Nokea
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.
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The nurse is planning a community health course about the prevention of Lyme disease. Which of the following information should the nurse include?
- A. You should try limiting your outdoor activities between 10 a.m. and 4 p.m.
- B. Wear sunglasses that wrap around and block UVA and UVB rays.
- C. Wear long-sleeved clothing when in heavily wooded areas.
- D. Apply sunscreen with at least an SPF of 30.
Correct Answer: C
Rationale: Wearing long-sleeved clothing in wooded areas reduces skin exposure to ticks, which transmit Lyme disease.
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.
A nurse is caring for a client who is admitted to the hospital with suspected osteomyelitis. Which of the following laboratory tests should the nurse anticipate being ordered to aid in the diagnosis and monitoring of this condition?
- A. Erythrocyte sedimentation rate (ESR)
- B. Serum potassium levels
- C. Serum creatinine levels
- D. Prothrombin time (PT)
Correct Answer: A
Rationale: ESR is a marker of inflammation, commonly elevated in osteomyelitis, aiding in diagnosis and monitoring.
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.
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.