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NCLEX: Clinical Application
Read the clinical scenario, and then

NCLEX: Clinical Application
Read the clinical scenario, and then answer the questions that follow.
An RN in a clinic for the homeless sees many patients infected with hepatitis B. She performs testing as ordered for symptomatic patients, along with providing education about the disease.
1. What organ is primarily affected by hepatitis B infection?
Liver
Brain
Kidneys
Heart
2. Which of the following patients would be most at risk for acquiring hepatitis B virus?
28-year-old man living in a homeless shelter
45-year-old female engaging in unprotected sex
65-year-old healthcare worker at the homeless clinic
36-year-old female using multiple IV drugs
3. The RN educates her patient population that the primary method of prevention for hepatitis B infection is _______.
handwashing
avoidance of IV drugs
barrier protection during sex
vaccination
4. Initial serological testing for a patient with recent exposure to hepatitis B may detect which of the following?
Viral load
Virus antigen and virus antibody
Virus antibody
Virus antigen
5. The RN provides education for patients regarding the potential complications caused by the hepatitis B virus. Which of the following are life-threatening complications of hepatitis B infection?
Liver cancer
Chronic liver disease
Glomerulonephritis
All of these choices are correct. – Nursing

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