Your patient has been diagnosed with herpes simplex virus 2. Which of the following would NOT be included in your teaching of this patient?
- A. If you have symptoms, you should avoid sexual contact with other individuals.
- B. With treatment, this condition can be cured.
- C. This disease is highly contagious.
- D. You may experience tingling in the skin before an active outbreak occurs.
Correct Answer: B
Rationale: The correct answer is 'With treatment, this condition can be cured.' The treatment for herpes simplex virus (HSV) is symptomatic and palliative, aimed at managing symptoms rather than curing the infection. HSV is highly contagious, so sexual contact should be avoided during active outbreaks to prevent transmission. Many patients experience a tingling sensation in the skin before an active outbreak, known as a prodrome. Educating the patient that the condition is not curable but manageable with treatment is vital to set realistic expectations and promote proper management of the disease.
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Tommy R., your 68-year-old patient, is at risk for falls. He has fallen 3 times in the last month. You should keep Tommy's ______________ in order to prevent him from falling again.
- A. bedside rails up at all times
- B. bed in the low position
- C. call bell within reach
- D. family members in the room at all times
Correct Answer: C
Rationale: To prevent falls, it is essential to keep the patient's call bell within reach so they can easily call for help when needed. This allows for timely assistance and can prevent falls. While low beds can reduce the severity of injuries in case of a fall, they do not prevent falls from happening. Having family members in the room at all times is not a realistic or practical solution. Side rails can actually increase the severity of falls as patients may attempt to climb over them, and using side rails as fall prevention is considered a restraint practice that can lead to entrapment and other risks.
Which of the following is a local sign of infection?
- A. Swelling
- B. Rapid pulse
- C. Fever
- D. High white blood count
Correct Answer: A
Rationale: A local sign of infection refers to symptoms that are specific to the area of infection. Swelling, heat, pain, and redness near the infected site are examples of local signs. In the context of infection, swelling occurs due to an accumulation of fluid and immune cells at the site of infection. Rapid pulse, fever, and high white blood count are more systemic responses to infection and not specific local signs. Rapid pulse can indicate systemic distress or sepsis, fever is a systemic response to infection, and high white blood count is a laboratory finding that suggests an immune response but is not a direct sign of infection at a specific site.
When escorting a patient to the operating room on a stretcher, what should you do to prevent the patient from falling?
- A. Ensure the safety belt or strap is secured on the patient while escorting them to the operating room
- B. Use a safety belt or strap on the patient throughout their escort to the operating room
- C. Lower the bed position when moving the patient from the bed to the stretcher
- D. All of the above options are correct
Correct Answer: B
Rationale: When escorting a patient to the operating room on a stretcher, it is crucial to secure a safety belt or strap on the patient to prevent falls during the transfer. This safety measure is not considered a restraint but a necessary precaution. Lowering the bed position is not necessary; in fact, the bed should be in a high position to align with the stretcher. Locking the wheels of the stretcher is essential to prevent accidents during patient transfer. Therefore, the correct action to prevent falls while moving a patient to the operating room is to use a safety belt or strap on the patient throughout the escort.
Mobility is an important human function. The hazards of immobility lead to many physical and emotional problems. Immobility can lead to detrimental cardiac, muscular, respiratory, skeletal, urinary, gastrointestinal, skin, and emotional changes. Which of the following is an example of a skeletal hazard of immobility?
- A. Contractures.
- B. Constipation.
- C. Calcium loss.
- D. Catabolism.
Correct Answer: C
Rationale: All choices are hazards of immobility, but only calcium loss from the bones is a skeletal system impairment that results from immobility. Contractures are muscle shortening due to prolonged positioning, which affects the muscular system. Constipation is a gastrointestinal issue. Catabolism is a metabolic process, not specific to the skeletal system.
A systemic sign of infection is ______________.
- A. swelling
- B. redness
- C. heat
- D. a lack of appetite
Correct Answer: D
Rationale: The correct answer is 'a lack of appetite.' When a person experiences a systemic infection, they may exhibit signs that affect the entire body. A lack of appetite is a common systemic sign of infection, along with other symptoms like rapid pulse, fever, and an elevated white blood cell count. Swelling, redness, and heat are more indicative of localized inflammation or infection, rather than systemic involvement.