A nurse is reinforcing teaching with a community group about the prevention of viral hepatitis. Which of the following information should the nurse include in the teaching?

Limit time spent around individuals who have a productive cough.

Avoid washing fresh vegetables to prevent the removal of nutrients.

Thoroughly cook foods prepared with tap water.

Wear a mask when in crowded places.

Answer and Explanation

The Correct Answer is C

A. Limit time spent around individuals who have a productive cough: Hepatitis is not spread through respiratory droplets. This advice is more relevant to respiratory infections like influenza.

B. Avoid washing fresh vegetables to prevent the removal of nutrients: Washing vegetables is essential to remove contaminants. Unwashed vegetables can carry hepatitis A virus, so this statement is unsafe.

C. Thoroughly cook foods prepared with tap water: Hepatitis A and E can be transmitted through contaminated water and food. Cooking food properly reduces the risk of infection.

D. Wear a mask when in crowded places: Masks do not prevent hepatitis transmission because the virus is not airborne; transmission is primarily fecal–oral or bloodborne depending on the type.

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Correct Answer is D

Explanation

A. Administer a laxative to promote bowel movement:Laxatives are contraindicated - they increase bowel motility and could precipitate perforation or worsen obstruction/peritonitis in an acute abdomen.

B. Offer the client pain medication:Analgesia is important but not the priority if the client shows signs of worsening/complication (increasing pain, distention, vomiting). Masking worsening signs without prompt evaluation could be harmful. Pain meds may be given after notifying the provider and as ordered.

C. Assist the client to ambulate in the hallway:Ambulation is inappropriate for a client with a potentially worsening acute abdominal process (risk of perforation, hemodynamic instability, or sudden deterioration). It could increase discomfort and risk.

D. Notify the healthcare provider immediately:These signs suggest possible complication (perforation, bowel obstruction, or peritonitis). Immediate notification allows urgent reassessment and possible expediting of surgery or additional interventions - this is the most appropriate immediate action.

A. "Do you take any recreational drugs?" B. "Have you eaten any shellfish lately?" C. "Have you traveled to a third world country in the past two months?" D. "Did you have a blood transfusion recently?"

Correct Answer is C

Explanation

A. "Do you take any recreational drugs?":Recreational drug use is not a major transmission route for Hepatitis A (unless hygiene is poor in communal drug use).

B. "Have you eaten any shellfish lately?":Shellfish from contaminated waters can carry Hepatitis A - important, but not the first question.

C. "Have you traveled to a third world country in the past two months?":Hepatitis A is transmitted via fecal-oral route, and travel to areas with poor sanitation is the most common risk, so this is the priority question.

D. "Did you have a blood transfusion recently?":Hepatitis A is not bloodborne (that applies to Hep B and C), so this question is not relevant.

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A nurse is reinforcing teaching with a community group about the prevention of viral hepatitis. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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