Nokea
The nurse is interviewing a client who wants to anonymously test themselves for the human immunodeficiency (HIV) virus. The nurse should recommend which type of testing?
- A. HIV home self testing
- B. Rapid testing at the primary healthcare providers (PHCPs) office
- C. Inpatient antibody testing
- D. Community health fair rapid testing
Correct Answer: A
Rationale: HIV home self-testing allows for anonymity and convenience, aligning with the client's preference for privacy.
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The emergency department nurse is caring for a client exposed to inhalation anthrax. It would be essential for the nurse to take which action?
- A. Initiate continuous pulse oximetry
- B. Obtain a prescription for a chest radiograph
- C. Notify the public health department
- D. Prepare the client for a lumbar puncture
Correct Answer: C
Rationale: Inhalation anthrax is a reportable disease, and notifying the public health department is essential for containment and surveillance.
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 caring for a client at the first prenatal visit. The primary healthcare provider (PHCP) has prescribed testing for syphilis. The nurse anticipates which laboratory testing?
- A. Brain Natriuretic Peptide (BNP)
- B. Comprehensive Metabolic Panel (CMP)
- C. Complete Blood Count (CBC)
- D. Rapid Plasma Reagin (RPR)
Correct Answer: D
Rationale: The Rapid Plasma Reagin (RPR) test is a standard screening test for syphilis, especially in prenatal care.
The nurse is planning a staff development conference about infectious diseases. Which of the following information should the nurse include? Select all that apply.
- A. Ebola virus disease (EVD) requires contact and droplet precautions
- B. Early treatment with prescribed ciprofloxacin is essential in the inhalation of anthrax
- C. A client with inhalation of anthrax should be assigned to a room with monitored negative air pressure
- D. Bubonic plague is spread by infected bird droppings
- E. Bubonic plague produces a 'bull's eye' rash at the site of infection
Correct Answer: A,B,C
Rationale: EVD requires contact and droplet precautions, ciprofloxacin is essential for anthrax, and negative air pressure rooms are needed for inhalation anthrax. Bubonic plague is spread by fleas, not bird droppings, and does not produce a bull's eye rash.
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.