A nurse in a public health department is caring for a client.
Which of the following data in the client's medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.
Client statement about "bites"
Client report of myalgia
Temperature
Lymph node assessment
Travel history
Correct Answer : A,D,E
A. Flea bites are a common way the plague is transmitted, particularly in areas where the disease is endemic. The client's description of flea bites supports this mode of transmission.
B. While myalgia (muscle pain) can occur in many infectious diseases, it is a nonspecific symptom and does not specifically indicate the plague. Many other conditions can also present with muscle aches, so this symptom alone is not indicative of the plague.
C. A fever is common in many types of infections and is not specific to the plague. The presence of a fever alone does not distinguish the plague from other infectious diseases. It must be considered along with more specific symptoms and history.
D. Tender, inguinal lymphadenitis (swollen and painful lymph nodes) is a characteristic sign of bubonic plague, indicating infection and inflammation.
E. Recent travel to South Asia, where the plague is more prevalent, increases the likelihood of exposure to the pathogen. This travel history is a significant risk factor for infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Informing clients about community support is important but typically does not take precedence over clinical needs.
B. Spiritual support, while significant, should follow clinical needs and safety concerns.
C. Dietary consultations are valuable but are not typically as urgent as physical therapy needs post-surgery.
D. Informing the physical therapist about activity restrictions is crucial for ensuring safe recovery and rehabilitation.
Correct Answer is B
Explanation
A. Hearing screenings are recommended every 3 years for adults over 50, not every 5 years.
B.
The American Cancer Society recommends that adults aged 50 to 75 get screened for colorectal cancer. One option for screening is a stool test for blood every other year. If the test is positive, a colonoscopy should be performed.
C. Eye examinations canhelp detect vision changes and eye diseases early. However, this should be done yearly.
D. Fasting blood glucose levels should be checked more frequently, especially if there are risk factors for diabetes.
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