Nokea
The nurse conducts a community health course on sexually transmitted infections (STIs). The nurse recognizes which of the following are risk factors for an STI? Select all that apply.
- A. Low socioeconomic status
- B. A monogamous relationship
- C. A past history of working in the sex industry
- D. Illicit drug use
- E. History of cancer
- F. Previous history of STIs
Correct Answer: A,C,D,F
Rationale: Low socioeconomic status, sex work, illicit drug use, and previous STIs are risk factors for STIs due to social and behavioral factors.
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The nurse is triaging a client who reports recent international travel. The primary healthcare provider (PHCP) suspects the client may have severe acute respiratory syndrome (SARS). The nurse should initially
- A. place the client on contact and airborne precautions.
- B. obtain blood, urine, and sputum for culture.
- C. prepare the client for a chest radiograph (x-ray).
- D. infuse 0.9 saline at 100mL/hr.
Correct Answer: A
Rationale: SARS requires contact and airborne precautions to prevent transmission due to its respiratory spread.
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.
The nurse is visiting the home of a client with Clostridium difficile. Which infection control measure should the nurse include?
- A. Ask the client to wear a surgical mask during the visit.
- B. Obtain vital signs with a disposable blood pressure cuff.
- C. Interview the client while maintaining 3 feet distance.
- D. Use sterile gloves when performing venipuncture.
Correct Answer: B
Rationale: Using a disposable blood pressure cuff prevents the spread of Clostridium difficile spores, which can persist on surfaces.
The nurse is caring for a client with human immunodeficiency virus (HIV). Which of the following conditions, if present in the client, should make the nurse concerned about the client developing acquired immunodeficiency syndrome (AIDS)? Select all that apply.
- A. Chronic, progressive visual loss
- B. Kaposi's sarcoma
- C. Wilms sarcoma
- D. Pulmonary tuberculosis
- E. Peripheral neuropathy
- F. Toxoplasma gondii
Correct Answer: B,D,F
Rationale: Kaposi's sarcoma, pulmonary tuberculosis, and Toxoplasma gondii are AIDS-defining conditions indicating progression to AIDS.
The nurse is evaluating a client three days post-operative for signs and symptoms of infection. Which of the following is not a sign of infection from a surgical wound?
- A. Pus and clear drainage from the site
- B. Some redness along the edges of the site
- C. Increasing warmth from the wound
- D. Red streaks from the site
Correct Answer: B
Rationale: Some redness along the edges of a surgical wound is a normal part of the healing process, whereas pus, increasing warmth, and red streaks indicate infection.