Infection

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

Tinea cruris

The mother of a school-aged child asks the school nurse how her child got head lice. What should the nurse explain to the mother?

Transmission occurs through contact with contaminated children and objects.

A school nurse is asked to develop a program for teachers about infection control especially focusing on hand washing technique. What is the most effective way for the nurse to evaluate what the teachers have learned?

Watch the teachers demonstrate infection control techniques to the rest of the class.

The nurse provides discharge teaching to a client with tuberculosis. Which treatment measure does the nurse reinforce as the highest priority?

Consistently taking prescribed medication

Which bacterial skin infections are caused by group A β-hemolytic streptococci? Select all that apply.

Impetigo Ersipelas

A client comes to the clinic because of signs and symptoms of a respiratory infection. The client says to the nurse, "How can I prevent my roommate from getting my cold?" What is the nurse's best response?

"Cover your cough with your forearm."

A client with an abdominal wound infected with methicillin-resistant Staphylococcus aureus (MRSA) is scheduled for a computed tomography (CT) scan of the abdomen. To ensure client and visitor safety during transport, the nurse should implement which precaution?

Cover the infected site with a dressing.

A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor site on the scalp. Which complication should the nurse monitor this newborn for?

Infection

2. Which disease is caused by Coronaviruses? 1 Pertussis 2 Inhalation anthrax 3 Coccidioidomycosis 4 Severe acute respiratory syndrome

Severe acute respiratory syndrome

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

Which organism causes malaria?

Sporozoa

A nurse is caring for a client with pulmonary tuberculosis. What must the nurse determine before discontinuing airborne precautions?

Sputum is free of acid-fast bacteria.

Which diseases can be transmitted by air? Select all that apply.

measles chicken pox TB

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

At 6 weeks' gestation a client is found to have gonorrhea. What medication does a nurse expect the primary healthcare provider to prescribe?

Ceftriaxone

Which sexually transmitted infection is caused by Chlamydia trachomatis?

Cervicitis

What are the pathophysiologic factors of acne? Select all that apply.

Comedogenesis Production of excessive sebum Alteration in follicular growth Colonization of Propionibacterium acnes

A client with emphysema is admitted to the hospital with pneumonia. On the third hospital day, the client complains of a sharp pain on the right side of the chest. The nurse suspects a pneumothorax. What breath sound is most likely to be present when the nurse assesses the client's right side?

Decreased sounds

An adolescent reports scrotal pain, redness, dysuria, and fever. Which condition does this adolescent have?

Epididymitis

The nurse is preparing to initiate intravenous antibiotic therapy for a client who developed an infection along the incision after having a total knee replacement. Before starting the first dose of intravenous antibiotics, which task should the nurse ensure has been completed?

Wound Culture

What is the function of the dermis?

What is the function of the dermis?

What factors put a client at risk for bacterial infections? Select all that apply.

Atopic dermatitis Diabetes mellitus Systemic antibiotics

What would be the drug of choice for a client who is diagnosed with chlamydia?

Azithromycin

The nurse creates a plan of care for a client with a risk of infection. Which is the most desirable expected outcome for the client?

The client will be free of signs and symptoms of infection by discharge.

A nurse is providing client teaching to a woman who has recurrent urinary tract infections. Which information should the nurse include concerning the reason why women are more susceptible to urinary tract infections than men?

The length of the urethra

Which organism causes smallpox?

Variola virus

A child is diagnosed with hepatitis A. The client's parent expresses concern that the other members of the family may get hepatitis because they all share the same bathroom. What is the nurse's best reply?

"All family members, including your child, need to wash their hands after using the bathroom."

An older adult comes for an annual physical and tells the nurse, "I had three respiratory infections last year. How can I prevent this from happening again?" What is the nurse's best response?

"Avoid putting your hands near your nose and mouth."

What should the nurse teach the parent of an infant who is at risk for infections?

"Breast-feeding will provide protection against bacteria."

A female client has a history of recurrent urinary tract infections. What should the nurse include in the teaching plan when educating the client about health practices that may help decrease future urinary tract infections?

"Wear cotton underpants."

A client is informed that he has developed a healthcare-associated upper respiratory tract infection and asks the nurse what this means. How should the nurse reply?

"You acquired the infection after being admitted to the hospital."

Which sexually transmitted disease is caused by the human papilloma virus?

Condylomata acuminata

A client's sputum smears for acid-fast bacilli (AFB) are positive, and transmission-based airborne precautions are prescribed. What should the nurse teach visitors to do?

Wear a particulate respirator mask.

3. After surgery for insertion of a coronary artery bypass graft (CABG), a client develops a temperature of 102° F (38.9° C). Which priority concern related to elevated temperatures does a nurse consider when notifying the healthcare provider about the client's temperature? 1 A fever may lead to diaphoresis. 2 A fever increases the cardiac output. 3 An increased temperature indicates cerebral edema. 4 An increased temperature may be a sign of hemorrhage.

A fever increases the cardiac output.

A client is diagnosed with pulmonary tuberculosis, and the healthcare provider prescribes a combination of rifampin and isoniazid. The nurse evaluates that the teaching regarding the drug is effective when the client reports which action as most important? 1 "Report any changes in vision." 2 "Take the medicine with my meals." 3 "Call my doctor if my urine or tears turn red-orange." 4 "Continue taking the medicine even after I feel better."

"Continue taking the medicine even after I feel better."

A registered nurse is educating a client with acquired immune deficiency syndrome about safe sexual practices. Which statement made by the client indicates a need for further education?

"I can participate in anal intercourse safely without using condoms."

Which test is used to diagnose trichomoniasis?

Saline wet smear test

Which clinical manifestation is associated with cellulitis?

Lymphadenopathy

An 18-year-old adolescent male complains of painful urination and yellow-green mucosal discharge from urethra not associated with abdominal pain. What condition is the client likely to have? 1 Varicocele 2 Testicular torsion 3 Epididymitis 4 Gynecomastia

Epididymitis

Which sexually transmitted disease is treated with antiviral drugs?

Genital herpes

A nurse is teaching continuing care assistants about ways to prevent the spread of infection. It would be appropriate for the nurse to emphasize that the cycle of the infectious process must be broken, which is accomplished primarily through what?

Hand washing before and after providing client care

The nurse teaches a health class about communicable diseases and states that the virus that causes chickenpox can also cause another disease. Which disease is the nurse describing?

Herpes zoster

A nurse is caring for a client with scabies. Which information about scabies should the nurse consider when planning care for this client?

Highly contagious

A client is undergoing highly active antiretroviral therapy (HAART). From what viral disease could the client possibly be suffering?

Human immunodeficiency virus (HIV)

A nurse is caring for four postpartum clients, each with a different medical condition. Which condition will result in the primary healthcare provider advising the new mother not to breast-feed?

Human immunodeficiency virus (HIV)

Which medication is prescribed to an infant with congenital syphilis?

Intravenous (IV) penicillin

A nurse is counseling a client who has gonorrhea. What additional fact about gonorrhea, besides the fact that it is highly infectious, should the nurse teach this client?

It can produce sterility.

A nurse is interviewing a female client with a tentative diagnosis of cystitis pending laboratory results. The nurse anticipates that the causative agent of the cystitis is Escherichia coli. Why does the nurse anticipate this microorganism?

It inhabits the intestinal tract.

A client who has syphilis tells the nurse that it must have been contracted from a toilet seat. The nurse knows that this cannot be true because of what property of the causative agent of syphilis?

It is inactivated when exposed to a dry environment.

7. A child is admitted to the pediatric unit with a diagnosis of meningococcal meningitis. What does the nurse conclude about isolation? 1 It is unnecessary during the incubation period. 2 It is required for 7 to 10 days until the fever subsides. 3 It will be unnecessary after the diagnosis is confirmed. 4 It will be necessary for 24 to 72 hours after the initiation of antibiotic therapy.

It will be necessary for 24 to 72 hours after the initiation of antibiotic therapy.

A spouse of a client with pulmonary tuberculosis (TB) receives a tuberculin skin test. The nurse reads the test and identifies an area of induration greater than 10 mm. What does this result indicate to the nurse?

Additional tests are necessary.

A client with multiple myeloma who is receiving chemotherapy has a temperature of 102.2° F (39° C). The temperature was 99.2° F (37.3° C) when it was taken 6 hours ago. What is a priority nursing intervention in this case?

Administer the prescribed antipyretic and notify the primary health care provider.

A client has symptoms associated with salmonellosis. Which data are most relevant for the nurse to obtain from the client's history?

All foods eaten in the past 24 hours

A client, experiencing an exacerbation of Crohn disease, is admitted to the hospital for intravenous steroid therapy. The nurse should not assign this client to a room with a roommate who has which illness?

Bacterial Meningitis

A teenage mother is diagnosed with syphilis. What would be the drug of choice for this client if she wishes to continue breast-feeding?

Benzathine penicillin

The nurse is caring for a client with a respiratory tract infection that started with a common cold but has progressed to whooping cough. The client also has coughing fits that last for several minutes. Which organism is responsible for the client's condition?

Bordetella pertussis

A client is diagnosed with acquired immunodeficiency syndrome (AIDS). When examining the client's oral cavity, the nurse assesses white patchy plaques on the mucosa. The nurse recognizes that this finding most likely represents what opportunistic infection?

Candida albicans

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

Chlamydia

What is the most commonly reported sexually transmitted infection (STI)?

Chlamydia

A nurse is assessing the urine of a client with a urinary tract infection. For which characteristic should the nurse assess each specimen of urine?

Clarity

A child is being treated with oral ampicillin for otitis media. What should be included in the discharge instructions that the nurse provides to the parents of the client?

Complete the entire course of antibiotic therapy.

A client is diagnosed with condyloma acuminatum. Which finding in the client supports the diagnosis?

Moist, fleshy projections on the penis

A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. The nurse should assign the client to which type of room?

Negative-airflow room

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.

A nurse in the clinic is obtaining a health history of a 16-year-old boy with a complaint of a thick urethral discharge. What is the most appropriate nursing action to help confirm a tentative diagnosis of gonorrhea?

Obtaining a urethral specimen for a culture

What criteria should the nurse consider when determining if an infection should be categorized as a health care-associated infection?

Occurred in conjunction with treatment for an illness

An older client with a history of congestive heart failure expresses concern about potential exposure to tuberculosis. The client states that a roommate at the extended care facility where the client resides sleeps a lot, coughs a great deal, and sometimes spits up blood. What is the primary reason that the nurse pursues more information about the roommate?

Older adults with chronic illness are affected adversely by tuberculosis

Which complication may be caused by sepsis in burns?

Paralytic ileus

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

Penicillin G

Which disease is caused by Escherichia coli?

Peritonitis

Which organism is responsible for causing dermatitis related to a sexually transmitted infection?

Phthirus pubis

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

What are the clinical manifestations during the fulminant stage in a client with inhalation anthrax? Select all that apply.

Septic shock pleural effusion Body temp 104

Which stage of HIV would a client with a CD4+ T-cell count of 325 cells/mm 3 be classified?

Stage 2

A 9-year-old child is found to have acute glomerulonephritis after a recent infection. What microorganism should the nurse suspect as the cause of the child's current health problem?

Streptococcus

Why is a Neisseria gonorrhoeae infection particularly troublesome for a female client?

Symptoms are often overlooked.

Which sexually transmitted infection (STI) is caused by Treponema pallidum?

Syphilis

A client who is homeless is hospitalized for alcohol withdrawal. When considering the type of personal protective equipment that is needed for the client's care, what condition does the nurse recall that homeless persons are at risk for?

TB

What determines if a client will develop AIDS from an HIV infection?

The number of CD4+ T-cells available

The nurse provides discharge instructions to a male client who had an ureterolithotomy. The client has a history of recurrent urinary tract infections (UTIs). For which indicators of a UTI should the nurse instruct the client to be on the alert?

Urgency or frequency of urination

A nurse is teaching a health class about human immunodeficiency virus (HIV). Which basic methods are used to reduce the incidence of HIV transmission? Select all that apply.

Using condoms abstinence

Which are barrier methods of contraception? Select all that apply.

condom leas shield diaphram

A nurse is teaching a client about human immunodeficiency virus (HIV). What are the various ways HIV is transmitted? Select all that apply.

sharing needle breastfeeding Butt Stuff

What disease is more commonly seen in preschoolers? 1 Sinusitis 2 Lung cancer 3 Hypertension 4 Angina pectoris

sinusitis

What sexually transmitted diseases are caused by bacteria? Select all that apply.

syphilis gonorrhea

Which organs are affected by Candida albicans? Select all that apply.

vagina mouth intestines

Which antimicrobial medication acts on susceptible pathogens by inhibiting nucleic acid synthesis?

Actinomycin

A nurse is caring for a toddler who has undergone bone marrow transplantation. What clinical finding(s) should the nurse anticipate if an infection develops?

Fever and lethargy

Which skin infection is caused by bacteria?

Folliculitis

A school nurse is teaching a group of parents about the early signs of rubeola (measles). What sign related to rubeola should alert the parents to seek medical help?

Macular rashes

What finding in the client is a sign of allergic rhinitis?

Reduced transillumination on the skin over the sinuses

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? 1 Tetanus 2 Influenza 3 Scarlet fever 4 Rheumatic fever

Rheumatic fever

A male client has discharge from the penis. Gonorrhea is suspected. To obtain a specimen for a culture, what should the nurse do?

Swab the drainage directly from the urethra to obtain a specimen.

What are the clinical manifestations of inhalation anthrax? Select all that apply.

fever fatigue dry cough sore throat

For which illness should airborne precautions be implemented?

Chickenpox

Which instruction should the nurse provide the client who is concerned about contracting amebic dysentery during foreign travel?

Drink only bottled water.

3. A nurse is caring for a school-aged child with AIDS. Which action is the nurse's priority of care? 1 Maintaining optimal hydration 2 Protecting the child from infection 3 Promoting growth and development 4 Ensuring adequate and balanced nutrition

Protecting the child from infection

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

Pseudomonas

An infant with cardiopulmonary disease who displays signs and symptoms of bronchiolitis and pneumonia was admitted to the hospital. What condition is the infant likely to have?

RSV

A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. What is the priority nursing intervention?

Preventing exposure of the child to infection

Which type of continuing care should a client expect if discharged home with an infusion device to continue treatment for a leg wound?

home care

A client reports facial lesions that are surrounded by redness and cause itching. On assessment, the lesions are found to be thick with a honey-colored crust and surrounded by erythema. Which infection is suspected by the primary healthcare provider?

impetigo

After treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. What is the best response by the nurse?

"Increase your daily fluid consumption."

A nurse is teaching a client about ampicillin that has been prescribed for a severe infection. Which statement indicates to the nurse that the client needs further teaching?

"It is okay for me to stop taking this medication after I improve."

An older client with diarrhea is admitted to the hospital from a nursing home. A stool specimen confirms a diagnosis of a methicillin-resistant Staphylococcus aureus (MRSA) infection. The daughter of the client asks why her mother has been placed in a room with another client who is on isolation. How should the nurse respond?

"It is safe to place people with the same infection in one room."

A female client who has been sexually active for 5 years is diagnosed with gonorrhea. The client is upset and asks the nurse, "What can I do to keep from getting another infection in the future?" Which statement by the client indicates that the teaching by the nurse was effective?

"My partner has to use a condom all the time."

A healthcare provider prescribes an antibiotic intravenous piggyback twice a day for a client with an infection. The healthcare provider prescribes peak and trough levels 48 and 72 hours after initiation of the therapy. The client asks the nurse why there is a need for so many blood tests. What reason does the nurse provide?

"They determine adequate dosage levels of the drug."

A new mother asks the nurse administering erythromycin ophthalmic ointment to her newborn why her baby must be subjected to this procedure. What is the best response by the nurse?

"This antibiotic helps keep babies from contracting eye infections."

A client with an upper respiratory infection asks the nurse why the health care provider did not prescribe an antibiotic. What would be the best response from the nurse?

"Upper respiratory infections generally are caused by viruses and therefore should not be treated with antibiotics."

To help prevent a cycle of recurring urinary tract infections in a female client, which instruction should the nurse share?

"Urinate as soon as possible after intercourse."

A newly hired nurse during orientation is approached by a surveyor from the department of health. The surveyor asks the nurse about the best way to prevent the spread of infection. What is the most appropriate nursing response?

"Wash your hands before and after any client care."

A nurse reviews the laboratory results of a client with acute pancreatitis. Which test is most significant in determining the client's response to treatment?

Amylase level

Three days after the application of a spica cast a toddler has a temperature of 101.4° F (38.6° C). What clinical finding does the nurse anticipate?

An irregular respiratory pattern

What are the symptoms of tuberculosis? Select all that apply.

Anorexia Hemoptsis night sweats

Which intervention is most likely to decrease mortality in the septic client?

Antibiotics

Which medication is beneficial for a client with pertussis?

Antibiotics

A newborn with a myelomeningocele is being transferred immediately from the birthing room to the neonatal intensive care unit (NICU). What is the initial nursing intervention?

Apply a sterile saline dressing

8. A nurse is assessing the urine of a client with a urinary tract infection. Which assessment finding is consistent with a urinary tract infection? 1 Smoky 2 Cloudy 3 Orange-amber 4 Yellow-brown

Cloudy

A client who is scheduled for a surgical resection of the colon and creation of a colostomy for a bowel malignancy asks why preoperative antibiotics have been prescribed. The nurse explains that the primary purpose is to do what?

Decrease bacteria in the intestines

Which complication is associated with Pott's disease?

Destruction of intervertebral discs

A client is receiving antibiotics and antifungal medications for the treatment of a recurring vaginal infection. What should the nurse encourage the client to do to compensate for the effect of these medications?

Eat yogurt with active cultures daily

What causes condylomata acuminate?

Human papillomavirus (HPV)

Which condition is an example of a bacterial infection?

Impetigo

3. A nurse teaches a client with a diagnosis of emphysema about the importance of preventing infections. What information is most significant to include? 1 Purpose of bronchodilators 2 Importance of meticulous oral hygiene 3 Technique used in pursed-lip breathing 4 Methods used to maintain a dust-free environment

Importance of meticulous oral hygiene

What is the nurse primarily attempting to prevent when caring for a client in the initial stages of chronic lymphocytic leukemia (CLL)?

Infection

Which drug prescribed to a client with a urinary tract infection (UTI) turns urine reddish-orange in color?

Phenazopyridine

After changing a dressing that was used to cover a draining wound on a client with vancomycin-resistant enterococci (VRE), the nurse should take which step to ensure proper disposal of the soiled dressing?

Place the dressing in a red bag/hazardous materials bag.

A young child with acute nonlymphoid leukemia is admitted to the pediatric unit with a fever and neutropenia. What are the most appropriate nursing interventions to minimize the complications associated with neutropenia?

Placing the child in a private room, restricting ill visitors, and using strict hand washing techniques

Which urinalysis finding indicates a urinary tract infection?

Presence of leukoesterase

2. The nurse is caring for a client who has been bitten by a raccoon. The client states, "Where I live, there seems to be raccoons and wild animals everywhere." Which information should the nurse consider about rabies when planning care for this client? 1 Rabies is a bacterial infection characterized by encephalopathy and opisthotonos. 2 Rabies is an acute bacterial septicemia that results in convulsions and a morbid fear of water. 3 Rabies is a nonspecific immune response to organisms deposited under the skin by an animal bite. 4 Rabies is an acute viral infection, characterized by convulsions and difficulty swallowing, that affects the nervous system.

Rabies is an acute viral infection, characterized by convulsions and difficulty swallowing, that affects the nervous system.

5. What is the most important intervention to prevent hospital-acquired catheter-associated urinary tract infections (CAUTIs)? 1 Removing the catheter 2 Keeping the drainage bag off of the floor 3 Washing hands before and after assessing the catheter 4 Cleansing the urinary meatus with soap and water daily

Removing the catheter

7. Which intervention would be most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client? 1 Pouring warm water over the perineum 2 Ensuring the patency of the catheter 3 Removing the catheter within 24 hours 4 Cleaning the catheter insertion site

Removing the catheter within 24 hours

What is the mechanism of action for wet-to-damp saline-moistened gauze for wound debridement? 1 Promoting the dilution of viscous exudate 2 Removing the necrotic tissue mechanically 3 Causing a breakdown of the denatured protein of eschar 4 Promoting the spontaneous separation of necrotic tissue

Removing the necrotic tissue mechanically

A nurse receives a call from the emergency department about a client with tuberculosis (TB) who will be admitted to the medical unit. Which precaution should the nurse take?

Wear a particulate respirator when caring for the client

The nurse suspects that a client is in the chronic persistent stage of Lyme disease. Which symptoms support the nurse's suspicion? Select all that apply.

arthritis chronic fatigue

3. Which conditions result in humoral immunity? Select all that apply. 1 Tuberculosis 2 Atopic diseases 3 Bacterial infection 4 Anaphylactic shock 5 Contact dermatitis

atopic diseases bacterial infection anaphlactic shock

What should be used to clean needles and syringes between intravenous drug users (IDUs)?

bleach

Which organism infestation is diagnosed with the help of the mineral oil test? 1 Lice 2 Ticks 3 Mites 4 Fungus

mites

Trimethoprim/sulfamethoxazole is prescribed for a child with a urinary tract infection. Which statement by the parent about the drug indicates that the nurse's instructions about administration have been understood?

"I'll make sure to give each pill with 6 to 8 oz (180 to 240 mL) of fluid."

Which statement helps the nurse determine that a woman with genital herpes (HSV-2) understands her self-care in regards to this infection?

"I must be careful when I have sex because herpes is a lifelong problem."

A client diagnosed with osteomyelitis is being discharged. Which statement indicates a need for further teaching?

"I will take the antibiotic regularly until my symptoms subside."

The nurse determines that a young female client who is being treated for a sexually transmitted infection (STI) understands instructions regarding future sexual contacts. Which client statement confirms the nurse's conclusion?

"I won't have unprotected sex again, and I'll tell my partners to be tested for STIs."

A 16-year-old client has a steady boyfriend with whom she is having sexual relations. She asks the nurse how she can protect herself from contracting human immunodeficiency virus (HIV). Which guidance is most appropriate for the nurse to provide?

Insist that her partner use a condom when having sex.

A nurse is preparing to change a client's dressing. Which information should the nurse recall for using surgical asepsis?

Keep the area free of microorganisms.

A nurse is caring for an infant born with a myelomeningocele who is scheduled for surgery. What is the priority preoperative goal for this infant?

Keeping the infant infection free

Which nursing intervention prevents footdrop in a client with osteomyelitis?

Neutral positioning of the foot with the use of a splint

The nurse is caring for a surgical client who develops a wound infection during hospitalization. How is this type of infection classified?

Nosocomial

A client scheduled for surgery has a history of methicillin-resistant Staphylococcus aureus (MRSA) since developing an infection in a surgical site 9 months ago. The site is healed, and the client reports having received antibiotics for the infection. What should the nurse do to determine if the infecting organism is still present?

Obtain an order to culture the client's blood.

8. A client is admitted to the hospital after general paresis develops as a complication of syphilis. Which therapy should the nurse anticipate will most likely be prescribed for this client? 1 Penicillin therapy 2 Major tranquilizers 3 Behavior modification 4 Electroconvulsive therapy

Penicillin therapy

The nurse is teaching a client to care for her episiotomy after discharge. Which priority instruction should the nurse include in her instructions?

Perform perineal care after toileting until healing occurs.

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 nurse instructs a client with viral hepatitis about the type of diet that should be ingested. Which lunch selected by the client indicates understanding about dietary principles associated with this diagnosis?

Salad, sliced chicken sandwich, gelatin dessert

A client with erythematous papules in the interdigital spaces reports severe itching at night. Which insect is responsible for this condition?

Sarcoptes scabiei

What size of induration after a tuberculin test signifies a positive result in a 16-year-old client? Record your answer using a whole number. _________________ mm

The nurse should consider an induration of 10 mm (1 cm) a positive sign of tuberculin testing in a 16-year-old client.

A client who has had a postpartum hemorrhage is to receive 1 unit of packed red blood cells (RBCs). The nurse manager observes a staff nurse administering the packed RBCs without wearing gloves. What does the nurse manager conclude?

The nurse should have worn gloves for self-protection.

An older client who is living in a nursing home is admitted to the hospital to be treated with intravenous antibiotics for sepsis. After the client becomes agitated and attempts to pull out the IV, the healthcare provider prescribes a stat dose of haloperidol 0.5 mg intramuscularly (IM). The haloperidol is available in a vial that contains 2 mg/mL. How much solution will the nurse administer? Record your answer using two decimal places. Include a leading zero if applicable. ___ mL

The prescribed dose is 0.5 mg. The available concentration is 2 mg/mL. Use the dimensional analysis and/or ratio and proportion methods to determine how many milliliters the nurse should administer

A nurse must administer streptomycin 1 g intramuscularly (IM) to a client with tuberculosis. The vial contains 500 mg/mL. How much solution must the nurse administer? Record your answer using a whole number. ___ mL

The prescribed dose is 1 g. The available concentration is 500 mg/mL. Use the dimensional analysis and/or ratio and proportion methods to determine how many milliliters the nurse should administer. When using the ratio and proportion method, first convert the prescribed dose unit to the available concentration unit.

Ceftriaxone 2.5 grams intravenous piggyback (IVPB) every 8 hours is prescribed for a client with a severe infection. The pharmacy sends a vial labeled 5 grams per 10 mL. What volume of ceftriaxone should the nurse add to the IVPB solution? Record your answer using a whole number. ___mL

The prescribed dose is 2.5 mg. The available dose is 5g/10mL. Use ratio and proportion and/or dimensional analysis to calculate how many milliliters should be administered.

Filgrastim 5 mcg/kg/day by injection is prescribed for a client who weighs 132 lb (60 kg). The vial label reads filgrastim 300 mcg/mL. How many milliliters should the nurse administer? Record your answer using a whole number. ___mL

The prescribed dose is 5mcg/kg. The patient's weight is 60 kg. The available concentration is 300 mcg/mL. Use the dimensional analysis and/or ratio and proportion methods to determine the appropriate amount of medication to be administered.

What should the nurse consider when providing care to a client in the acute phase of treatment for a full-thickness burn?

The risk of septicemia and its potential complications from treatment

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

The nurse providing care for a client with a diagnosis of neutropenia reviews isolation procedures with the client's spouse. The nurse determines that the teaching was effective when the spouse states that protective environment isolation helps prevent the spread of infection in which direction?

To the client from outside sources

Which diseases may occur due to rickettsial infections? Select all that apply.

Typhoid fever Rocky Mountain spotted fever

The nurse provides discharge instructions to a male client who had an ureterolithotomy. The client has a history of recurrent urinary tract infections (UTIs). For which indicators of a UTI should the nurse instruct the client?

Urgency or frequency of urination

12. 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? 1 Cystoscopy and bilirubin level 2 Specific gravity and pH of the urine 3 Urinalysis and urine culture and sensitivity 4 Creatinine clearance and albumin/globulin (A/G) ratio

Urinalysis and urine culture and sensitivity

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? 1 Cystoscopy and bilirubin level 2 Specific gravity and pH of the urine 3 Urinalysis and urine culture and sensitivity 4 Creatinine clearance and albumin/globulin (A/G) ratio

Urinalysis and urine culture and sensitivity

3. A client newly diagnosed with tuberculosis has a productive cough. Which is the most appropriate nursing intervention to teach the client? 1 Exercise daily 2 Use disposable tissues 3 Avoid foods high in sodium 4 Monitor blood pressure weekly

Use disposable tissues

A nurse is caring for a client who is positive for hepatitis A. Which precautions should the nurse take?

Use gloves when removing the client's bedpan.

A nurse is caring for a 9-year-old child who is undergoing chemotherapy to treat leukemia. What is the priority nursing action?

Using techniques to minimize risk of infection

A client being treated for influenza A (H1N1) is scheduled for a computed tomography (CT) scan. To ensure client and visitor safety during transport, the nurse should take which precaution?

place surgical mask on client