The nurse is caring for a client diagnosed with the hepatitis A ...

[ts19998]

The nurse is caring for a client diagnosed with the hepatitis A virus. The client requests information about how the virus is transmitted. Which statement by the nurse is appropriate?
 
  1. This virus is transmitted by sexual contact with someone who already has been infected with this virus.
  2. Most likely, you ate something that was contaminated with the virus.
  3. It is spread by blood transfusions.
  4. Have you ever injected an illegal drug?

Question 2

The nurse is performing an abdominal assessment on the client. Rank the assessment steps in the order in which they should occur.
 
  Select the correct choice from the list.
  1. Percuss the abdomen.
  2. Visualize the quadrants of the abdomen.
  3. Palpate the abdomen.
  4. Auscultate the abdomen.
  5. Encourage the client to void.

[Chou]

Answer to Question 1

Correct Answer: 2

Educating clients about hepatitis A, B, and C viruses is included in the Healthy People 2020 objectives. Education about the viruses can help reduce transmission. Hepatitis A virus is transmitted through enteric routes and is usually the result of eating food that was contaminated with the virus. Hepatitis B virus is transmitted parenterally, sexually, or perinatally. Hepatitis C virus is transmitted via blood and blood products, parenterally, and through other unknown factors. Hepatitis B, C, and D viruses can be transmitted parentally and the client may be infected while injecting illegal drugs.

Answer to Question 2

Correct Answer: 5, 2, 4, 1, 3
The client should be encouraged to void prior to the abdominal assessment. Physical assessment of the abdomen requires the use of inspection, auscultation, percussion, and palpation. This order differs from that of physical assessment of other systems. The nurse should remember to auscultate after inspection. Delaying percussion and palpation prevents disturbance of the normal bowel sounds. During each of the procedures the nurse is gathering data related to problems with underlying abdominal organs and structures.

[ts19998]

Excellent

[Joy Chen]

TYSM