The nurse has attended a staff education program about caring for clients with acute osteomyelitis. Which of the following statements by the nurse would indicate a correct understanding of the teaching?
- A. IV antibiotic therapy is typically given for seven to fourteen days.
- B. The most common cause of acute osteomyelitis is a virus.
- C. A significant fever is typically greater than 101°F (38.3°C).
- D. Petechiae on the affected extremity is a common finding.
Correct Answer: C
Rationale: A fever greater than 101°F is a common finding in acute osteomyelitis due to the inflammatory response.
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A client is upset because they just found out that they have syphilis. The client tells the nurse, 'This is so upsetting! Does everyone need to know?' Which of the following responses, if made by the nurse, is the most therapeutic?
- A. We need to report this diagnosis to the local public health department, and they will contact your past partners.
- B. According to the Health Insurance Portability and Accountability Act (HIPAA), I can't tell anyone without your permission.
- C. You really should contact your sexual partners so they can be treated too.
- D. I understand you're upset. I'll stay here with you so that you can talk about it.
Correct Answer: A
Rationale: Reporting syphilis to the public health department is required for contact tracing, and this response addresses the client's concern while explaining the process.
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.
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.
The local community health nurse is teaching a course to nursing students on anthrax. It would be correct for the nurse to inform the students that anthrax is spread by? Select all that apply.
- A. mosquito bites.
- B. breathing in bacterial spores.
- C. sexual contact with an infected individual.
- D. ingestion of contaminated animal products.
- E. through an open wound or scratch on the skin.
Correct Answer: B,D,E
Rationale: Anthrax is spread by inhaling spores, ingesting contaminated animal products, or through cutaneous exposure via open wounds.
The nurse is counseling a female client newly diagnosed with herpes simplex virus in the genitals. Which symptoms should the nurse educate the client to expect before an outbreak? Select all that apply.
- A. Lymphadenopathy
- B. Vaginal discharge
- C. Paresthesia
- D. Dysmenorrhea
- E. Malaise
Correct Answer: A,C,E
Rationale: Lymphadenopathy, paresthesia, and malaise are prodromal symptoms of genital herpes outbreaks, indicating viral reactivation.
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