A mother brings in her 8-month-old child to the ER. The mother reports the baby has recently started being extremely fussy, has a fever, and swelling in the hands and feet. The child is diagnosed with sickle cell disease. As the nurse, you know that the swelling in the hands and feet in the infant is termed?

Phalitis

Dactylitis

Erythromelaglia

Dyshidrotia

Answer and Explanation

The Correct Answer is B

A.   Phalitis: This term is not commonly used and does not specifically refer to swelling in the hands and feet.
B.   Dactylitis: Dactylitis is a common manifestation of sickle cell disease in infants, characterized by painful swelling of the hands and feet due to vaso-occlusive episodes.
C.   Erythromelaglia: Erythromelalgia is a condition characterized by burning pain, redness, and warmth in the extremities, but it is not typically associated with sickle cell disease.
D.   Dyshidrotia: This term is not commonly used in medical terminology and does not specifically refer to swelling in the hands and feet.

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Correct Answer is B

Explanation

A. During cold weather: Weather conditions do not typically affect the manifestations of fibrocystic breast disease.
B. Before menstruation begins: Manifestations of fibrocystic breast disease, such as breast pain and lumpiness, tend to occur or worsen in the premenstrual phase of the menstrual cycle.
C. After menstruation ends: Manifestations of fibrocystic breast disease are typically most prominent before menstruation rather than after it ends.
D. During hot weather: Weather conditions do not typically affect the manifestations of fibrocystic breast disease.

A. Creation of a "sterile" environment for the patient with the use of laminar airflow rooms B. Placement of patients in private rooms with high-efficiency particulate air (HEPA) filtration C. Strict and frequent handwashing by all people having contact with the patient D. Administration of combinations of prophylactic antibiotics

Correct Answer is C

Explanation

A. Creation of a "sterile" environment with laminar airflow rooms is not practical or necessary for preventing transmission of pathogens to patients with depressed bone marrow function. It may also not be feasible in many healthcare settings.
B. Placement of patients in private rooms with HEPA filtration may help reduce airborne pathogens but is not the most important measure for preventing transmission of harmful pathogens to patients with depressed bone marrow function.
C. Strict and frequent handwashing by all people having contact with the patient is the most important measure for preventing transmission of harmful pathogens, including bacteria and viruses, to immunocompromised patients. Hand hygiene is a fundamental infection control measure that significantly reduces the risk of healthcare-associated infections.
D. Administration of prophylactic antibiotics may be part of the treatment plan for some patients with depressed bone marrow function to prevent bacterial infections, but it is not the most important measure for preventing transmission of harmful pathogens. Hand hygiene is more effective in reducing the transmission of a wide range of pathogens, including bacteria, viruses, and fungi.

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a middle adult female client who has fibrocystic breast disease. The nurse should emphasize to the client that manifestations of this disease are present at which of the following times?

Correct Answer is B

Explanation

Which of the following does the nurse implement as the most important measure in preventing transmission of harmful pathogens to patients with depressed bone marrow function?

Correct Answer is C

Explanation

A nurse is caring for four postoperative patients who each had a total abdominal hysterectomy. Which patient would the nurse assess first upon initial rounding?

A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all that apply.)

A nurse is reinforcing teaching to a client who is to undergo a breast biopsy by needle aspiration. Which of the following statements should the nurse make?

A nurse is caring for a client who has advanced stage prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?

Blood loss is a major cause of iron deficiency in adults. Some sources of chronic blood loss in adults are all except:

What is the priority nursing diagnosis for a client with inadequate production of platelets?

A nurse is reinforcing teaching to a client who has endometriosis. Which of the following statements should the nurse include in the teaching?