The nurse is caring for a patient who has just returned from a humanitarian trip to Central America. The patient is jaundiced and is diagnosed with hepatitis A. The patient is the parent of three school-age children

Which statement by the patient is a priority for follow-up? 1. "I need to get home to take care of my children.".
2. "We cared for several very ill people on our trip.".
3. "I plan to get a lot of rest in the next few days.".
4. "I am likely to recover fully eventually.".


1
Rationale 1: The virus is typically found in the feces up to 2 weeks before symptoms occur and the week following the onset of symptoms, but it may remain as long as 3 months. The disease is most contagious at this time. The nurse must teach the patient about prevention of transmission.
Rationale 2: This disease is spread through the fecal-oral route. It is likely the patient contracted the illness on the trip.
Rationale 3: Rest is recommended for the patient with hepatitis A.
Rationale 4: Full recovery is the typical scenario with this illness.

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