A nurse in a public health department is caring for a client.
Which of the following data in the client’s medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.
Temperature
Client’s statement about “bites”
Travel history
Lymph node assessment
Body aches
New onset of weakness
Headache and chills
Pruritic lesions on the right leg
Clear lungs to auscultation bilaterally
Correct Answer : A,B,C,D,E,F,G,H
Choice A rationale: The client’s persistent fever is a common symptom of the plague and many other infections.
Choice B rationale: The client’s statement about getting flea bites during their trip is significant because the plague is often transmitted through the bite of an infected flea.
Choice C rationale: The client’s recent travel to South Asia could have exposed them to areas where plague is endemic or there are ongoing outbreaks.
Choice D rationale: The presence of tender, inguinal lymphadenitis (swollen lymph nodes in the groin area) is a classic sign of bubonic plague.
Choice E rationale: Body aches can be a symptom of the systemic infection caused by the plague.
Choice F rationale: New onset of weakness can be a symptom of the systemic infection caused by the plague.
Choice G rationale: Headache and chills are common symptoms of the plague and many other infections.
Choice H rationale: Pruritic (itchy) lesions on the right leg could be the site of the flea bites that transmitted the plague bacteria.
Choice I rationale: Clear lungs to auscultation bilaterally does not necessarily rule out the plague. While pneumonic plague does affect the lungs, bubonic plague (the most common form) primarily causes lymphadenitis and does not typically present with respiratory symptoms in the early stages.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The anthrax vaccine is not ineffective following direct anthrax exposure. In fact, the vaccine is used as a preventive measure for individuals who are at high risk of exposure to anthrax.
However, in the event of widespread public exposure, the vaccine alone may not be sufficient.
Choice B rationale
Ciprofloxacin is a recommended treatment for asymptomatic individuals who were directly exposed to anthrax. It is part of the post-exposure prophylaxis (PEP) for anthrax and is used to prevent the development of the disease.
Choice C rationale
Prophylactic treatment should indeed be provided to clients following exposure to anthrax. However, the duration is not just 10 days. The recommended duration of post-exposure prophylaxis for anthrax is 60 days.
Choice D rationale
Manifestations of anthrax infection do not necessarily appear within 3 days of exposure. The incubation period for anthrax can vary widely, from a few days to several weeks, depending on the type of anthrax (cutaneous, inhalation, or gastrointestinal) and the amount of spores a person is exposed to.
Correct Answer is A
Explanation
Choice A rationale
This is the correct answer. Regular eye examinations are important for early detection of eye diseases and conditions. The American Optometric Association recommends adults aged 18 to 60 have an eye exam at least every two years, and adults 61 and older have an eye exam annually.
Choice B rationale
Regular monitoring of blood glucose levels is crucial for individuals with diabetes or those at risk. However, the frequency of checking fasting blood glucose levels can vary depending on individual health status and risk factors.
Choice C rationale
Stool tests for blood are used to detect colorectal cancer. The American Cancer Society recommends that adults aged 45 and older with an average risk of colorectal cancer undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) exam, depending on the patient’s preference and test availability.
Choice D rationale
Regular hearing screenings are important, especially as individuals age. However, the frequency of hearing screenings can vary based on individual risk factors and symptoms.
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