A nurse is providing care to a client who is Immunocompromised. Which of the following should the nurse identify as a possible source of infection?

Waste containers are lined with single bags.

Dampened cloths are used for dusting the area.

Uncapped sharps are put in a puncture-resistant container.

Soiled linens are placed on the floor.

Answer and Explanation

The Correct Answer is D

A.   Lining waste containers with single bags is a proper infection control measure.
B.   Using dampened cloths for dusting can help prevent the spread of airborne particles.
C.   Using a puncture-resistant container for sharps is an appropriate action to prevent needlestick injuries.
D.   Correct. Placing soiled linens on the floor can lead to contamination of the environment and potential transmission of infection.

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Correct Answer is A

Explanation

A. Correct. Chadwick's sign is a bluish or purplish discoloration of the vaginal and vulvar tissues due to increased vascularity that occurs during pregnancy. This is a normal finding in early pregnancy.
B. Incorrect. Chloasma refers to the appearance of dark patches on the skin, often seen on the face, and is not related to the vaginal and vulvar color changes seen in Chadwick's sign.
C. Incorrect. Hegar's sign refers to the softening of the cervix and isthmus of the uterus, not the color changes in the vaginal and vulvar tissues.
D. Incorrect. Ballottement is a physical examination technique used to assess a floating mass in the body, such as a fetus, and is not related to the color changes in the vaginal and vulvar tissues.

A. Posterior fontanel closed B. Anterior fontanel closed C. Rolls from back to abdomen D. Moves objects to mouth

Correct Answer is B

Explanation

A. Incorrect. The closure of the posterior fontanel by 23 months is a normal developmental milestone.
B. Correct. The anterior fontanel typically closes by 12 to 18 months of age. If it closes prematurely, it could be a sign of craniosynostosis and should be assessed by the provider.
C. Incorrect. Rolling from the back to the abdomen is a normal developmental milestone at around 46 months of age.
D. Incorrect. Moving objects to the mouth is a normal developmental behavior in infants as they explore their environment through sensory input.

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A nurse is providing care to a client who is Immunocompromised. Which of the following should the nurse identify as a possible source of infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with a prenatal examination of a client who is at 8 weeks of gestation. The nurse notes that the client's vagina and vulva are a purplish color. The nurse should document this finding as which of the following?

Correct Answer is A

Explanation

A nurse is collecting data from a 4-month-old infant at a well-child visit. For which of the following findings should the nurse notify the provider?

Correct Answer is B

Explanation

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