A nurse gives a client with hepatitis A discharge instructions. This client works at a local pizza restaurant and has been ill for a few days. There have been six more cases of hepatitis A admitted in the last 2 days
The nurse carefully explains hand-washing techniques to this client. The nurse recognizes that the most likely way this client could have infected others is: 1. Through the fecal?oral route at the restaurant.
2. Through blood contact.
3. Through sexual contact.
4. Unable to be determined; the spread of hepatitis A is unknown
Through the fecal−oral route at the restaurant
Rationale: Hepatitis A is most commonly transmitted via the fecal−oral route; it can be transmitted via oral sex and via blood contact, but this is less likely given the client's job at the restaurant.
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1. Ask the mother to restrain the child during the procedure. 2. Ask the child if it is okay to start the procedure. 3. Perform the procedure in the child's hospital bed. 4. Allow the child to cry or scream.