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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Differences in upper and lower lung sounds are not indicative of atrial fibrillation but may suggest other conditions such as fluid accumulation or pneumonia.
B. A difference between apical and radial pulses, known as pulse deficit, can indicate atrial fibrillation due to the irregular and often rapid heartbeat that may not always produce a palpable radial pulse.
C. Differences between oral and axillary temperatures are not relevant to the assessment of atrial fibrillation but could indicate issues with measurement accuracy.
D. Different blood pressures in the upper limbs might suggest vascular issues but are not specific indicators of atrial fibrillation.

A. Heart rate B. BP C. Weight D. Urine output

Correct Answer is A

Explanation

A. A decrease in heart rate can indicate adequate fluid resuscitation as it suggests improved circulatory status and reduced compensatory tachycardia, which is a response to hypovolemia.
B. An increase, rather than a decrease, in blood pressure would typically indicate improved fluid status and perfusion following adequate fluid resuscitation.
C. Weight changes are not an immediate indicator of fluid resuscitation adequacy. Weight reflects overall fluid balance over a longer period.
D. An increase, not a decrease, in urine output is expected with adequate fluid resuscitation, as improved renal perfusion results in better urine production.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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