A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching?
Unlike chickenpox, the vesicles of smallpox are more abundant on the face.
Smallpox lesions appear in various stages of healing.
Vaccination against smallpox provides lifelong immunity.
There are rare, occasional occurrences of smallpox.
The Correct Answer is A
Choice A reason: Unlike Chickenpox, the Vesicles of Smallpox Are More Abundant on the Face
This statement indicates an understanding of the teaching. Smallpox lesions are indeed more abundant on the face and extremities compared to chickenpox, which tends to have a more central distribution on the trunk. Smallpox lesions are also typically more uniform in their stage of development, whereas chickenpox lesions can appear in various stages of healing simultaneously.
Choice B reason: Smallpox Lesions Appear in Various Stages of Healing
This statement is incorrect. Unlike chickenpox, where lesions can be in different stages of healing at the same time, smallpox lesions generally progress through the same stages simultaneously. This uniformity in lesion development is a distinguishing feature of smallpox.
Choice C reason: Vaccination Against Smallpox Provides Lifelong Immunity
This statement is partially correct but needs clarification. The smallpox vaccine provides long-lasting immunity, but it may not be lifelong. Immunity can wane over time, and booster vaccinations may be necessary for continued protection.
Choice D reason: There Are Rare, Occasional Occurrences of Smallpox
This statement is incorrect. Smallpox was declared eradicated in 1980 by the World Health Organization (WHO). There have been no naturally occurring cases of smallpox since then. The only known stocks of the virus are kept in secure laboratories for research purposes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Chicken broth: Chicken broth is part of a clear liquid diet, which is typically recommended immediately after surgery to ensure the digestive system is not overburdened. While nutritious, it does not meet the criteria for a full liquid diet, which includes more substantial liquids.
Choice B reason:
Flavored gelatin: Flavored gelatin is also a component of a clear liquid diet. It is easy to digest and provides some hydration and minimal calories. However, it does not provide the nutritional value needed for a full liquid diet.
Choice C reason:
Cranberry juice: Cranberry juice is another item that fits within a clear liquid diet. It is hydrating and provides some vitamins but lacks the protein and calories necessary for a full liquid diet.
Choice D reason:
Skim milk: Skim milk is appropriate for a full liquid diet. It provides essential nutrients, including protein, calcium, and vitamins, which are necessary for recovery after surgery4. Full liquid diets are designed to be more nutritious than clear liquid diets and include items like milk, cream soups, and smooth dairy products.
Correct Answer is A
Explanation
Choice A reason:
0730: Regular insulin, also known as short-acting insulin, typically begins to work within 30 minutes after administration. Therefore, ensuring the client receives breakfast at 0730, which is 15 minutes after the insulin dose, aligns with the onset of insulin action. This timing helps to prevent hypoglycemia by ensuring that glucose from the meal is available when the insulin starts to lower blood sugar levels.
Choice B reason:
0745: Administering breakfast at 0745, which is 30 minutes after the insulin dose, might be slightly delayed. While it is still within the effective window, it is better to have the meal a bit earlier to ensure that glucose is available as soon as the insulin begins to act.
Choice C reason:
0815: Providing breakfast at 0815, which is an hour after the insulin dose, is too late. By this time, the insulin would have already started to lower blood glucose levels significantly, increasing the risk of hypoglycemia. It is crucial to match the timing of food intake with the insulin action to maintain stable blood sugar levels.
Choice D reason:
0720: Serving breakfast at 0720, which is only 5 minutes after the insulin dose, is too early. The insulin would not have started to act yet, and the blood glucose levels might rise too high before the insulin begins to lower them. It is important to wait at least 15-30 minutes after administering regular insulin before eating.

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