blood pressure or constrictive pericarditis.
Choice B reason: An increase in heart rate by 20% when standing is indicative of orthostatic hypotension, not paradoxical blood pressure. This condition involves a drop in blood pressure upon standing, leading to a compensatory increase in heart rate.
Choice C reason: A drop in systolic BP by 20 mm Hg when moving from a lying to a sitting position is another indicator of orthostatic hypotension, not paradoxical blood pressure.
Choice D reason: The correct answer is d because a drop in systolic BP of more than 10 mm Hg on inspiration, known as pulsus paradoxus, is a characteristic finding in constrictive pericarditis. This occurs due to the impaired filling of the heart during inspiration, leading to a significant drop in systolic blood pressure.
Correct Answer is B
Explanation
Choice A reason: Uncontrolled hypertension is a significant risk factor for hemorrhagic stroke rather than ischemic embolic stroke. Hypertension can lead to the rupture of blood vessels in the brain, causing bleeding.
Choice B reason: The correct answer is b because chronic atrial fibrillation increases the risk of embolic stroke. In atrial fibrillation, the irregular heartbeat can lead to the formation of blood clots in the atria. These clots can travel to the brain and cause an ischemic stroke by blocking blood flow.
Choice C reason: Thrombocytopenia, characterized by low platelet count, primarily affects clotting and bleeding tendencies rather than directly increasing the risk of embolic stroke. It can, however, complicate the management of stroke due to bleeding risks.
Choice D reason: An arteriovenous malformation (AVM) is a tangle of abnormal blood vessels connecting arteries and veins in the brain. While AVMs can increase the risk of hemorrhagic stroke, they are not typically associated with ischemic embolic stroke.
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