A nurse is collecting a health history from a client. Which of the following client data should the nurse identify as a risk factor for contracting hepatitis C?

A. Working in a child care center: Child care increases exposure to fecal–oral pathogens (hepatitis A) and common childhood infections, but it is not a typical risk factor for hepatitis C, which is blood-borne. B. Presence of multiple tattoos: Tattoos done with nonsterile needles or in unregulated settings can transmit blood-borne infections, including hepatitis C. C. Eating raw shellfish: Raw shellfish is associated with foodborne/waterborne hepatitis A or norovirus, not hepatitis C. D. Recent travel to a second world country: Travel alone is not a specific risk for hepatitis C unless it included exposures such as unsafe injections, blood transfusions, or unsterile procedures.