(ATI/HESI question from external source) A nurse is caring for a patient with suspected hepatitis D infection. Which interventions should the nurse include in the care plan? (Select all that apply.)
Administer hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) to exposed contacts.
Advise the patient to avoid sexual contact or use condoms until cleared of infection.
Inform the patient about the availability and benefits of hepatitis D vaccine for prevention.
Educate the patient about the need for regular monitoring of liver function and viral load.
Disinfect contaminated surfaces or instruments with bleach or autoclave.
Correct Answer : A,B,D
Choice A rationale:
The administration of the hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) to exposed contacts is an appropriate intervention for suspected hepatitis D infection. Hepatitis D is a defective virus that requires the presence of hepatitis B to replicate, so administering the hepatitis B vaccine can prevent hepatitis D infection in exposed contacts. HBIG contains antibodies against hepatitis B, which can provide temporary protection to exposed contacts.
Choice B rationale:
Advising the patient to avoid sexual contact or use condoms until cleared of infection is crucial in preventing the spread of hepatitis D. The virus can be transmitted through blood and sexual contact, so precautionary measures are essential.
Choice C rationale:
The availability and benefits of the hepatitis D vaccine for prevention should be communicated to the patient. Currently, there is no specific treatment for hepatitis D infection, and vaccination is the most effective preventive measure.
Choice D rationale:
Educating the patient about the need for regular monitoring of liver function and viral load is essential in managing hepatitis D. Hepatitis D can lead to severe liver complications, and monitoring liver function and viral load helps in evaluating disease progression and treatment effectiveness.
Choice E rationale:
Disinfecting contaminated surfaces or instruments with bleach or autoclave is not directly related to the care of a patient with suspected hepatitis D infection. Hepatitis D is primarily transmitted through blood and sexual contact, not through contaminated surfaces or instruments.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Getting vaccinated with the hepatitis B vaccine is an effective prevention strategy for hepatitis
B. It helps protect the individual from acquiring the virus and developing the disease. Vaccination is crucial, especially for individuals at risk of exposure to the virus, such as healthcare workers, sexually active individuals, and household contacts of infected individuals.
Choice B rationale:
Drinking alcohol occasionally is not a safe practice for individuals with hepatitis
B. Alcohol can further damage the liver and worsen the condition. Avoiding alcohol entirely is essential to protect the liver and promote healing.
Choice C rationale:
Clearance of infection does not confer immunity to hepatitis
B. The patient should still take precautions to prevent potential reinfection through sexual contact or other means.
Choice D rationale:
Screening blood donors and recipients for HBV infection is necessary to prevent the transmission of the virus through blood transfusions. It is a crucial safety measure to ensure that blood and blood products are free from hepatitis B virus and other infectious agents.
Correct Answer is B
Explanation
Choice A rationale:
Avoiding contact with infected animals is not a primary mode of transmission for hepatitis
B. Although some animal species can carry the hepatitis B virus, the primary modes of transmission in humans are through exposure to infected blood, sexual contact, and perinatal transmission from mother to child.
Choice B rationale:
Practicing safe sex with a monogamous partner is an important preventive measure for hepatitis B transmission. The virus can be transmitted through sexual contact, so using barrier methods like condoms and having a mutually monogamous relationship can reduce the risk of infection.
Choice C rationale:
Sharing personal care items with family members is not a preventive measure for hepatitis B transmission. In fact, sharing personal items like toothbrushes or razors can potentially increase the risk of transmission, especially if there is any exchange of blood.
Choice D rationale:
Using intravenous drugs with a clean needle is a preventive measure for blood-borne infections like hepatitis B and C. However, it is not a preventive measure for hepatitis B transmission through sexual contact or perinatal transmission.
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