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 D

Explanation

A. Povidone-iodine: Povidone-iodine is an antiseptic agent used for skin disinfection but is not recommended for routine hand hygiene, especially in cases of Clostridium difficile infection.

B. Alcohol-based antiseptic: While alcohol-based hand sanitizers are effective for most routine hand hygiene situations, they may not be sufficient for removing spores of Clostridium difficile. Soap and water are preferred for hand hygiene in cases of C. difficile infection.
C. Chlorhexidine: Chlorhexidine is an antiseptic agent commonly used for skin disinfection, but like alcohol-based hand sanitizers, it may not effectively remove C. difficile spores. Soap and water are preferred.

D. Soap and water: Soap and water are recommended for hand hygiene in cases of Clostridium difficile infection because mechanical friction from hand washing helps physically remove
spores from the hands.

A. Alcohol and cotton swabs B. Resuscitation equipment C. Flashlight D. Measuring guide

Correct Answer is A

Explanation

A. Alcohol and cotton swabs: When a patient undergoes skin testing for allergies, it's important to have alcohol and cotton swabs readily available to clean the skin before applying allergens. This helps ensure that the test results are accurate and not influenced by any contaminants on the skin.
B. Resuscitation equipment: While resuscitation equipment is essential in any medical setting, it is not directly related to skin testing for allergies.
C. Flashlight: A flashlight may be helpful for visualizing the skin during the procedure, but it is not as crucial as alcohol and cotton swabs for skin preparation.
D. Measuring guide: A measuring guide may be used for other types of assessments or procedures but is not specifically necessary for skin testing for allergies.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

Correct Answer is D

Explanation

The nurse works in an office with a dermatologist. What equipment is most important to have readily available when a patient is undergoing skin testing for allergies?

Correct Answer is A

Explanation

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