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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Taking a laxative the day before an IVP is a common preparation to clear the intestines for better imaging. This statement does not require additional data collection.

Choice B reason: The correct answer is b because taking metformin before an IVP can increase the risk of lactic acidosis, a serious complication. Metformin should be temporarily discontinued before and after the procedure, and the nurse should gather more information to manage the client’s diabetes safely.

Choice C reason: Fasting before an IVP is standard procedure to ensure clear imaging. This statement does not require additional data collection.

Choice D reason: Painful voiding may be related to kidney stones but is not a contraindication for an IVP. This statement does not require additional data collection.

A. Have staff and visitors wear gowns while in the client’s room. B. Place the client in a private room with a special ventilation system. C. Move the client to a semi-private room with a client who requires droplet precautions. D. Remove personal protective equipment in the hallway outside of the client’s room.

Correct Answer is B

Explanation

Choice A reason: While gowns may be part of the precautions, they are not sufficient alone for preventing the spread of TB, which is transmitted via airborne particles.

Choice B reason: Placing the client in a private room with a special ventilation system is crucial for preventing the spread of TB. The special ventilation system, typically a negative pressure room, ensures that airborne particles do not escape into other areas, thereby protecting staff and other patients.

Choice C reason: A semi-private room with another patient requiring droplet precautions is inappropriate for a TB patient, as TB requires strict airborne precautions to prevent transmission.

Choice D reason: Removing personal protective equipment in the hallway increases the risk of contaminating the hallway and spreading TB. PPE should be removed inside the room or anteroom to contain potential contaminants.

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A nurse is reinforcing discharge instructions with a client who has hepatitis

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?

Correct Answer is B

Explanation

A nurse is caring for a client who is suspected to have active laryngeal tuberculosis (TB). Which of the following actions should the nurse plan to take to safely care for this client?

Correct Answer is B

Explanation

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