A patient has been recently diagnosed with an upper respiratory infection. His brother arrives and would like to visit. The patient says he is not feeling strong enough to have visitors. Which symptom would indicate to the nurse that the client is developing a complication?

Dry, occasional cough.

Temperature or Febrile 103 degrees F (39.4 degrees C)

Clear, watery drainage from the nose

Scratchy throat

Answer and Explanation

The Correct Answer is B

A.   Dry, occasional cough: A dry, occasional cough is a common symptom of upper respiratory infections and may not necessarily indicate a complication.
B.   Temperature or Febrile 103 degrees F (39.4 degrees C): A high fever (over 100.4 degrees F or 38 degrees C) is a concerning symptom that may indicate the development of a complication such as pneumonia or a secondary bacterial infection.
C.   Clear, watery drainage from the nose: Clear, watery drainage from the nose is typically associated with viral upper respiratory infections and may not necessarily indicate a complication.
D.   Scratchy throat: A scratchy throat is a common symptom of upper respiratory infections and may not necessarily indicate a complication.

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Correct Answer is B

Explanation

A. Avoiding use of a urinary catheter: While avoiding unnecessary urinary catheterization is important to prevent healthcare-associated urinary tract infections, this action may not be directly applicable to an incontinent patient who requires interventions to manage incontinence.
B. Applying absorbent briefs: Using absorbent briefs helps contain urine and feces, reducing the risk of skin breakdown and contamination of the environment.
C. Restricting Fluids: Restricting fluids may lead to dehydration and is not a recommended approach for preventing healthcare-associated infections in incontinent patients.
D. Toileting patient every 4 hours: Toileting frequency should be individualized based on the patient's needs and not restricted to a specific time interval. Additionally, simply toileting the patient may not be sufficient to prevent healthcare-associated infections if proper hygiene practices are not followed.

A. Antibiotic dosages below the minimum concentration are prescribed. B. Broad-spectrum antibiotics are used whenever possible. C. Antibiotics are prescribed only when a viral infection is present. D. Infections become resistant to high doses of antibiotics.

Correct Answer is D

Explanation

A. Antibiotic dosages below the minimum concentration are prescribed: This statement is inaccurate. MRSA infections typically require higher than normal doses of antibiotics due to their resistance. Prescribing below the minimum concentration would likely be ineffective.
B. Broad-spectrum antibiotics are used whenever possible: While broad-spectrum antibiotics may cover a wide range of bacteria, they are not always the best choice for treating MRSA.
Targeted antibiotics effective against MRSA are preferred to minimize the risk of further antibiotic resistance.
C. Antibiotics are prescribed only when a viral infection is present: MRSA is a bacterial infection, not viral. Antibiotics are indicated for bacterial infections like MRSA but not for viral infections.
D. Infections become resistant to high doses of antibiotics: This statement is accurate. MRSA is resistant to many common antibiotics, and overuse or inappropriate use of antibiotics can contribute to the development of antibiotic-resistant strains. High doses of antibiotics may not be effective against MRSA, as the bacteria have developed mechanisms to resist their action.

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A patient has been recently diagnosed with an upper respiratory infection. His brother arrives and would like to visit. The patient says he is not feeling strong enough to have visitors. Which symptom would indicate to the nurse that the client is developing a complication?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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