A patient's assessment findings suggest infection by a rickettsiae organism. The nurse would ask about which history? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Tick bite
2. Exposure to a child with roundworms
3. Hyphae exposure
4. Exposure to animals with fleas
5. Exposure to someone with an upper respiratory infection
1,4
Rationale 1: Rickettsiae are transmitted by ticks.
Rationale 2: Roundworms are helminths and are considered parasites. They are not associated with rickettsiae infections.
Rationale 3: Hyphae are part of mold organisms and produce fungal infections. They are not associated with rickettsiae infections.
Rationale 4: Fleas can transmit rickettsiae.
Rationale 5: URIs are often viral or bacterial in nature. They are not associated with rickettsiae.
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The nurse has just received his assignment of four patients for the shift. The nurse notes that which of the following patients has a healthcare-acquired infection (HAI)?
A) A patient admitted from home with influenza B) A nursing home resident admitted with pneumonia C) A student admitted with measles contracted in college D) A patient admitted from home, via ambulance, with HIV
The nurse is discharging an 80-year-old client with diminished touch sensation. Which instruction does the nurse provide to promote client safety?
a. "Walk barefoot only in your home." b. "Bathe in warm water to increase your circulation." c. "Look at the placement of your feet when walking." d. "Put throw rugs at the foot of your bed for cushioning."
Which of the following is a limitation of a home postpartum visit?
1. Ability to teach is limited by the presence of many distractions. 2. Identified problems cannot be resolved in the home setting. 3. Necessary items for infant care are not available. 4. Visits between families may require traveling a great distance.
Which statement would indicate to the nurse that a 35-year-old pregnant client and spouse understand the instructions regarding amniocentesis?
1. The client tells the spouse that the test has to be done before the 14th week of pregnancy. 2. The client tells the spouse that childbirth classes are not necessary if the baby has Down syndrome. 3. The client and spouse state that the results of the amniocentesis will take up to 2 weeks. 4. The client and spouse state that it is not unusual for amniocentesis to misdiagnose a problem with the baby.