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The nurse is caring for a patient who has just returned from a humanitarian trip to Central America. The patient is jaundiced and is diagnosed with hepatitis A. The patient is the parent of three school-age children. Which statement by the patient is a priority for follow-up?1. “I need to get home to take care of my children.”2. “We cared for several very ill people on our trip.”3. “I plan to get a lot of rest in the next few days.”4. “I am likely to recover fully eventually.”Correct Answer: Rationale 1: The virus is typically found in the feces up to 2 weeks before symptoms occur and the week following the onset of symptoms, but it may remain as long as 3 months. The disease is most contagious at this time. The nurse must teach the patient about prevention of transmission.Rationale 2: This disease is spread through the fecal-oral route. It is likely the patient contracted the illness on the trip.Rationale 3: Rest is recommended for the patient with hepatitis A.Rationale 4: Full recovery is the typical scenario with this illness.1Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: EvaluationLearning Outcome: 38-1Question 24Type: MCSAThe nurse is caring for a patient with hepatitis C who is treating the illness with licorice root. Which statement by the patient requires follow-up regarding this medication?2
Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 38-1