Try Naxlex NCLEX-RN (Free-Trial)

A nurse is completing a head-to-toe assessment on a client who is 3 days post-operative from a right mastectomy. Which of the following should the nurse recognize as a sign of possible infection? Select all that apply.

Client reports no pain

Oral temperature of 98.9 degrees F

Decreased level of consciousness

WBCs are 15,000

Scab forming on incision line

Crackles in bilateral lung bases

Incision is red and warm to touch

Answer and Explanation

Correct Answer : C,D,F,G

A. The absence of pain does not necessarily indicate the absence of infection.

B.   An oral temperature of 98.9 degrees F is within the normal range and does not indicate infection.
C.   Decreased level of consciousness can be a sign of systemic infection, especially if accompanied by other symptoms.
D.   An elevated white blood cell count (WBC) is indicative of an inflammatory response, which can occur in infection.
E.   A scab forming on the incision line is a normal part of wound healing and does not necessarily indicate infection.
F.   Crackles in bilateral lung bases may indicate a possible infection.

G. Redness and warmth at the incision site are signs of inflammation and can indicate infection.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Contact transmission involves direct or indirect contact with infected individuals or contaminated surfaces.
B. Lyme disease is transmitted to humans through the bite of infected ticks, making it a vectorborne disease.
C. Vehicle transmission involves non-living carriers, such as food, water, or inanimate objects, transmitting the infectious agent.
D. Droplet transmission involves respiratory droplets expelled by an infected individual during coughing, sneezing, or talking. Lyme disease is not transmitted through respiratory secretions.

A. "When leaving the room, I will remove the mask just inside the door." B. "I will wash my hands and put on a face mask before I go into their room." C. "I don't need to wear a mask if I stay a foot away from them." D. "This disease is spread through small droplets that spray out when they talk, cough, or sneeze."

Correct Answer is C

Explanation

A. Removing the mask just inside the door is a proper procedure to avoid potential contamination of the outer surface of the mask.
B. Washing hands and donning a face mask before entering the room is appropriate to prevent the transmission of droplets.

C. Even if the spouse stays a foot away from the client, wearing a mask is essential for droplet precautions as respiratory droplets can travel short distances.
D. This statement accurately describes how the disease is transmitted through respiratory droplets.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is completing a head-to-toe assessment on a client who is 3 days post-operative from a right mastectomy. Which of the following should the nurse recognize as a sign of possible infection? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who reports they are an avid outdoorsman and enjoys hiking, camping, and backpacking, has been admitted for Lyme's Disease. Lyme's Disease is spread by a tick. What is the mode of transmission?

Correct Answer is B

Explanation

A client has been placed on droplet precautions and the nurse is providing education to the spouse about specific personal protective equipment (PPE) that will need to be worn. Which of the following statements requires the need for further teaching?

Correct Answer is C

Explanation

The nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 10mg/1mL. How many mL should the nurse administer? (Round to the nearest whole number and label your answer.)

A client asks the nurse what is meant by the term benign. Which response by the nurse is best?

Tumor staging includes the TNM classification system. The N in TNM would give the physician information on which part of the tumor classification?

A client with leukopenia is being discharged home. Which of the following should the nurse include in the teaching plan for this client?

A nurse is providing health teaching to a client about ways a communicable disease is transmitted by contact. Select all that apply.

A newly hired nurse is completing their health evaluation and physical for their new employment. The laboratory technician draws a titer for rubella. The laboratory results are negative. What would be the next action?

The nurse is caring for several clients on a hospital's surgical unit. Which of the following clients are at greatest risk for developing an infection?

A client is admitted with a severe allergic response to a bee sting. Which lab would the nurse expect to be the most elevated on the white blood count (WBC) differential?