Which concept should the nurse keep in mind when planning care for a patient with hepatitis D (HDV)?
A) The patient also has hepatitis C.
B) The HDV virus is cleared when the HBV virus is cleared.
C) Coinfection with HAV and HBV reduces the risk of cirrhosis.
D) Coinfection with HCV and HDV lowers HCV vital titers.
B) The HDV virus is cleared when the HBV virus is cleared.
Explanation: A) Hepatitis D occurs only in people who have the HBV infection. HDV is a small RNA virus that uses HBsAg for transmission and packaging. Simultaneous acquisition of HDV and HBV is associated with more severe acute hepatitis and death as well as an increased likelihood of progression to cirrhosis. People who clear the HBV virus also simultaneously clear the HDV virus. In HDV/HBV coinfection, HBV viral titers are often low as the HDV virus suppresses replication of HBV.
B) Hepatitis D occurs only in people who have the HBV infection. HDV is a small RNA virus that uses HBsAg for transmission and packaging. Simultaneous acquisition of HDV and HBV is associated with more severe acute hepatitis and death as well as an increased likelihood of progression to cirrhosis. People who clear the HBV virus also simultaneously clear the HDV virus. In HDV/HBV coinfection, HBV viral titers are often low as the HDV virus suppresses replication of HBV.
C) Hepatitis D occurs only in people who have the HBV infection. HDV is a small RNA virus that uses HBsAg for transmission and packaging. Simultaneous acquisition of HDV and HBV is associated with more severe acute hepatitis and death as well as an increased likelihood of progression to cirrhosis. People who clear the HBV virus also simultaneously clear the HDV virus. In HDV/HBV coinfection, HBV viral titers are often low as the HDV virus suppresses replication of HBV.
D) Hepatitis D occurs only in people who have the HBV infection. HDV is a small RNA virus that uses HBsAg for transmission and packaging. Simultaneous acquisition of HDV and HBV is associated with more severe acute hepatitis and death as well as an increased likelihood of progression to cirrhosis. People who clear the HBV virus also simultaneously clear the HDV virus. In HDV/HBV coinfection, HBV viral titers are often low as the HDV virus suppresses replication of HBV.
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