Nokea
The nurse is conducting a continuing education course on hepatitis B. It would be appropriate for the nurse to identify which complications are associated with hepatitis B? Select all that apply.
- A. hypertension
- B. hepatocellular carcinoma
- C. liver cirrhosis
- D. ascites
- E. thrombocytopenia
Correct Answer: B,C,D,E
Rationale: Hepatitis B can lead to hepatocellular carcinoma, liver cirrhosis, ascites, and thrombocytopenia due to chronic liver damage.
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The nurse is caring for a client with a central venous catheter (CVC). The nurse knows which of the following is a common symptom of Central Line-Associated Bloodstream Infections (CLABSI)?
- A. Diarrhea
- B. Fever and chills
- C. Productive cough
- D. Muscle spasms
Correct Answer: B
Rationale: Fever and chills are hallmark symptoms of CLABSI, indicating a systemic infection originating from the catheter site.
An emergency department (ED) nurse just received a client exposed to inhalation anthrax. The nurse should anticipate that the ED health care provider (HCP) will prescribe which medication?
- A. Acyclovir
- B. Zidovudine
- C. Ciprofloxacin
- D. Oseltamivir
Correct Answer: C
Rationale: Ciprofloxacin is the recommended antibiotic for inhalation anthrax due to its efficacy against Bacillus anthracis.
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 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 teaches individuals about the human immunodeficiency virus (HIV) at a health fair. It would be correct for the nurse to state which of the following would indicate the need for HIV testing? Select all that apply.
- A. Pregnancy
- B. Engaged in sex work
- C. Have a sexually transmitted infection
- D. The use of injection drugs
- E. Men who have sex with men (MSM)
Correct Answer: A,B,C,D,E
Rationale: Pregnancy, sex work, STIs, injection drug use, and MSM are all risk factors warranting HIV testing to ensure early detection and treatment.