Module 9 Infection
10) The nurse caring for a homeless client at risk for tuberculosis will include which symptoms of the disease when educating the client? Select all that apply. A) Fatigue B) Low-grade morning fever C) Productive cough that later turns to a dry, hacking cough D) Weight loss E) Night sweats
A D E
8) The nurse is providing discharge instructions to a client recovering from cellulitis. Which client statement indicates that this teaching has been effective? A) "I will monitor for signs of infection such as fever, chills, malaise, and redness or tenderness at the site." B) "If the lesion looks healed, I will stop taking the antibiotics so that I will not develop resistance to antibiotics." C) "If pustules develop, I will squeeze the lesion to remove the pus." D) "Drainage from the site is an expected finding, and I should not be concerned."
A
2) A 15-year-old client is brought to the Emergency Department with fatigue, weight loss, a dry cough, and night sweats. The family just recently immigrated to the United States. For which potential risk should the nurse plan this client's care? A) Pneumothorax B) Pneumonia C) Renal failure D) Septicemia
A
3) The nurse is assessing clients in the eye clinic who have come to be seen for eye infections. For which client with conjunctivitis should the nurse be most concerned? A) The client from Iran B) The client from Brazil C) The client from New York City D) The client from Florida
A
4) The nurse is planning care for a 90-year-old client who was recently diagnosed with tuberculosis. The client lives alone in an apartment and will continue treatment at home. Which nursing diagnosis is a priority for this client? A) Ineffective Therapeutic Regimen Management B) Deficient Knowledge C) Ineffective Breathing Pattern D) Risk for Injury
A
6) The nurse is providing discharge teaching for a female client with a urinary tract infection. The client has been prescribed a 3-day course of oral trimethoprim-sulfamethoxazole (TMP-SMZ). What client statement indicates that teaching has been effective? A) "I will return within 10 days for a follow-up urine culture." B) "I will practices Kegel exercises on daily basis." C) "I will increase my intake of fluids, especially citrus juice." D) "I will only wear 100% cotton underwear."
A
client with pneumonia who is experiencing copious amounts of respiratory secretions. Which intervention should the nurse include in this client's plan of care? A) Perform chest percussion every 4 hours and prn. B) Administer the pneumococcal vaccine prior to discharge. C) Limit fluid intake to 1,000 mL per day. D) Provide the client with smoking cessation education.
A
1) The nurse is assessing a client with acute malaise and muscle aches. Which questions should the nurse ask to determine whether the client is experiencing influenza? Select all that apply. A) "Have you had a flu shot this year?" B) "Is your cough productive?" C) "Have you been exposed to anyone with the flu?" D) "Are you having any trouble urinating?" E) "Do you have dizziness?"
A B C
7) The nurse is caring for a client who develops a fever and productive cough after having an appendectomy. Which orders should the nurse expect from the healthcare provider for this health problem? Select all that apply. A) Sputum cultures B) Antibiotics C) Chest physiotherapy D) Bronchial washing for culture E) Isolation precautions
A B C
2) The nurse is preparing an educational session on the importance of high-risk populations receiving an annual influenza vaccination. Which clients are considered high-risk for developing complications from the flu? Select all that apply. A) A 25-year-old pregnant woman at 20 weeks' gestation B) A 65-year-old woman C) A 3-year-old with cystic fibrosis D) A 35-year-old man with a severe allergy to eggs E) A 20-year-old healthcare worker
A B C E
8) A pediatric client is receiving antibiotics for the treatment of Staphylococcus aureus. Which nursing interventions are priorities when caring for this client? Select all that apply. A) Encourage adequate fluid intake. B) Monitor for allergic reaction. C) Assess renal and liver function. D) Obtain a baseline electrocardiogram. E) Monitor vital signs.
A B C E
) A client with the flu is experiencing tachypnea. What intervention should the nurse use to address the diagnosis of Ineffective Breathing Pattern related to the flu? Select all that apply. A) Maintain adequate hydration. B) Teach the client coughing, deep breathing, and hydration. C) Prepare the client for the possibility of a tracheostomy tube. D) Keep the head of the bed elevated.
A B D
2) The nurse is teaching a group of adolescents at a local high school about skin infections. Which students are at risk for developing cellulitis? Select all that apply. A) The female student who plucks her eyebrows B) The student with diabetes C) The student practicing hand hygiene D) The student who squeezes pimples E) The student who engages in contact sports
A B D
3) The school nurse is planning a teaching session with the parents of students to reduce the spread of the flu virus throughout the school. What should the nurse include when teaching the parents of a diverse population about infection-control techniques? Select all that apply. A) "Cover your cough" education B) Appropriate hand hygiene C) Safe food preparation and storage D) Sanitizing high-touch items to kill pathogens E) Withholding immunizations for children with compromised immune systems
A B D
9) A nurse working in the ICU is receiving a client diagnosed with early septic shock from the Emergency Department. The nurse will recognize which symptoms associated with this condition? Select all that apply. A) Normal blood pressure B) Rapid and deep respirations C) Shallow respirations D) Warm and flushed skin E) Lethargic mental status F) Decreased urine output
A B D
9) A nurse is caring for a client diagnosed with trachoma. When providing client education regarding this condition, the nurse will include which statements? Select all that apply. A) "This condition is caused by Chlamydia trachomatis." B) "It is common in the United States." C) "It is the primary cause of preventable blindness worldwide." D) "Early symptoms include inflammation of the cornea." E) "The causative organism is usually Staphylococcus aureus."
A C
5) The nurse has been invited to present a program at the local PTA meeting on recognizing and preventing illness in children. Which symptoms of urinary tract infections in preschool age children should the nurse include? Select all that apply. A) Urinary urgency B) Elevated blood pressure C) Dysuria D) Fever E) Headache
A C D
7) The nurse is providing care for a pediatric client with bacterial conjunctivitis. Which interventions should the nurse use as part of the collaborative management of the client? Select all that apply. A) Dark sunglasses B) Cold eye compresses C) Contact the client's school nurse. D) Careful hand hygiene E) Antiviral therapy
A C D
1) An 86-year-old client is admitted with pneumonia. What manifestations would the nurse expect to find when assessing this client? Select all that apply. A) Hemoptysis B) Increased appetite C) Change in level of consciousness D) Respiration of 24 E) Lethargy
A C D E
6) The nurse is teaching a client with cellulitis about ways to avoid future infections. Which client statements indicate that teaching has been effective? Select all that apply. A) "I should use antibiotic soap to cleanse the wounds." B) "I should eat a lot of rice to increase my intake of vitamin C." C) "I will contact the doctor if I have a temperature of 99.5°F or higher." D) "I will not swim in lakes." E) "I can stop taking the antibiotics when the swelling subsides."
A D
1) A client is admitted to the Intensive Care Unit with a systemic infection. What manifestations will the nurse most likely assess in this client? Select all that apply. A) Tachycardia B) Pain C) Edema D) Anorexia E) Fever
A D E
1. Macrophage-producing cytokines are released. 2. Endotoxin released by microorganisms sets off an out-of-control inflammatory process. 3. Neutrophils arrive and multiply, occluding capillaries. 4. Vasodilation with increased capillary permeability and fluid leak.
Answer: 2, 1, 4, 3
10) A nurse is caring for a client diagnosed with Erysipelas whose lower extremities are bright red and raised with well-defined borders. (See image.) The causative organism of this condition is likely: A) Group B streptococcus. B) Group A streptococcus. C) Staphylococcus aureus. D) Candida albicans.
B
10) A nurse is caring for a pediatric client with acute conjunctivitis. (See image.) The client presents with purulent discharge and crusting of the eye. The nurse suspects that the cause of the condition is: A) Viral. B) Allergic. C) Bacterial. D) Fungal.
B
2) A client with newly diagnosed otitis media tells the nurse that the left ear has been aching for weeks. Since this health problem has been untreated for so long, which additional problem is this client at risk for developing? A) External otitis B) Meningitis C) Pneumonia D) Influenza
B
3) A 1-month-old infant is admitted to the hospital with a temperature of 102°F. Why is this client going to be evaluated for the presence of sepsis? A) Absence of sweat glands B) Immature immune system C) Inadequate red blood cells D) Poor lung elasticity
B
3) An adolescent is diagnosed with cellulitis from picking the scabs on healing facial pimples. The mother scolds the child for eating too many oily foods that cause the acne. What should the nurse teach the family? A) Antibiotics are the best way to prevent cellulitis. B) Oily foods do not cause pimples or cellulitis. C) Consumption of oily foods poses an increased risk for cellulitis. D) Popping the pimples spreads the germs over the face.
B
3) The nurse is caring for a 72-year-old client who is hospitalized with a second episode of pneumonia in the past 18 months. The client has expressed frustration to the nurse and states, "I never got sick when I was younger. Why is this happening?" Which response by the nurse is most appropriate? A) "As you grow older, your immune system just quits working." B) "As you grow older, there is a decrease in the immune response, which puts you at greater risk for developing an infection." C) "As you grow older, there in an overall increase in the speed and strength of your immune response." D) "As you grow older, there is an increase in the number of B cells in the circulation, which hinders the immune response."
B
4) An adolescent with otitis media is experiencing extreme pain. Which should the nurse emphasize to address the diagnosis of Acute Pain for this client? A) Apply a cold compress to the affected ear. B) Report abrupt relief of pain immediately. C) Continue plans for air travel. D) Report increased pain when moving the outer ear.
B
7) A 2-year-old child with otitis media is prescribed amoxicillin clavulanate 250 mg/5 mL three times daily by mouth for 10 days. What should the nurse teach the mother about this medication? A) "It is ok to stop the antibiotic if the child begins to have side effects." B) "Give the antibiotic for the full 10 days as prescribed." C) "It is important to measure the prescribed dose in a household teaspoon." D) "Be sure to administer a loading dose of the medication when you get home."
B
7) The nurse is caring for a client who has been admitted to the unit with tuberculosis. The client is placed in isolation. To protect the caregivers and other clients on the unit, which type of isolation room is most appropriate? A) Single-door room with positive air flow (Air flows out of the room.) B) Isolation room with an anteroom and negative air flow (Air flows into the room.) C) Isolation room with an anteroom and normal airflow D) Single-door room with normal airflow
B
8) An 80-year-old client is recovering in the ICU from septicemia. Which intervention will help prevent further infection for this client? A) Foley drainage on the bed at the client's feet B) Oral and skin care C) Turn, cough, and deep breathe q shift. D) Sterile wound care
B
4) The nursing is caring for a client who is hospitalized for cellulitis of the foot. Which nursing diagnoses should the nurse use to plan this client's care? Select all that apply. A) Social Isolation related to skin infection B) Altered Skin Integrity related to skin infection C) Acute Pain related to skin infection D) Disturbed Sleep Pattern related to skin infection E) Powerlessness related to inability to control the infection
B C
6) The nurse is teaching a class on infection control. Which nursing measure is most appropriate in breaking a link in the chain of infection? Select all that apply. A) Place contaminated linens in a paper bag. B) Use personal protective equipment (PPE). C) Cover one's cough by placing the mouth in the elbow. D) Wear sterile gloves for client care.
B C
8) The charge nurse for a medical-surgical nursing unit has been notified that a client with tuberculosis is being transported to the unit. Which are the most appropriate actions for infection prevention in this circumstance? Select all that apply. A) Stock the client's supply cart at the beginning of each shift. B) Wear a mask and gown when caring for the client. C) Have the client wear a mask when coming from admissions. D) Perform hand hygiene only after leaving the room.
B C
1) The nurse is concerned that a client with bowel and bladder dysfunction is at risk for developing an infection. Which actions should the nurse take to help reduce this client's risk for developing an infection? Select all that apply. A) Turn and reposition the client every 2 hours. B) Monitor intake and output. C) Provide hygienic care after episodes of incontinence. D) Use standard precautions when handling linen after episodes of incontinence. E) Cover wounds with antibiotic ointment and sterile gauze.
B C D
2) A nurse is caring for a 72-year-old male client admitted to the hospital with pneumonia. The client asks the nurse if there are things he can do to decrease the risk for developing pneumonia in the future. Which would be the most appropriate response by the nurse? Select all that apply. A) "You should drink a yogurt drink once a day that is supplemented with L. casei immunitas cultures." B) "You can start by not smoking." C) "You can get the pneumonia vaccination, which may help to decrease your risk in the future." D) "Avoiding alcohol will help." E) "There is nothing that you can do to decrease your risk of pneumonia in the future."
B C D
3) The nurse is assessing an 80-year-old client who is recovering following a cholecystectomy. Which factor would increase this client's susceptibility to infection? Select all that apply. A) Intact mucous membranes B) Surgical incision C) Dry skin D) Active bowel sounds
B C D
8) The nurse is providing discharge instructions for a client who has acute conjunctivitis from Staphylococcus. Which should the nurse include when teaching this client? Select all that apply. A) "It is ok to rub your eyes with a clean, soft cloth for itching." B) "Do not share towels, make-up, or contact lenses with anyone else, as this can spread the infection." C) "You can soak your eyelids with warm saline to soften crusts and exudates that may form." D) "Wash your hands before cleansing the eye and administering eye drops." E) "You may go back to sharing towels when the infection is gone."
B C D
7) The healthcare provider has prescribed a client to have peak and trough blood levels drawn to evaluate the therapeutic effect of an IV antibiotic. When should the nurse schedule the blood samples to be drawn? Select all that apply. A) Prior to the discontinuing the antibiotic B) A few minutes before the next scheduled dose of medication C) During the infusion of the antibiotic D) 30 minutes after the IV administration E) 1-2 hours after the oral administration of the medication
B D
9) A home health nurse manager is instructing a new staff regarding evidence-based practices of wound management. Which will the manager's teaching include? Select all that apply. A) "Wounds should be kept dry and should not be covered until a scab forms." B) "Allowing a wound to remain dry or applying a dry wound covering may slow the healing process." C) "Wound covering helps maintain a dry environment, decreasing the chance of infection such as cellulitis." D) "Proper wound moisture management can reduce pain and improve the cosmetic outcome." E) "Three methods for proper wound management include cleansing techniques, proper wound covering, and ointment application.
B D E
) A client with pneumonia develops a fever. Which interventions should the nurse use to attain the goal of normal body temperature? Select all that apply. A) Increase the temperature of the room environment to prevent shivering. B) Administer antipyretic medications. C) Restrict fluids during periods of hyperthermia because of the risk of electrolyte imbalance. D) Use ice packs and a tepid bath every 2 hours. E) Promote frequent rest periods to increase energy reserve.
B E
1) The nurse is preparing to assess a 90-year-old client admitted with tuberculosis. Which manifestation will the nurse most likely assess in this client? A) Night sweats B) Swollen lymph nodes C) Cough D) Hemoptysis
C
1) The nurse walks into an examination room and sees a young child demonstrate a specific behavior. Which health problem should the nurse suspect the child is experiencing? A) Sore throat B) Hunger C) Otitis media D) Head cold
C
2) The nurse is preparing an educational session on sepsis. What should the nurse include as a major risk factor for the development of this health problem? A) Pneumococcal bacteria B) Leukocytosis on the complete blood count C) Undiagnosed urinary tract infection D) Elevated temperature
C
3) A new mother is distraught because her infant has a fever of 102ºF and is diagnosed with otitis media. What should the nurse instruct the mother to help the child's fever and pain? A) Swaddle the baby in blankets. B) Feed the baby solid foods. C) Administer acetaminophen. D) Bathe the baby with cool water.
C
4) The nurse is planning care for a client with conjunctivitis. Which client statement supports the nursing diagnosis of Risk for Altered Vision? A) "I have had this infection for 3 days." B) "My mother is blind from retinopathy." C) "This is the fourth eye infection I have had in the last 6 months." D) "I think I caught the infection from my child."
C
5) The nurse is providing discharge teaching to a client recovering from pneumonia. Which client statement indicates that additional teaching is needed? A) "I can't get the influenza vaccine due to my allergy to eggs." B) "I will get the influenza vaccine every year." C) "I will get the pneumococcal vaccine every fall." D) "I will get the pneumococcal vaccine as soon as I recover from this pneumonia."
C
5) The nurse is teaching a mother how to administer optical antibiotics to her child who has conjunctivitis. Which statement made by the mother indicates teaching has been effective? A) "I will drop the medication onto the eyeball." B) "I will wait 10 seconds between drops." C) "I will wash my hands before instilling the medication." D) "I will rub the eye with a cotton ball after I administer the medication."
C
6) A client has completed the full course of antibiotics prescribed to treat otitis media. Which primary manifestation of the disorder will be relieved as evidence that treatment has been effective? A) Impaired hearing B) Dizziness C) Pain D) Nausea and vomiting
C
6) An elderly client with sepsis has been admitted to the nursing unit. The nurse is planning care and determines that one goal for this client is to maintain normal mental status. Which outcome evaluation implies that the goal has been met? A) The client is agitated. B) The client has a Glasgow coma score of 4. C) The client responds to questions appropriately. D) The client's pupils are fixed and dilated.
C
7) A client receiving intravenous antibiotics for 3 days as treatment for cellulitis is being prepared for discharge. Which discharge order should the nurse anticipate for this client? A) Low-sodium diet prescribed B) Home healthcare aide for the client C) Oral antibiotics to be continued at home D) Orders for evaluation by physical therapy
C
7) The physician has ordered an indwelling urinary catheter for a client with urinary retention. Which intervention, along with strict aseptic technique, will decrease the risk of infection for this procedure? A) Irrigating the catheter with sterile saline on a daily basis B) Instructing the client to void around the catheter C) Using an anesthetic lubricating gel during insertion D) Inflating the balloon while the catheter is in the urethra
C
8) The nurse is teaching the parents of an infant with acute otitis media. What would be most important for the nurse to teach the parents? A) Administer a decongestant for nasal congestion. B) Keep the baby in a flat position during sleep. C) Administer acetaminophen to relieve pain and decrease fever. D) Place the baby to sleep with a pacifier.
C
5) The nurse makes a home visit to a client recovering from complications related to influenza. Which client statements indicate that desired outcomes have been met? Select all that apply. A) "I'm eating healthy foods now." B) "I went back to work." C) "I haven't had chills since I left the hospital." D) "I slept the whole night without coughing." E) "I was able to take a walk today."
C D
5) The nurse is caring for a client who is experiencing a systemic infection after a total knee replacement. Which diagnostic tests will be used to validate the presence of this infection? Select all that apply. A) Serum electrolyte levels B) Urinalysis C) White blood cell differential D) White blood cell count E) Wound culture
C D E
9) A nurse is caring for a client with tuberculosis who is taking Rifampin for treatment of the disease. Of which nursing considerations should the nurse be aware regarding this medication? Select all that apply. A) Administer with meals to reduce gastrointestinal side effects. B) Record a baseline visual examination before therapy. C) Administer on an empty stomach. D) Administer by deep intramuscular injection into a large muscle mass. E) Monitor CBC, liver function studies, and renal function studies for evidence of toxicity.
C E
8) The nurse in an urgent care center assesses a 40-year-old female client who has presented with a fever of 101.2°F and complaints of painful urination. What should the nurse ask to elicit further data that indicates cystitis? A) "Do you have any symptoms of menopause?" B) "How long have you had a fever, and have you had chills with this?" C) "Do you have any upper abdominal pain or cramping?" D) "What color is your urine?"
D
1) A 26-year-old female client is admitted to the hospital with a diagnosis of kidney stones. The physician orders IV fluids, x-rays, blood work, and a Foley catheter for the client. The nurse is caring for the client 3 days after admission and takes morning vital signs of 101°F, heart rate 92, respirations 25, and blood pressure 120/80. The urinary output has decreased, and the urine is cloudy and dark amber. What should the nurse suspect is occurring with the client? A) The client has passed the kidney stones. B) The client is in acute renal failure. C) The client has developed a respiratory infection. D) The client has a probable nosocomial urinary tract infection.
D
1) A nurse is assessing a client who has recently returned from a camping trip. The client is being seen for edema in the right foot. When assessing the foot, the nurse notes a sore on the foot and suspects cellulitis. Which further data will the nurse assess to support the suspicion? A) BUN and creatinine B) Breath sounds C) Blood cultures D) Redness, pain, and drainage at the site
D
1) The nurse is assessing a 20-year-old college student who is experiencing red, swollen eyes that are oozing a yellowish drainage. The client is complaining of photophobia. What is the most appropriate question for the nurse to ask the client? A) "Have you had extra caffeine this week?" B) "Did you get sand in your eye recently?" C) "Have you been exposed to HIV?" D) "Have any of your friends experienced these symptoms?"
D
2) A nurse is planning an in-service on preventing infection for the hospital staff nurses on a medical-surgical unit. Which nursing intervention is most effective in reducing the risk of infections? A) Raising the temperature in the client's room B) Assessing vital signs once daily C) Wearing a mask for client care D) Performing hand hygiene
D
2) The nurse for a urology clinic is planning an in-service about urinary infections for a group of novice nurses. What should be included in the presentation? A) Men are most likely to experience descending urinary tract infections. B) Straight catheterization is the only way to evaluate for the presence of a urinary tract infection. C) Women require a shorter course of antibiotic therapy to manage a urinary tract infection than men. D) The rate of urinary tract infections is similar betwee
D
3) The nurse in an inner city clinic is providing a health screening for a homeless man with a history of drug abuse. The client has a chronic non-productive cough. For what should the nurse expect to screen this client? A) Herpes zoster B) Sickle cell disease C) Sick sinus syndrome D) Tuberculosis
D
4) A preadolescent student asks the school nurse to explain why the student keeps getting urinary tract infections. The school nurse determines that the diagnosis of Deficient Knowledge is appropriate based upon the student's response to which question? A) "When was your last UTI?" B) "How often do you shower?" C) "Do you have a family history of urinary problems?" D) "In what direction do you wipe after a bowel movement?"
D
4) The nurse identifies the diagnosis of Ineffective Peripheral Tissue Perfusion as being appropriate for a client with septicemia. Which intervention will address this client's health problem? A) Monitor heart rate every hour. B) Assess temperature every 4 hours. C) Monitor pupil reactions every 8 hours. D) Monitor for cyanosis.
D
4) The nurse is caring for a client who is being discharged following an appendectomy. Which instruction is the most important for the nurse to teach this client regarding wound healing? A) "Thoroughly irrigate the wound with hydrogen peroxide once a day." B) "Apply a lubricating lotion to the edges of the wound twice a day." C) "Add more fruits and vegetables to your diet." D) "Notify the physician if you notice swelling, warmth, or tenderness at the wound site."
D
5) An elderly client who resides in a long-term care facility is admitted to the hospital with sepsis. The family is tearful and does not understand how their family member got so sick from a bed sore. What should the nurse teach the family to help in the care of the client? A) Alert the staff when the IV runs dry. B) Help the nurse with dressing changes. C) Assist the client to the bathroom so there is not a fall. D) Assist the client with meals to obtain optimal nourishment.
D
5) An occupational health nurse is screening a new employee in a long-term care facility for tuberculosis. The employee questions why purified protein derivative (PPD) testing is done twice. Which is the most appropriate response by the nurse? A) "Different medication is used in the second PPD." B) "The treatment for TB is 6 months of medication, and we want to make sure the first results of the first PPD were accurate." C) "The first PPD was not interpreted in the correct time frame of 48-72 hours." D) "There is an increased risk for a false-negative response for people who work in long-term care facilities. The two-step is recommended to accurately screen for TB."
D
5) During a home visit, the nurse instructs a young mother to bottle-feed the baby in the upright position. Which health problem will this position help prevent from developing in this child? A) Choking B) Aspiration C) Sinus infection D) Otitis media
D
6) The nurse is caring for a client who is receiving multiple drugs for treatment of tuberculosis. The nurse teaches the client the rationale for the multiple-drug treatment and evaluates learning as effective when the client makes which statement? A) "Multiple drugs are necessary to develop immunity to tuberculosis." B) "Multiple drugs are necessary because I became infected from an immigrant." C) "Multiple drugs will be required as long as I am contagious." D) "Multiple drugs are necessary because of the risk of resistance."
D
6) The nurse is teaching a mother to administer ophthalmic ointment to her infant with conjunctivitis. The nurse determines that learning goals have been met when the mother performs which action? A) Places the ointment on a swab and spreads it across closed eyelids. B) Instills the medication to the lacrimal duct. C) Uses sterile gauze to apply the ointment. D) Applies the ointment directly to the conjunctival sac.
D
7) The nurse is teaching a child care class for mothers of young children. What should the nurse teach as being the most common mode of transmission of infectious disease? A) Children who are playing board games B) Children who are sitting together eating meals C) Children who are playing with the same toy D) Children who don't wash their hands after using the bathroom
D
2) A client is being treated for trachoma after returning from a safari trip to Africa. Which potential complication should the nurse consider when planning this client's care? A) Scarring of the cornea B) Eye muscle weakness C) Damaged iris D) Retinal detachment
a
6) The nurse is reviewing diagnostic and laboratory studies performed for an older client with influenza. Which result should the nurse recognize as being consistent with influenza? A) Decreased white blood cell count B) Increased BUN C) Decreased sodium level D) Fluid-filled lungs on chest x-ray
a
7) The nurse is planning care for a client diagnosed with influenza. Which interventions should the nurse include when planning this client's care? Select all that apply. A) Placing droplet and contact precaution signs on the client room door B) Placing the client in a negative air flow room C) Placing a ventilator in the room D) Notifying other departments of the diagnosis E) Using appropriate PPE
a e
5) The nurse is preparing discharge instructions for an older client with cellulitis of the leg. What should the nurse teach the client and family regarding ways to prevent this health problem from occurring in the future? A) "Keep the client off her leg as much as possible." B) "Bring the client to the doctor if there is a fall." C) "Maintain a healthy diet." D) "Do not allow the client to walk without assistance." c
c
3) The nurse is giving discharge instructions to the family of an elderly client with a history of urinary tract infection (UTI). The family asks what the early symptoms of a urinary tract infection are so that they can monitor the client. Which early symptom of a UTI should the nurse teach the family? A) Urinary urgency B) Blood in the urine C) Urinary frequency D) Alteration in cognition
d
