The nurse is about to discharge a client with a new diagnosis of Hepatitis C. What lifestyle guidelines should the nurse include on the discharge instructions? (Select all that apply.)
a. wash linens separately in hot, soapy water
b. strict handwashing
c. sharing of bathroom facilities is acceptable; no extra precautions needed
d. no sharing of utensils for eating; wash separately in hot water
e. avoid alcohol
f. use a condom during sexual intercourse
g. eat small frequent meals
h. take a rest period several times throughout the day
A, B, D, E, F, G, H
Due to the mode of transmission for hepatitis, the client needs to follow lifestyle changes to prevent the spread of hepatitis to other individuals. Clients must use strict hand washing after using the bathroom and before meals. Have separate toilet facilities if possible (if not, clean the seat with bleach after each use). Wash linens, towels, and undergarments separately from other items in hot, soapy water. Do not share eating utensils and wash separately in hot soapy water. Do not share personal items (toothbrush, razor, and washcloth). Avoid intimate sexual contact and when sex can be resumed, use a condom and avoid intercourse during menstruation. Do not donate blood or work in food services until such work is cleared by physician. The client eats small frequent meals, a low-fat, high-calorie, high-carbohydrate, low-protein diet; and avoid alcohol intake to prevent weight loss, promote healing and prevent complications. Due to fatigue, rest periods should be scheduled throughout the day. The client adheres to his medication treatment to prevent complications, control signs and symptoms. The nurse instructs the client on these lifestyle changes along with rationale for the changes.
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