Nokea
A nurse is educating a client recently diagnosed with hepatitis C. Which of the following should the nurse include in the teaching?
- A. Disinfect your bathroom with bleach after each use.
- B. It is important that you not prepare food for others.
- C. You may not experience any symptoms of hepatitis C.
- D. You will need to vaccinate individuals in your household.
Correct Answer: C
Rationale: Hepatitis C is often asymptomatic, which is critical for clients to understand to ensure regular monitoring and adherence to treatment.
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The nurse is assessing a client with hepatitis A. Which of the following would be an expected finding? Select all that apply.
- A. Pruritus
- B. Bloody stools
- C. Abdominal pain
- D. Scleral icterus
- E. Periumbilical bruising
Correct Answer: A,C,D
Rationale: Pruritus, abdominal pain, and scleral icterus are common symptoms of hepatitis A due to liver inflammation and jaundice.
The nurse is caring for a client who was recently diagnosed with human immunodeficiency virus (HIV). Which of the following statements, if made by the client, would indicate a knowledge deficit? Select all that apply.
- A. I started researching ways to tell my family that I have AIDS.
- B. I recently stopped sharing household utensils and towels.
- C. I will need periodic blood tests to measure the amount of virus.
- D. I will not be able to continue my job as a phlebotomist.
- E. If I achieve undetectable viral load status, I won't be able to transmit the virus to others.
Correct Answer: A,B,E
Rationale: A: HIV does not equate to AIDS; this indicates a misunderstanding. B: HIV is not transmitted through household items. E: Undetectable viral load reduces but does not eliminate transmission risk.
Which of the following clients, receiving normal saline via IV infusion, is at the highest risk for bloodstream infections?
- A. A client who has a midline IV catheter in the left antecubital fossa.
- B. A client with a peripherally inserted central catheter (PICC) line in the right upper arm.
- C. A client with an implanted port in the right subclavian vein.
- D. A client who has a non-tunneled central line in the left internal jugular vein.
Correct Answer: D
Rationale: Non-tunneled central lines, such as those in the internal jugular vein, carry the highest risk of bloodstream infections due to their direct access to central circulation and external exposure.
An emergency department (ED) nurse just received a client exposed to inhalation anthrax. The nurse should anticipate that the ED health care provider (HCP) will prescribe which medication?
- A. Acyclovir
- B. Zidovudine
- C. Ciprofloxacin
- D. Oseltamivir
Correct Answer: C
Rationale: Ciprofloxacin is the recommended antibiotic for inhalation anthrax due to its efficacy against Bacillus anthracis.
The emergency department nurse is caring for a client exposed to inhalation anthrax. It would be essential for the nurse to take which action?
- A. Initiate continuous pulse oximetry
- B. Obtain a prescription for a chest radiograph
- C. Notify the public health department
- D. Prepare the client for a lumbar puncture
Correct Answer: C
Rationale: Inhalation anthrax is a reportable disease, and notifying the public health department is essential for containment and surveillance.