A nurse assesses clients at a community health fair. Which client is at greatest risk for the development of hepatitis B?
a. A 20-year-old college student who has had several sexual partners
b. A 46-year-old woman who takes acetaminophen daily for headaches
c. A 63-year-old businessman who travels frequently across the country
d. An 82-year-old woman who recently ate raw shellfish for dinner
ANS: A
Hepatitis B can be spread through sexual contact, needle sharing, needle sticks, blood transfusions, hemodialysis, acupuncture, and the maternal-fetal route. A person with multiple sexual partners has more opportunities to contract the infection. Hepatitis B is not transmitted through medications, casual contact with other travelers, or raw shellfish. Although an overdose of acetaminophen can cause liver cirrhosis, this is not associated with hepatitis B. Hepatitis E is found most frequently in international travelers. Hepatitis A is spread through ingestion of contaminated shellfish.
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