Infectious Diseases

A nurse is reviewing the physical examination and laboratory tests of a client with malaria. For which important clinical indicators should the nurse be alert when reviewing data about this client? (Select all that apply.) 1.Polyuria 2.Leukopenia 3.Hyperthermia 4.Splenomegaly 5.Erythrocytosis

3.Hyperthermia 4.Splenomegaly

A client developed acute herpes zoster and was treated with antiviral medication within 72 hours of the appearance of the rash. The client is reporting persistent pain one week later. What does the nurse identify as the cause of the post therapeutic neuralgia? 1.Damage to the nerves 2.Untreated major depression 3.Scarring in the area of the rash 4.Continued presence of the skin rash

1.Damage to the nerves

A nurse is developing a teaching plan for a client with scleroderma. What should the nurse include about skin care? 1.Use calamine lotion for pruritus 2.Keep skin lubricated with lotion 3.Apply warm soaks to inflamed areas 4.Take frequent baths to remove scaly lesions

2.Keep skin lubricated with lotion

A client with acquired immunodeficiency syndrome (AIDS) comments to the nurse, "There are so many rotten people around. Why couldn't one of them get AIDS instead of me?" The nurse's best response is: 1."It seems unfair that you should be so ill." 2."It may be helpful to speak with a minister." 3."I can understand why you're so afraid of death." 4."I'm sure you really don't wish this on someone else."

1."It seems unfair that you should be so ill."

The health care provider prescribes peak and trough levels of an antibiotic for a client who is receiving the medication intravenous piggyback (IVPB). For peak levels the nurse should have the laboratory obtain a blood sample from the client: 1.Between 30 and 60 minutes after the IVPB 2.Halfway between two IVPB administrations 3.Immediately before administering the IVPB 4.Anytime it is convenient for the client and laboratory

1.Between 30 and 60 minutes after the IVPB

A chronically ill, older client tells the home care nurse that the daughter with whom the client lives seems run-down and disinterested in her own health, as well as the health of her children, who are 5, 7, and 12 years old. The client tells the nurse that the daughter coughs a good deal and sleeps a lot. Why is it important that the nurse pursue the daughter's condition for potential case finding? 1.Older adults with chronic illness are more susceptible to tuberculosis. 2.Tuberculosis has been rising dramatically in the general population. 3.There is a high incidence of tuberculosis in children less than 12 years of age. 4.Death from tuberculosis has been generally on the decrease in the United States

1.Older adults with chronic illness are more susceptible to tuberculosis.

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? 1.Put on a gown and gloves 2.Wear a particulate respirator mask 3.Avoid touching objects in the client's room 4.Limit contact with the client's nonexposed family members

2.Wear a particulate respirator mask

A client with a recent history of sinusitis develops meningitis and demonstrates a positive Brudzinski sign. The priority nursing care is: 1.Controlling intracranial pressure 2.Adding pads to the side of the bed 3.Administering prescribed antibiotics 4.Hydrating the client with hypotonic saline

3.Administering prescribed antibiotics

A client has a Mantoux test as part of a yearly physical examination. The area of induration is 10 mm within 48 hours after having the test. The nurse concludes that this response indicates that the client has: 1.Contracted clinical tuberculosis 2.Passive immunity to tuberculosis 3.Been exposed to the tubercle bacillus 4.Developed a resistance to the tubercle bacillus

3.Been exposed to the tubercle bacillus

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? 1.It is easily cured. 2.It occurs very rarely. 3.It can produce sterility. 4.It is limited to the external genitalia.

3.It can produce sterility.

What criteria should the nurse consider when determining if an infection should be categorized as a health care-associated infection? 1.Originated primarily from an exogenous source. 2.Is associated with a drug resistant microorganism. 3.Occurred in conjunction with treatment for an illness. 4.Still has the infection despite completing the prescribed therapy

3.Occurred in conjunction with treatment for an illness.