You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?

Droplet precautions

Contact precautions

Standard precautions are only necessary as there is no risk of transmission.

Airborne precautions

Answer and Explanation

The Correct Answer is B

Choice A reason (precautions): Droplet precautions are not the primary recommendation for Hepatitis A, as it is not primarily spread through droplets.
Choice B reason (precautions): Contact precautions are recommended for patients with Hepatitis A due to the risk of fecal-oral transmission, especially in a patient with incontinence.
Choice C reason (precautions): While standard precautions are always necessary, they are not sufficient alone for Hepatitis A, which requires additional precautions due to its mode of transmission.
Choice D reason (precautions): Airborne precautions are not required for Hepatitis A, as it is not spread through the air.

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Correct Answer is B

Explanation

Choice A reason: Inadequate retention of serum sodium is not typically associated with anemia in chronic renal failure.

Choice B reason: Inadequate production of erythropoietin is the correct answer because the kidneys produce erythropoietin, which stimulates the bone marrow to produce red blood cells. In chronic renal failure, the kidneys cannot produce enough erythropoietin, leading to anemia.

Choice C reason: While blood loss in the urine can occur, it is not the primary cause of anemia in chronic renal failure.

Choice D reason: Renal desensitization to Vitamin D aﬀects bone health and calcium levels but is not the primary cause of anemia in chronic renal failure.

A. Rest pain B. Dependent rubor C. Intermitent claudication D. Irregular foot ulcers

Correct Answer is C

Explanation

Choice A reason: Rest pain is a symptom of advanced PAD and is not typically an early symptom.

Choice B reason: Dependent rubor may indicate PAD but is not as specific as intermitent claudication for early-stage PAD.

Choice C reason: Intermitent claudication, which is pain during exercise that resolves with rest, is a classic early symptom of PAD.
Choice D reason: Irregular foot ulcers are a sign of advanced PAD and are not typically found in the early stages of the disease.

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You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has chronic renal failure and has been on dialysis for 2 years has been wondering why he is anemic. The nurse explains that anemia accompanies chronic renal failure because of:

Correct Answer is B

Explanation

A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the following symptoms should the nurse expect to find in the early stage of the disease?

Correct Answer is C

Explanation

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