From an online ATI/HESI MCQ: A client with acute hepatitis A is admitted to the hospital. Which nursing intervention should be included in the client's plan of care?

Isolating the client in a negative pressure room.

Encouraging the client to rest and limit physical activity.

Administering live attenuated hepatitis A vaccine.

Providing antiviral medications to treat the infection.

Answer and Explanation

The Correct Answer is B

Choice B rationale:

Encouraging the client to rest and limit physical activity is an essential nursing intervention for a client with acute hepatitis

A. Rest is crucial for liver recovery and reducing the risk of complications. Physical activity can put additional stress on the liver and may worsen symptoms. The client should avoid alcohol and any medications that can potentially harm the liver during this period.

Choice A rationale:

Isolating the client in a negative pressure room is not necessary for acute hepatitis

A. Hepatitis A is primarily transmitted through the fecal-oral route, and standard precautions are sufficient to prevent its spread. Negative pressure rooms are usually reserved for clients with airborne infections, such as tuberculosis.

Choice C rationale:

Administering live attenuated hepatitis A vaccine is not indicated for a client with acute hepatitis

A. The vaccine is used for pre-exposure prophylaxis and is not effective in treating an active infection.

Choice D rationale:

Providing antiviral medications to treat the infection is not a standard intervention for acute hepatitis

A. Antiviral therapy is generally reserved for chronic hepatitis B and C infections and is not effective for acute hepatitis A, which usually resolves on its own with supportive care.

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Correct Answer is D

Explanation

Choice D rationale:

This statement accurately differentiates between acute and chronic hepatitis. Acute hepatitis is a short-term inflammation of the liver that typically resolves within six months. It can be caused by various factors, including viral infections (e.g., hepatitis A, B, and C), alcohol consumption, or drug toxicity. On the other hand, chronic hepatitis is a long-lasting inflammation of the liver that persists for more than six months. Chronic hepatitis can result from ongoing viral infections (e.g., hepatitis B and C) or other causes, such as autoimmune diseases.

Choice A rationale:

This statement is incorrect. Acute hepatitis is a short-term condition that resolves within a few weeks to six months, while chronic hepatitis is the condition that can persist for an extended period.

Choice B rationale:

This statement is also incorrect. Acute hepatitis is primarily caused by viruses (e.g., hepatitis viruses), not bacteria. Chronic hepatitis is also related to viral infections, not bacterial infections.

Choice C rationale:

This statement is not accurate. Both acute and chronic hepatitis can have severe consequences, including liver cancer. Chronic hepatitis, especially when caused by hepatitis B or C viruses, can lead to the development of cirrhosis and increase the risk of liver cancer (hepatocellular carcinoma)

A. "You should avoid alcohol and hepatotoxic drugs.” B. "You may need to receive the hepatitis C vaccine for prevention.” C. "It's essential to monitor your liver function regularly.” D. "Taking antiviral therapy will help manage the side effects.”

Correct Answer is ["A"]

Explanation

Choice A rationale:

Advising the patient to avoid alcohol and hepatotoxic drugs is appropriate because in hepatitis A, the liver is already inflamed and compromised. Alcohol and hepatotoxic drugs can further damage the liver and impede the healing process. It is essential to protect the liver from further harm during recovery.

Choice B rationale:

The patient has hepatitis A, not hepatitis C, so there is no need for the hepatitis C vaccine. The hepatitis A vaccine is available for prevention, not the hepatitis C vaccine.

Choice C rationale:

While monitoring liver function is essential for individuals with liver disease, this statement is not specifically relevant to the patient with hepatitis

A. Monitoring liver function is more critical for chronic liver diseases like hepatitis B and C.

Choice D rationale:

Antiviral therapy is not indicated for hepatitis A since the infection usually resolves on its own. This statement is not appropriate for the patient with hepatitis

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From an online ATI/HESI MCQ: A client with acute hepatitis A is admitted to the hospital. Which nursing intervention should be included in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with hepatitis, and the nurse is discussing the disease classification. What is the main difference between acute and chronic hepatitis?

Correct Answer is D

Explanation

A nurse is educating a patient diagnosed with hepatitis A about self-care measures. Which statement by the nurse is appropriate?

Correct Answer is ["A"]

Explanation

A client with chronic hepatitis D is prescribed antiviral therapy. What statement by the client demonstrates understanding of the treatment regimen?

(ATI/HESI question from external source) Which statement is true regarding hepatitis A vaccine?

Which mode of transmission is associated with hepatitis A?

A client presents with symptoms of hepatitis E infection. What interventions should the nurse prioritize for this client's care? (Select all that apply)

A nurse is caring for a patient with suspected hepatitis. What should the nurse include in the patient's care plan? (Select all that apply.)

A client asks the nurse about the causative agents of hepatitis. Which statement by the nurse is correct?

A patient with hepatitis B asks the nurse about prevention strategies. Which statement by the patient indicates understanding of the nurse's teaching?

A nurse is caring for a client with suspected hepatitis A infection. Which signs and symptoms should the nurse expect to assess in the client? (Select all that apply)