A patient who returned from a humanitarian trip to Central America 2 weeks ago is jaundiced and diagnosed with hepatitis A. The patient is the parent of three school-age children. Which patient statement should the nurse follow up with the patient?
1. "I can't go home and expose my children to this."
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."
Correct Answer: 1
Once jaundice develops, the amount of virus in the stool and the risk of spreading the disease decrease significantly. The nurse should teach that the patient was likely more contagious in the last 2 weeks than at the current time. This disease is spread through the fecal–oral route. It is likely the patient contracted the illness on the trip. Rest is recommended for the patient with hepatitis A. Full recovery is the typical scenario with this illness.
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