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","B","E"]
Explanation
A. Financial instability can contribute to stress and potential abuse situations.
B. A history of alcohol use disorder in a parent is a risk factor for abusive behavior.
C. Having an indoor cat does not place the child at risk for abuse.
D. Spending weekends with grandparents does not inherently indicate a risk for abuse.
E. A parent appearing frightened of the other parent can indicate a domestic violence environment, which increases the risk of child abuse.
Correct Answer is B
Explanation
A. Evaluating the effectiveness of drills is important but comes after identifying risks and capabilities.
B. Identifying community risks and capabilities is the first step in developing a disaster-preparedness plan to tailor responses to specific threats.
C. Providing education about first aid and triage is essential but is typically part of the implementation phase.
D. Assembling a response team follows understanding community needs and capabilities.
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