A nurse in a public health department is caring for a client.

Exhibits

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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Down syndrome alone does not typically require alterations in the standard immunization schedule.
B. Sickle cell disease does not typically necessitate alterations in the standard immunization schedule.
C. Children with leukemia often have altered immune function and may require modifications to the immunization schedule based on their treatment plan.
D. Failure to thrive alone does not typically necessitate alterations in the standard immunization schedule.

A. Inactivated influenza immunization to client 1 B. Human papillomavirus immunization (HPV) to client 2 C. Inactivated influenza immunization to client 4 D. Rotavirus immunization to client 2 E. Human papillomavirus immunization (HPV) to client 3

Correct Answer is ["A","C","D","E"]

Explanation

A. This is appropriate as older adults, especially those aged 65 and above, are recommended to receive the annual influenza vaccine to reduce the risk of severe influenza-related complications.
B. The HPV vaccine is not recommended for a 2-month-old infant. It is typically administered to preteens and teenagers, starting at age 11 or 12.
C. Inactivated influenza immunization to client 4: This is appropriate as adults, including those with HIV, should receive the annual influenza vaccine to help protect against the flu and its complications.
D. This is appropriate for a 2-month-old infant. The rotavirus vaccine is typically given at 2 months, 4 months, and sometimes at 6 months of age.
E. This is appropriate as the HPV vaccine is recommended for preteens and teenagers, usually starting at age 11 or 12, to protect against HPV infections and related cancers.

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A nurse in a public health department is caring for a client. Exhibits 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.

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Naxlex Comprehensive Predictor Exams

A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule?

Correct Answer is C

Explanation

A public health nurse is caring for clients in an immunization clinic. Exhibits Which of the following immunizations should the nurse provide to the clients? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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A nurse in a public health department is caring for a client.

Exhibits

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.