A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?

Airborne

Droplet

Contact

Protective environment

Answer and Explanation

The Correct Answer is C

A. Airborne precautions are used for diseases transmitted by tiny particles that remain suspended in the air and are inhaled, such as tuberculosis or measles. Mononucleosis is not spread through
the airborne route.

B.   Droplet precautions are for diseases transmitted by respiratory droplets, like influenza or pertussis. While mononucleosis can be transmitted through respiratory secretions, it's primarily spread through direct contact with saliva.
C.   Contact precautions involve preventing the transmission of pathogens by direct or indirect contact. Given that mononucleosis is transmitted through saliva, contact precautions, including wearing gloves and gowns, are appropriate to prevent its spread.
D.   Protective environment precautions are used to protect immunocompromised patients from outside pathogens, such as those recovering from bone marrow transplants. They are not applicable for a client with mononucleosis.

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Correct Answer is D

Explanation

A. Tachycardia is not typically associated with opioid intoxication. Instead, bradycardia or normal heart rate may occur due to the depressant effects of opioids on the central nervous system.
B. Opioid intoxication often results in decreased mental alertness, leading to symptoms such as drowsiness, confusion, or even unconsciousness.
C. Hyperreflexia, or exaggerated reflexes, is not a common manifestation of opioid intoxication. Instead, hyporeflexia or depressed reflexes may occur due to the central nervous system depression caused by opioids.
D. Pinpoint pupils are a classic sign of opioid intoxication. Opioids bind to receptors in the brainstem, causing pupillary constriction. This effect is so characteristic that pinpoint pupils are often referred to as "opioid pupils."

A. Pallor in the exposed portion of the left foot B. Inability to move the left foot C. Increased warmth of the exposed portion of the left foot D. Ecchymosis in the exposed portion of the left foot E. Paresthesia in the left foot

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

Explanation

A. Pallor in the exposed portion of the left foot indicates a possible reduction in blood flow, which is a symptom of compartment syndrome.
B. Inability to move the left foot could suggest nerve damage or significant muscle dysfunction, which are potential consequences of compartment syndrome.
C. Increased warmth of the exposed portion of the left foot is not typically a symptom of compartment syndrome. This condition is more commonly associated with coolness due to impaired blood flow rather than increased warmth.
D. Ecchymosis in the exposed portion of the left foot may be indicative of underlying bleeding or bruising, which can increase compartmental pressure and is a symptom of compartment syndrome.
E. Paresthesia in the left foot, such as tingling or a burning sensation, can be a sign of nerve compression or damage, which is consistent with compartment syndrome.

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A nurse is assisting with the admission of a client who has mononucleosis. Which of the following isolation precautions should the nurse initiate?

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A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids. Which of the following findings should the nurse identify as a manifestation of opioid intoxication?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. Which of the following findings should the nurse identify as an indication that the client might have compartment syndrome? (Select all that apply.)

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

Explanation

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