A nurse is teaching self-management to a client diagnosed with hepatitis B. Which of the following instructions should the nurse include in the teaching?
Rest frequently throughout the day.
Consume a high-protein diet.
Take acetaminophen every 4 hr, as needed, for discomfort.
You may donate blood 6 months after completing the medication regimen.
The Correct Answer is D
A. Rest is important for overall health but is not specifically indicated as a self-management strategy for hepatitis B.
B. Consuming a balanced diet, including adequate protein, is generally recommended for individuals with hepatitis B, but it is not the priority instruction in this case.
C. Acetaminophen should be used with caution in patients with hepatitis B due to potential liver toxicity, especially if the client's liver function is compromised. It is not recommended to take acetaminophen every 4 hours for discomfort without healthcare provider guidance.
D. Individuals with hepatitis B who complete a medication regimen and have achieved viral
suppression may be eligible to donate blood after a waiting period. It is important for the client to be aware of this guideline to prevent unintentional transmission of the virus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
A. Isotonic solutions may or may not provide calories, depending on their composition. For example, dextrose 5% in water is isotonic and provides calories.
B. Isotonic solutions have the same osmolality as body fluids, making them suitable for intravascular administration without causing osmotic imbalances.
C. Isotonic solutions do expand intravascular volume. They help to expand circulating blood volume without causing significant shifts of fluid into or out of cells.
D. Isotonic solutions do not typically provide free water. They are designed to maintain fluid balance without causing cellular swelling or dehydration.
E. Isotonic solutions are commonly used to replace fluid loss in situations such as dehydration, hemorrhage, or surgery. They help restore circulating blood volume without causing significant shifts in electrolytes.
Correct Answer is D
Explanation
A. Eating four small meals each day can help prevent overeating, but it may not specifically address GERD symptoms. However, smaller meals are generally recommended for individuals with GERD to reduce gastric pressure and decrease the risk of reflux.
B. While sleeping on the left side may be recommended for some individuals to reduce acid reflux, it is not the most universally applicable instruction for managing GERD.
C. Drinking milk may provide temporary relief for some individuals with mild symptoms of heartburn, but it can exacerbate symptoms for others due to its fat content. It is not generally recommended as a consistent management strategy for GERD.
D. Waiting to go to bed for at least 1 hour after eating can help reduce the risk of reflux episodes during sleep by allowing more time for digestion and gastric emptying. This instruction is
commonly recommended for individuals with GERD.
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