In planning the care for a patient exhibiting symptoms associated with hepatitis B, the nurse anticipates that the patient will be maintained on bed rest until:
A) The patient is able to tolerate the intake of solid food.
B) The hepatic enlargement and elevated levels of bilirubin and enzymes have disappeared.
C) The serum BUN and creatinine values return to normal levels.
D) Physical therapy has been completed.
Ans: B
Feedback: Bed rest may be recommended until the symptoms of hepatitis have subsided. Activities are restricted until the hepatic enlargement and elevated levels of serum bilirubin and liver enzymes have disappeared. Gradually increased activity is then allowed. Nutrition is an important component in the care of a patient with hepatitis but has little role in activity levels or restrictions. Physical therapy may assist the patient after a lengthy convalescence, but it is not necessary for a patient to complete physical therapy before increasing his activity level. Kidney function should be monitored in patients with hepatitis, but it plays no role in activity restrictions.
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