The healthcare provider has determined that a client has contracted hepatitis A based on flu-like symptoms and jaundice. Which statement made by the client supports this medical diagnosis?
"I was an intravenous drug abuser in the past and shared needles."
"I ate shellfish about 2 weeks ago at a local restaurant."
"I had a blood transfusion 30 years ago after major abdominal surgery."
"I have had unprotected sex with multiple partners."
The Correct Answer is B
Choice A reason:While sharing needles can transmit hepatitis, it is more commonly associated with hepatitis B and C, not hepatitis A.
Choice B reason:Eating shellfish from contaminated water is a well-known route of transmission for hepatitis A, aligning with the client's symptoms.
Choice C reason:Blood transfusions were a risk for hepatitis transmission in the past, but since the 1990s, blood products are screened for hepatitis, making this an unlikely source.
Choice D reason:Unprotected sex can be a route of transmission for hepatitis, but hepatitis A is more commonly spread through ingestion of contaminated food or water, not sexual contact.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:Atrial fibrillation is not typically treated with defibrillation; it is usually managed with medication or other forms of rhythm control.
Choice B reason:Supraventricular tachycardia does not usually require defibrillation; it may be treated with vagal maneuvers or medication.
Choice C reason:Asystole, or the absence of a heartbeat, is not treated with defibrillation as there is no electrical activity to reset.
Choice D reason:Ventricular fibrillation is a life-threatening heart rhythm that requires immediate defibrillation to restore a normal heart rhythm.
Correct Answer is A
Explanation
Choice A reason: Administering oxygen therapy is the first and immediate intervention for a client with a pulmonary embolism to address hypoxemia.
Choice B reason: Starting an IV infusion of Lactated Ringer's is important for fluid resuscitation but is not the first intervention for pulmonary embolism.
Choice C reason: Initiating cardiac monitoring is important for observing the client's heart function but comes after ensuring the client is receiving adequate oxygen.
Choice D reason: Giving morphine IV may be used for pain management in pulmonary embolism but is not the first-line intervention.
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