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.
Client statement about "bites"
Client report of myalgia
Temperature
Lymph node assessment
Travel history
Correct Answer : A,D,E
A. Flea bites are a common way the plague is transmitted, particularly in areas where the disease is endemic. The client's description of flea bites supports this mode of transmission.
B. While myalgia (muscle pain) can occur in many infectious diseases, it is a nonspecific symptom and does not specifically indicate the plague. Many other conditions can also present with muscle aches, so this symptom alone is not indicative of the plague.
C. A fever is common in many types of infections and is not specific to the plague. The presence of a fever alone does not distinguish the plague from other infectious diseases. It must be considered along with more specific symptoms and history.
D. Tender, inguinal lymphadenitis (swollen and painful lymph nodes) is a characteristic sign of bubonic plague, indicating infection and inflammation.
E. Recent travel to South Asia, where the plague is more prevalent, increases the likelihood of exposure to the pathogen. This travel history is a significant risk factor for infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. CDC focuses more on disease prevention and control rather than environmental hazards like asbestos.
B. NIH focuses on biomedical and health-related research, not environmental hazards.
C. EPA regulates and provides guidance on environmental issues, including asbestos.
D. The Department of Health and Human Resources may have some involvement, but EPA is the primary agency for environmental hazards like asbestos.
Correct Answer is B
Explanation
A. The vaccine is not the host in the epidemiological triangle but rather a preventive measure.
B. Children are the host in this scenario, as they are affected by and harbor the mumps virus.
C. The school is the environment where the outbreak is occurring and not the host.
D. The virus is the causative agent and not the host.
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