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 A
Explanation
A. Addressing the physical needs of clients, such as ensuring safety, hygiene, and medical care, is the priority in a disaster shelter.
B. Helping clients gather supplies is important but secondary to addressing immediate physical needs.
C. Exploring feelings is important for emotional support but may follow after ensuring physical safety.
D. Creating activities for children is beneficial but should not take precedence over ensuring basic needs are met.
Correct Answer is D
Explanation
A. Prevalence proportion is calculated as (Number of cases / Population) × 100,000. For this community, it would be (11 / 15,000) × 100,000 = 73.3/100,000.
B. Prevalence proportion is calculated as (Number of cases / Population) × 100,000. For this community, it would be (11 / 15,000) × 100,000 = 73.3/100,000.
C. Prevalence proportion is calculated as (Number of cases / Population) × 100,000. For this community, it would be (11 / 15,000) × 100,000 = 73.3/100,000.
D. Prevalence proportion is calculated as (Number of cases / Population) × 100,000. For this community, it would be (11 / 15,000) × 100,000 = 73.3/100,000.
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