A patient admitted with chest pain is also found to have positive Venereal Disease Research Laboratory (VDRL) and
fluorescent treponemal antibody absorption (FAT-Abs) tests, rashes on the palms and the soles of the feet, and moist papules in the anal and vulvar area. Which action will the nurse include in the plan of care?
a. Assess for arterial aneurysms.
b. Wear gloves for patient contact.
c. Place the patient in a private room.
d. Apply antibiotic ointment to the perineum.
ANS: B
Exudate from any lesions with syphilis is highly contagious. Systemic antibiotics, rather than local treatment of lesions, are used to treat syphilis. The patient does not require a private room because the disease is spread through contact with the lesions. This patient has clinical manifestations of secondary syphilis and does not need to be monitored for manifestations of tertiary syphilis.
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In providing and teaching cord care, which principle is important?
a. Cord care is done only to control bleeding. b. Alcohol is the only agent used for cord care. c. It takes a minimum of 24 days for the cord to separate. d. Keeping the cord dry will decrease bacterial growth.
You are caring for a patient who is on thrombolytic therapy. The patient has a comorbidity of renal insufficiency. What do you know about the amount of heparin required to treat this patient?
A) You cannot use heparin to treat this patient. B) You do not need to use an infusion pump for this patient. C) Lower doses are required. D) Higher doses are required.
The nurse is preparing to use auscultation as part of a patient's physical examination. Which techniques should the nurse use? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Pressing the bell of the stethoscope firmly on the skin to hear muffled tones 2. Using the diaphragm of the stethoscope to hear normal lung sounds 3. Placing the diaphragm of the stethoscope firmly against the patient's gown 4. Focusing on one sound at a time 5. Using the bell of the stethoscope to hear low-pitched sounds
The patient is being monitored by the nurse during a gastroscopy. Which patient data need to be communicated to the healthcare provider doing the procedure?
a. The patient has been placed in the left lat-eral position. b. An anterior gastric erosion ulcer is present. c. The blood pressure has dropped 30 mm Hg. d. The patient is lethargic but can follow di-rections.