The nurse is talking to a group of women about the dangers and ways of acquiring toxic shock syndrome (TSS). The nurse would mention that all of the following women have a high risk of acquiring TSS, except for:
- A. A teenage girl using an absorbent tampon.
- B. A 29-year-old woman using a cervical cap.
- C. A 31-year-old woman using a diaphragm.
- D. A 35-year-old woman using oral contraceptives.
Correct Answer: D
Rationale: Oral contraceptives do not increase the risk of TSS, unlike tampons, cervical caps, and diaphragms, which can promote bacterial growth if left in place too long.
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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 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 has attended a staff education program about indwelling urinary catheter-associated infections (CAUTI). Which nursing intervention is most effective in preventing a CAUTI in hospitalized clients?
- A. Implementing strict sterile technique during catheter insertion and maintenance.
- B. Using antibacterial indwelling urinary catheters for all clients requiring urinary catheterization.
- C. Limiting the duration of indwelling urinary catheter use and promptly removing them when no longer needed
- D. Administering prophylactic antibiotics to all clients with indwelling urinary catheters in place.
Correct Answer: C
Rationale: Limiting catheter duration is the most effective way to prevent CAUTI, as prolonged use increases infection risk.
Which of the following opportunistic illnesses are a sign that a patient with HIV now has AIDS? Select all that apply.
- A. Stomach ulcers
- B. Symptomatic tuberculosis
- C. Toxoplasmosis of the brain
- D. Osteoporosis
- E. Pneumocystis carinii pneumonia
Correct Answer: B,C,E
Rationale: Symptomatic tuberculosis, Toxoplasmosis of the brain, and Pneumocystis carinii pneumonia are AIDS-defining conditions indicating advanced HIV disease.
The nurse is triaging a client who reports recent international travel. The primary healthcare provider (PHCP) suspects the client may have severe acute respiratory syndrome (SARS). The nurse should initially
- A. place the client on contact and airborne precautions.
- B. obtain blood, urine, and sputum for culture.
- C. prepare the client for a chest radiograph (x-ray).
- D. infuse 0.9 saline at 100mL/hr.
Correct Answer: A
Rationale: SARS requires contact and airborne precautions to prevent transmission due to its respiratory spread.
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