Nokea
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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The nurse is preparing a lecture on opportunistic infections for immunocompromised individuals. Which of the following opportunistic conditions would be included as possible causes for increased hospital Admissions?
- A. Kaposi's sarcoma
- B. Tuberculosis
- C. Toxoplasmosis
- D. Transesophageal fistula (TEF)
- E. Cytomegalovirus (CMV) infection
Correct Answer: A,B,C,E
Rationale: Kaposi's sarcoma, Tuberculosis, Toxoplasmosis, and CMV are opportunistic infections commonly associated with immunocompromised states, leading to increased hospitalizations.
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.
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.
The emergency department (ED) nurse is caring for a client admitted with septic shock. After administering prescribed intravenous fluids (IVF), which laboratory test does the nurse anticipate the physician will order to evaluate the IVF's efficacy?
- A. serum troponin
- B. serum glucose
- C. serum white blood cells
- D. serum lactic acid
Correct Answer: D
Rationale: Serum lactic acid is used to assess tissue perfusion and the effectiveness of fluid resuscitation in septic shock.
The nurse is providing discharge instructions to a client with hepatitis A. Which of the following instructions should the nurse include?
- A. You will need to take daily showers or baths with chlorhexidine.
- B. It is important to clean common surfaces with warm soapy water.
- C. You will need to have repeat stool testing to determine if you are still infectious.
- D. Check with your primary healthcare provider prior to taking any medications.
Correct Answer: D
Rationale: Clients with hepatitis A should consult their healthcare provider before taking medications due to potential liver toxicity risks.