A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?
You may donate blood 6 months after completing the medication regimen.
Rest frequently throughout the day.
Consume a high-protein diet.
Take acetaminophen every 4 hr, as needed, for discomfort.
The Correct Answer is B
A. Clients with hepatitis B should never donate blood, even after completing treatment, as they can remain carriers of the virus.
B. Resting frequently is essential for clients with hepatitis B as it helps the body recover and conserve energy during the healing process.
C. A high-protein diet is not recommended for hepatitis B patients; a balanced diet with adequate calories and nutrients is more appropriate to support liver health.
D. Acetaminophen is metabolized by the liver and should be used cautiously or avoided in clients with hepatitis B to prevent further liver damage.
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Related Questions
Correct Answer is C
Explanation
A. While assessing perianal skin integrity is important for managing ulcerative colitis, it is not the immediate priority. Addressing electrolyte imbalances is crucial for stabilizing the client's condition first.
B. Emotional concerns are important but are secondary to addressing immediate physical health needs, such as electrolyte imbalances, which can be life-threatening if not managed promptly.
C. Reviewing electrolyte values is critical in an acute exacerbation of ulcerative colitis because diarrhea and fluid loss can lead to significant electrolyte imbalances, which need to be corrected to prevent complications.
D. Obtaining a dietary history is relevant for overall management but is not the immediate priority. Addressing electrolyte imbalances and hydration status is more urgent in acute exacerbations.
Correct Answer is B
Explanation
A. Assistive personnel are generally not qualified to perform the double-check process for blood transfusion as it requires specialized training and certification.
B. An oncology nurse is a qualified staff member who has the necessary training and experience to correctly verify blood labels and client ID bracelets before transfusion.
C. A phlebotomist's role primarily involves drawing blood, not verifying blood products for transfusion.
D. A senior nursing student may not have the required experience or certification to perform the double-check process for blood transfusion safely.
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