A clinic nurse is assessing a client who has measles. Which of the following findings should the nurse expect?
Koplik spots inside the mouth.
Persistent low-grade temperature.
Muscle aches and tenderness.
Rash confined to the trunk of the body.
The Correct Answer is A
Choice A reason: Koplik spots are small, white, bluish-gray spots that appear on the inner cheeks, gums, or roof of the mouth before the rash develops. They are a characteristic sign of measles and can help to distinguish it from other viral infections.
Choice B reason: Persistent low-grade temperature is not a finding that the nurse should expect in a client who has measles. Measles typically causes a high fever that can reach up to 40°C (104°F) and lasts for four to seven days. The fever may spike when the rash appears and subside when the rash fades.
Choice C reason: Muscle aches and tenderness are not findings that the nurse should expect in a client who has measles. Measles mainly affects the respiratory system and the skin, and does not cause significant muscle involvement. The client may experience fatigue, weakness, or malaise, but not muscle pain or soreness.
Choice D reason: Rash confined to the trunk of the body is not a finding that the nurse should expect in a client who has measles. Measles causes a red, blotchy rash that usually starts on the face and spreads to the rest of the body, including the arms, legs, and feet. The rash may last for up to a week and may cause itching or peeling of the skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Chlamydia is a reportable infection to the state health department. Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. It can cause pelvic inflammatory disease, infertility, ectopic pregnancy, and neonatal complications. Reporting chlamydia cases can help to monitor the prevalence, incidence, and trends of the infection, and to implement prevention and control measures.
Choice B reason: Herpes simplex virus is not a reportable infection to the state health department. Herpes simplex virus is a common viral infection that causes oral or genital lesions. It can be transmitted through direct contact with the lesions or the infected fluids. There is no cure for herpes simplex virus, but antiviral medications can reduce the frequency and severity of the outbreaks.
Choice C reason: Group B Streptococcus B hemolytic is not a reportable infection to the state health department. Group B Streptococcus B hemolytic is a type of bacteria that can be found in the gastrointestinal or genital tract of some people. It can cause serious infections in newborns, pregnant women, and people with weakened immune systems. Screening and treatment of pregnant women can prevent the transmission of the bacteria to their babies.
Choice D reason: Human papillomavirus is not a reportable infection to the state health department. Human papillomavirus is a group of viruses that can cause warts or cancers in different parts of the body. It can be transmitted through sexual contact or skin-to-skin contact. There is no treatment for human papillomavirus, but vaccines can prevent some types of the virus that cause cervical cancer and genital warts.
Correct Answer is A
Explanation
Choice A reason: Scheduling bone density screening is an appropriate outcome for the program, as it helps to detect and prevent osteoporosis, a common condition among postmenopausal women. Bone density screening is recommended for women aged 65 years and older, or younger women with risk factors.
Choice B reason: Arranging for mammograms every 3 years is not an appropriate outcome for the program, as it does not follow the current guidelines for breast cancer screening. The American Cancer Society recommends that women aged 45 to 54 years should have mammograms every year, and women aged 55 years and older should have mammograms every 2 years, or continue yearly screening if they prefer.
Choice C reason: Starting hormone replacement therapy is not an appropriate outcome for the program, as it is not a universal recommendation for postmenopausal women. Hormone replacement therapy may have benefits and risks depending on the individual's health history, symptoms, and preferences. It should be discussed with a health care provider before starting.
Choice D reason: Significantly decreasing caloric intake is not an appropriate outcome for the program, as it may lead to nutritional deficiencies and other health problems. Postmenopausal women should maintain a balanced diet that meets their nutritional needs and supports their weight management. A moderate reduction in caloric intake may be advised for overweight or obese women, but not a drastic one.
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