EAQ Week 2- NUR 310

The clinic nurse is planning care for a client found to have chlamydia. Which treatment should the nurse plan to implement?

Administration of 1 g of azithromycin orally in a single dose

Causes brownish pus with a fecal odor.

Bacteroides

What is the most common cause of ophthalmia neonatorum in infants born to adolescent mothers?

Chlamydia

What is the nurse's priority concern when caring for an infant born with exstrophy of the bladder?

Development of an infection

Which clinical manifestation is associated with cellulitis?

Lymphadenopathy

Pus with a fishy odor.

Proteus

What is the function of the dermis?

Provides cells for wound healing

Which causative organism colonization signifies purulent exudates of greenish-blue pus with a fruity odor?

Pseudomonas

What is the mechanism of action for wet-to-damp saline-moistened gauze for wound debridement?

Removing the necrotic tissue mechanically

manifested with scaliness under the distal nail plate.

Tinea unguium or onychomycosis

A client who sustained a burn injury involving 36% of the body surface area is receiving hydrotherapy. Which is the best nursing intervention when providing wound care?

Use a consistent approach to care and encourage participation.

Which are barrier methods of contraception?

condom Lea's shield diaphragm

Which condition is an example of a bacterial infection?

impetigo

necrotizing fasciitis

is a rare bacterial infection that spreads quickly in the body and can cause death.

Greenish-blue pus, creamy yellow pus, and beige pus with a fishy odor are characteristics of _________ wound exudate.

purulent

innermost layer of the skin that helps in retention of body heat and acts as a mechanical shock absorber.

subcutaneous tissue

Which child is at the highest risk for blunt trauma associated with the indirect entry (hematogenous stage) of microorganisms?

8 year-old boy The indirect entry of microorganisms, which is the hematogenous stage of osteomyelitis, most frequently affects the growing bones of boys younger than 12 years of age. Therefore an 8-year-old boy would be at the highest risk for blunt trauma.

How would the nurse describe the exudate characteristic of a serosanguineous wound?

Blood-tinged amber fluid

outermost layer of skin that inhibits the proliferation of microorganisms.

Epidermis

Which influenza vaccine is administered by way of the intranasal route?

FluMist

A nurse teaches a client with a diagnosis of emphysema about the importance of preventing infections. What information is most significant to include?

Importance of meticulous oral hygiene

A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the primary healthcare provider?

Obtain a urine specimen for culture and sensitivity.

Which condition is characterized by infection of a client's bone or bone marrow?

Osteomyelitis

Which is the preferred drug of choice for the treatment of syphilis in a pregnant adolescent?

Penicillin G

Which urinalysis finding indicates a urinary tract infection?

Presence of leukoesterase

A 6-year-old child comes to the school nurse reporting a sore throat, and the nurse verifies that the child has a fever and a red, inflamed throat. When a parent of the child arrives at school to take the child home, the nurse urges the parent to seek treatment. If the sore throat is not treated, what illness is of most concern to the nurse?

Rheumatic fever

While obtaining the health history of a 15-month-old toddler, the child of a migrant worker, a nurse learns that the infant recently had a fever, runny nose, cough, and white spots in the mouth lasting 3 days. A rash started on the face and spread to the whole body. What communicable disease does the nurse suspect the infant suffered from?

Rubeola

A toddler with cystic fibrosis has been hospitalized with bacterial pneumonia. The nurse determines that the child has no known allergies. What does the nurse conclude is the reason that the healthcare provider selected a specific antibiotic?

Sensitivity of the bacteria

The nurse is caring for a client with a diagnosis of necrotizing fasciitis. Which is the priority concern of the nurse when caring for this client?

Skin integrity Rationale Necrotizing fasciitis destroys subcutaneous tissue and fascia and predisposes the client to infection and sepsis. Although fluid volume and physical mobility are important, they are not the primary concern at this time. Necrotizing fasciitis is a problem of the integumentary, not the urinary, system.

purulent exudate of creamy yellow pus.

Staphylococcus

fungal infection commonly referred to as ringworm. It is clinically manifested as an erythematous annular, ringlike, scaly lesion with well-defined margins.

Tinea corporis

Which fungal infection does the client refer to as jock itch?

Tinea cruris

A client with a skin infection reports an itching sensation associated with pain at the site of infection. The assessment finding shows erythematous blisters and interdigital scaling and maceration. What could be the possible condition in the client?

Tinea pedis

fungal infection commonly referred to as athlete's foot. It is clinically manifested as interdigital scaling and maceration, scaly plantar surfaces, erythema, and blistering.

Tinea pedis

A client who is recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise. The primary healthcare provider makes a tentative diagnosis of urinary tract infection. Which diagnostic tests should the nurse expect the primary healthcare provider to prescribe to confirm this diagnosis?

Urinalysis and urine culture and sensitivity