A nurse is conducting a routine screening to detect a client's risk for toxoplasmosis parasite infection during pregnancy. The nurse would ask the client about which of the following items to determine this risk?
1. Number of sexual partners during pregnancy
2. Presence in the home of cats who use a kitty litter box for elimination
3. Exposure to children with rashes or gastrointestinal symptoms
4. History of high fevers or unusual rashes during the first 6 weeks of pregnancy
2
Rationale: Toxoplasmosis is a systemic (and usually asymptomatic) illness caused by a protozoan parasite. Approximately one third of all women in the United States have positive antibody titers for toxoplasmosis, thus confirming prior exposure. Humans acquire the infection by consuming inadequately cooked meat, eggs, or milk; by ingesting or inhaling the oocyst stage excreted in feline feces or in contaminated soil; or from receiving contaminated blood products. Other than transplacental infection, this disease is rarely transmitted from human to human. During pregnancy, the parasite may be transmitted across the placenta and cause severe infection in the developing embryo or fetus. The other options are questions unrelated to toxoplasmosis.
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A) "Using tanning beds without clothing contaminates skin and leads to infections." B) "Tanning from ultraviolet light is safer than sunshine." C) "Using sunscreen will prevent skin cancers, even in tanning beds." D) "Skin damage from ultraviolet light is more likely than from indirect sunlight."
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a. Remove all scatter rugs from the home. b. Rearrange the bedroom furniture. c. Arrange for someone to stay with the pa-tient 24 hours a day. d. Purchase oversized shoes so that they are easy to get on.
You are the nurse caring for a patient who will receive a transsacral block. In what surgeries would a transsacral block be useful for pain control?
A) Thoracotomy B) Inguinal hernia repair C) Breast reduction D) Closed reduction of a right humerus
A client is diagnosed with bone cancer, and is placed on methotrexate (Mexate). What is the correct classification for this medication?
1. An alkaloid 2. An antimetabolite 3. An alkylating agent 4. An antitumor antibody