The nurse is caring for a male client diagnosed with visceral leishmaniasis, which he suspects he acquired on a mission trip to Brazil approximately 6 months ago
The client asks how he could have been infected with this disease while in Brazil. The nurse bases her response on the knowledge that leishmaniasis is carried by:
Standard Text: Select all that apply.
1. dogs.
2. foxes.
3. squirrels.
4. rats.
5. cats.
Correct Answer: 1,2,3,4
Rationale 1: Carriers for Leishmania include dogs. The disease is transmitted to humans by the bite of the sand fly.
Rationale 2: Carriers for Leishmania include foxes. The disease is transmitted to humans by the bite of the sand fly.
Rationale 3: Carriers for Leishmania include squirrels. The disease is transmitted to humans by the bite of the sand fly.
Rationale 4: Carriers for Leishmania include rodents. The disease is transmitted to humans by the bite of the sand fly.
Rationale 5: Cats are not a known carrier for Leishmania.
Global Rationale: Carriers for Leishmania include dogs, foxes, squirrels, and rodents. The disease is transmitted to humans by the bite of the sand fly.
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A woman, gravida 3, para 2, is attending her fourth prenatal visit and confides in the nurse that she is battered by her husband. She is assessed to have multiple bruises at various stages of healing
What nursing actions are appropriate for the nurse to implement? (Select all that apply.) a. Tell the husband that authorities will be notified immediately. b. Provide privacy for the assessment. c. Determine if children are being hurt. d. Communicate in a non-judgmental way. e. Determine factors that increase the risk of injury.
A 3-month-old infant has been diagnosed with respiratory syncytial virus (RSV) and will begin treatment with inhaled ribavirin. Which of the following measures should be taken in the care of this patient and administration of ribavirin?
A) Serial sputum samples should be obtained daily for the duration of treatment. B) Pulmonary function testing should be performed immediately before and 30 minutes after each dose of the drug. C) Nurses who are pregnant or who may be pregnant should not administer the drug. D) The drug should be administered by a physician or a nurse practitioner.
Which of the following factors would the nurse need to keep in mind about the focus of the initial history when assessing a new client with a musculoskeletal problem?
A) Client's age B) Client's lifestyle C) Any chronic disorder or recent injury D) Duration and location of discomfort or pain
Which comments made by a high school athlete should the nurse interpret as indicating an understanding of the risks of using anabolic steroids? Select all that apply.
A. "The only legal way I can take these drugs is if I inject them myself." B. "Once I stop taking these drugs, my body will return to normal." C. "As long as my coach says these drugs are okay, they won't hurt me." D. "I might become mentally dependent on these drugs." E. "I should not take ibuprofen while taking these other drugs."