Home health nurse is discussing dangers of food poisoning with client. What information should the nurse include? (Select all that apply)
- A. Most food poisoning is caused by viruses
- B. Immunocompromised individuals are at risk for complications from food poisoning
- C. Clients who are at risk should eat/drink only pasteurized dairy products
- D. Healthy people usually recover from illness in a few weeks
- E. Handling raw & fresh food separately to avoid cross-contamination may prevent food poisoning
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Immunocompromised individuals are at higher risk for complications from food poisoning due to weakened immune systems.
C: Clients at risk should consume only pasteurized dairy products to reduce the risk of foodborne illnesses.
E: Handling raw and fresh food separately prevents cross-contamination, a common cause of food poisoning.
Incorrect options:
A: Most food poisoning is caused by bacteria, not viruses.
D: Healthy individuals typically recover from food poisoning in a few days, not weeks.
In summary, the correct answers focus on specific preventive measures and risks for vulnerable populations, while the incorrect options provide inaccurate information regarding the causes and outcomes of food poisoning.
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Nurse educator is reviewing with newly hired nurse the difference in clinical manifestations of localized vs. systemic infection. Nurse indicates understanding when she states that which are manifestations of systemic?
- A. Fever
- B. Malaise
- C. Edema
- D. Pain/tenderness
- E. Increase in pulse & respiratory rate
Correct Answer: A,B,E
Rationale: The correct answer is A, B, and E. Systemic infection manifests with fever, malaise, and an increase in pulse and respiratory rate. Fever is the body's response to infection, malaise is a general feeling of discomfort, and increased pulse and respiratory rate indicate the body's effort to fight infection. Edema and pain/tenderness are more indicative of localized infection rather than systemic. In summary, the correct manifestations of systemic infection are fever, malaise, and an increase in pulse and respiratory rate, while edema and pain/tenderness are more likely to be seen in localized infections.
Nurse on peds unit is caring for adolescent with multiple fractures. Which interventions are appropriate for client? (Select all that apply.)
- A. Suggest his parents room in with him
- B. Provide a TV & DVDs for him to watch
- C. Limit visitors to immediate family
- D. Devise a regular schedule for inpatient routines
- E. Allow him to perform his own morning care
Correct Answer: B,E
Rationale: The correct choices are B and E. Providing a TV & DVDs and allowing the adolescent to perform his own morning care are appropriate interventions for the client's care. Offering entertainment can help with psychological well-being. Allowing independence in self-care promotes autonomy and self-esteem. Choice A may not be appropriate for an adolescent seeking independence. Choice C may restrict emotional support from close friends. Choice D is important but not the most crucial in this scenario.
Nursing instructor is explaining various stages of lifespan to students. Nurse should offer which of following behaviors by young adult as example of accomplishing Erikson's tasks for psychosocial development during middle adulthood?
- A. Client evaluates his behavior after social interaction
- B. Client states he is learning to trust others
- C. Client wishes to find meaningful relationships
- D. Client expresses concerns about next generation
Correct Answer: D
Rationale: The correct answer is D: Client expresses concerns about the next generation. This behavior aligns with Erikson's task of generativity vs. stagnation in middle adulthood. This stage involves contributing to future generations through mentoring, guiding, and caring for others. Expressing concerns about the next generation demonstrates a sense of responsibility and investment in the well-being of future individuals.
A: Evaluating behavior after social interaction pertains more to self-reflection and self-awareness, not specifically related to generativity.
B: Learning to trust others is more aligned with Erikson's earlier stage of trust vs. mistrust in infancy.
C: Wishing to find meaningful relationships is associated with Erikson's intimacy vs. isolation stage in young adulthood, not middle adulthood.
Nurse manager is reviewing care of client with seizures with nurses on unit. Which statement by a nurse requires more instruction?
- A. I will place the client on his side
- B. I will go to the nurses' station for assistance
- C. I will administer meds as prescribed
- D. I will be prepared to insert an airway
Correct Answer: B
Rationale: Correct Answer: B - "I will go to the nurses' station for assistance" requires more instruction.
Rationale: Going to the nurses' station may waste crucial time during a seizure. The nurse should stay with the client, ensure a safe environment (A), administer prescribed meds (C), and be prepared to insert an airway (D) if needed. Going to the nurses' station could delay necessary interventions. Placing the client on their side helps prevent aspiration, administering meds is essential for seizure management, and being prepared to insert an airway is crucial in case of respiratory compromise.
Nurse caring for client who reports severe sore throat
- A. pain with swallowing
- B. swollen lymph nodes. Client is experiencing which of following stages of infection?
- C. Prodromal
- D. Incubation
- E. Convalescence
Correct Answer: D
Rationale: The correct answer is D: Incubation. The client reporting a severe sore throat indicates that the infection is already present in the body but has not yet manifested with symptoms. During the incubation stage, the pathogen is actively multiplying but the client does not exhibit symptoms yet. Choices A, B, and C (pain with swallowing, swollen lymph nodes, and prodromal stage) all indicate that the infection has progressed beyond the incubation stage and symptoms are present. Choice E (Convalescence) refers to the period of recovery after the infection has been resolved, which is not the case here. Therefore, D is the correct answer as it corresponds to the stage where the client is experiencing symptoms without them being fully manifested yet.