A nurse in a public health department is caring for a client.

Exhibits

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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. In a health maintenance organization (HMO), providers typically receive a fixed sum (capitation) for each client enrolled, regardless of the services provided.
B. Billing the client directly for services rendered is more typical of fee-for-service or cost-sharing arrangements.
C. This option describes a cost-sharing model where the client pays a portion of the service costs, common in some insurance plans but not HMOs.
D. Fee-for-service insurance involves providers billing for each service provided, not typical in HMOs where payments are typically fixed.

A. Direct conversation to the parents to avoid embarrassing the adolescent. B. Determine how the adolescent's health has affected family roles. C. Focus the discussion on the adolescent's future career plans. D. Ask another family from the same faith congregation to attend the meeting for support.

Correct Answer is B

Explanation

Rationales:
A. Directing conversation solely to parents may exclude the adolescent's perspective and feelings.
B. Understanding the impact on family roles helps assess and support the entire family's needs.
C. Career plans may not be a priority during discussions about a serious illness such as leukemia.
D. Involving another family may not be necessary unless requested by the family of the adolescent.

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A nurse in a public health department is caring for a client. Exhibits 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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures?

Correct Answer is A

Explanation

A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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A nurse in a public health department is caring for a client.

Exhibits

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.