A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

Hemophilus influenzae

Streptococcal pharyngitis

Clostridium difficile

Mycoplasma pneumoniae

Answer and Explanation

The Correct Answer is C

A. Hemophilus influenzae, which causes respiratory infections, generally requires droplet precautions, not contact precautions.

B. Streptococcal pharyngitis is also typically managed with droplet precautions, not contact precautions.

C. Clostridium difficile (C. diff) is a bacterial infection that causes severe diarrhea and gastrointestinal symptoms. It is spread through direct contact with contaminated surfaces or equipment, so contact precautions are necessary to prevent transmission.

D. Mycoplasma pneumoniae, which causes respiratory infections, requires droplet precautions, not contact precautions.

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Correct Answer is D

Explanation

A. Hypersomnia is not typically associated with Cushing's syndrome. Instead, individuals with Cushing's syndrome often experience insomnia or sleep disturbances.

B. Hypotension is not a common finding in Cushing's syndrome. The condition typically leads to hypertension due to increased cortisol levels, which raise blood pressure.

C. Rapid weight loss is not characteristic of Cushing's syndrome. In fact, Cushing's syndrome typically causes rapid weight gain, especially in the trunk and face.

D. Rounded facial features, also known as a "moon face," are a hallmark sign of Cushing's syndrome, caused by an increase in cortisol and fat deposition in the face.

A. Tachycardia B. Increased blood pressure C. Increased urinary output D. Bounding peripheral pulses

Correct Answer is A

Explanation

A. Tachycardia is a common finding in infants with heart failure. The body compensates for decreased cardiac output by increasing heart rate to maintain adequate perfusion to vital organs.

B. Blood pressure may not necessarily increase in heart failure. In fact, in severe cases, it can be low due to poor cardiac output.

C. Increased urinary output is not a typical manifestation of heart failure. In fact, heart failure often results in decreased renal perfusion, leading to decreased urine output.

D. Bounding peripheral pulses are usually seen in conditions like fever or hyperdynamic circulatory states, not in heart failure. In heart failure, peripheral pulses may be weak due to reduced cardiac output.

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A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?

Correct Answer is A

Explanation

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