(ATI/HESI question from external source) A patient is diagnosed with hepatitis C, and antiviral therapy is initiated. What should the nurse include in the patient's education regarding antiviral therapy side effects?
Instruct the patient to report any visual disturbances immediately.
Advise the patient to avoid alcohol and hepatotoxic drugs during therapy.
Educate the patient about the need for a high-protein diet during treatment.
Encourage the patient to engage in strenuous physical activities to alleviate fatigue.
The Correct Answer is B
Choice A rationale:
While visual disturbances can occur as side effects of some medications, it is not the priority education for a patient undergoing antiviral therapy for hepatitis
C. Visual disturbances are not common or specific to antiviral therapy.
Choice B rationale:
Choice B is the correct answer because it is essential to educate the patient about avoiding alcohol and hepatotoxic drugs during antiviral therapy for hepatitis
C. Alcohol and certain medications can worsen liver function and interfere with the effectiveness of antiviral treatment.
Choice C rationale:
Educating the patient about the need for a high-protein diet during treatment is not a priority in antiviral therapy for hepatitis
C. While a balanced diet is important for overall health, there is no specific requirement for a high-protein diet during antiviral treatment.
Choice D rationale:
Encouraging the patient to engage in strenuous physical activities to alleviate fatigue is not the priority education for a patient undergoing antiviral therapy. Strenuous physical activities might be counterproductive, as the patient may experience fatigue as a side effect of the therapy. Instead, the focus should be on adequate rest and moderate exercise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Hepatitis B can be transmitted through needle sharing, especially in the context of intravenous drug use. Contaminated needles can carry the virus from one person to another.
Choice B rationale:
Hepatitis B can be transmitted through blood transfusion if the donated blood is infected with the virus. However, routine blood screening has significantly reduced the risk of hepatitis B transmission through blood transfusions.
Choice C rationale:
Hepatitis B can be transmitted through sexual contact with an infected partner. The virus is present in the bodily fluids, including blood and semen, making sexual transmission possible.
Choice D rationale:
This statement is incorrect. Hepatitis B is not typically transmitted through the ingestion of contaminated food or water. Hepatitis A virus is the one commonly associated with contaminated food or water.
Choice E rationale:
This statement is incorrect. Hepatitis B is not transmitted through inhaling infected air particles. It primarily spreads through blood contact and sexual contact.
Correct Answer is A
Explanation
Choice A rationale:
Hepatitis C is indeed caused by the hepatitis C virus (HCV), which is a single-stranded RNA virus. The virus is classified under the Flaviviridae family and is known for its high genetic variability, leading to the development of multiple genotypes and subtypes. The RNA genome of HCV is not defective, but rather highly adaptable, making it challenging to develop effective vaccines and treatments. Hepatitis C is primarily transmitted through exposure to infected blood, sharing needles, and, less commonly, through sexual contact and from mother to child during childbirth.
Choice B rationale:
Hepatitis B (HBV) is caused by a partially double-stranded DNA virus, not a non-enveloped single-stranded RNA virus. HBV belongs to the Hepadnaviridae family, and it is transmitted through contact with infected body fluids, such as blood, semen, or vaginal fluids. HBV can cause both acute and chronic liver infections.
Choice C rationale:
Hepatitis A (HAV) is caused by an enveloped single-stranded RNA virus, not hepatitis
C. HAV is transmitted through the fecal-oral route, typically due to contaminated food or water. It is usually a self-limiting disease that does not lead to chronic liver problems.
Choice D rationale:
Hepatitis E (HEV) is caused by a single-stranded RNA virus, but it is not partially double-stranded DNA, as stated in this choice. HEV is typically transmitted through the fecal-oral route, similar to HAV, and it can cause acute hepatitis, particularly in pregnant women, but it does not require a prior hepatitis B infection for transmission.
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