The nurse is caring for a client in the ER who presents with a severe rash caused by direct contact with an allergen. Which of the following might be the cause of this client's rash?
A) Pollen
B) Medications
C) Insect sting
D) Poison ivy
D
Feedback:
Allergens can enter the body via inhalation, ingestion, injection, and direct contact. Poison ivy is a direct contact allergen, pollen is an inhalation allergen, medications are ingestion allergens, and insect stings occur by injection.
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The nurse prioritizes completion of home visits during an outbreak of the flu. Which of the following persons is at greatest risk for contracting influenza?
A) A 67-year-old recovering from a knee replacement received 3 weeks ago. B) An 89-year-old with asthma living in a public housing facility. C) An obese 82-year-old living with family. D) A 74-year-old who fell at yoga class 10 days ago and has an open wound.
The nurse is providing care for a male patient who has undergone knee arthroplasty. As part of the nurse's morning assessment, the nurse is assessing for peripheral neurovascular dysfunction distal to the surgical site. When performing this assessment, what parameters should the nurse assess and document? Select all that apply.
A) The color of the patient's lower leg and foot B) The patient's ability to move his foot C) The patient's sensation in his foot and lower leg D) The temperature of the patient's foot and lower leg E) The presence or absence of hair on the patient's foot and lower leg
The nurse is preparing a client with osteomyelitis of the left tibia for discharge. The nurse stresses the importance of the following information:
A) "You will need to continue to take antibiotics for another four to eight weeks." B) "You can start to do light weight bearing on the leg in one week." C) "Be sure to do active range-of-motion exercises to the left leg daily." D) "You can apply heat to the leg if you are having a lot of pain and discomfort."
The infection control nurse is reviewing data for the medical-surgical unit. The nurse notices an increase in postoperative infections from Aspergillus. Which type of health care–associated infection will the nurse report?
a. Vector b. Exogenous c. Endogenous d. Suprainfection