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The nurse is assessing her prenatal client for sexually transmitted infections (STIs) by looking for risk factors. Which of the following are risks of acquiring 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 increase STI risk due to behavioral and social factors.
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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.
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 assessing a client with suspected Lyme disease. Which of the following findings would support a diagnosis of Lyme disease? Select all that apply.
- A. lymphadenopathy
- B. fatigue
- C. petechial rash
- D. arthralgias
- E. hemoptysis
Correct Answer: B,D
Rationale: Fatigue and arthralgias are common symptoms of Lyme disease, supporting the diagnosis.
The emergency department (ED) nurse is triaging a client who is highly suspected of having inhalation anthrax. The nurse should plan to
- A. place a surgical mask on the client.
- B. place the client in a room with negative airflow with an anteroom.
- C. obtain a urine sample from the client.
- D. report the situation to the hospital administration.
Correct Answer: B
Rationale: Inhalation anthrax requires airborne precautions due to its high infectivity, necessitating a negative airflow room to prevent spread.
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.