The nurse is reviewing the medical record of a newly admitted client and notes that the client has been diagnosed with a Mycobacterium avium complex (MAC) infection
The nurse knows that this type of infection is believed to be spread via what route?
1. Blood contact
2. Contaminated meat
3. Respiratory droplets
4. Contaminated soil
Correct Answer: 4
Rationale 1: Mycobacterium avium is not spread by blood contact.
Rationale 2: Mycobacterium avium is not spread through contaminated meat.
Rationale 3: Mycobacterium avium is not spread by the respiratory route.
Rationale 4: Mycobacterium avium is thought to be spread through contaminated soil.
Global Rationale: Unlike TB, MAC infections are not believed to be contagious or spread by human-to-human contact. The mode of transmission is not understood, although the organisms are widely distributed in soil and water and these may the primary sources of infection.
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During the initial prenatal visit, the client tells the nurse, "I smoke a pack of cigarettes every day. Will smoking hurt my baby?" The nurse's best reply would be,
a. "One pack of cigarettes per day is excessive during pregnancy and should be cut back before the second trimester." b. "It is best to cut down on smoking, especially during pregnancy." c. "Yes, mothers who smoke will often have smaller-than-normal infants." d. "Newborns born to women who smoked during pregnancy usually experience respiratory problems."
An aggressive nurse manager tells a staff nurse she has no business rallying staff to change the schedule. What would be an example of a technique that the staff nurse could use to stand up for her basic human rights?
A. "What is the real reason that you don't want the schedule changed?" B. "Sounds to me like you're threatened by this change." C. "Are you upset because you don't want to redo the schedule?" D. "I have the right to express my opinion about the schedule."
Based on Mr. D's answers to your assessment questions, you suspect that Mr. D might be depressed. What should you do first?
A. Locate community resources that he can use after he is discharged. B. Call the physician and obtain an order for antidepressant medication. C. Identify nursing diagnoses that are based on your assessment findings. D. Contact the psychiatric clinical nurse specialist and report your concerns.
The nurse who cares for patients at an assisted living facility is planning a program to address safer sex in older adults. Why would this program be important? (Select all that apply.)
A) Susceptibility to sexually transmitted infections (STIs) increases with age. B) HIV/AIDS is spreading more quickly among older adults than among younger adults. C) Older adults frequently forego condom use because the risk of pregnancy does not exist. D) Many older adults assume that STIs are problems of younger adults only. E) Because of the hormonal changes that accompany menopause, older women are in fact more prone to sexually transmitted diseases than younger adults.