A nurse is teaching a client about tetanus. Which of the following statements should the nurse make? (Select All that Apply.)
"A deep wound that has come in contact with soil, dirt, or dust could become infected with tetanus."
"A minor wound that is not a puncture wound is not sufficient enough to allow tetanus to enter the body."
"Wounds that come in contact with contaminated animal feces can cause tetanus."
"Newborns are at risk if their parent is unvaccinated or gives birth in unsanitary conditions."
"Since there is no treatment for tetanus once acquired, vaccination is very important."
Correct Answer : A,C,D,E
A. "A deep wound that has come in contact with soil, dirt, or dust could become infected with tetanus.": Tetanus spores are commonly found in soil and dust. Deep or puncture wounds provide an anaerobic environment for Clostridium tetani, making infection possible, so this is accurate.
B. "A minor wound that is not a puncture wound is not sufficient enough to allow tetanus to enter the body.": Even minor wounds can become infected if contaminated; tetanus spores can enter through small cuts, making this statement inaccurate.
C. "Wounds that come in contact with contaminated animal feces can cause tetanus.": Animal feces may harbor Clostridium tetani, so wounds exposed to contaminated feces are a recognized risk factor for tetanus infection.
D. "Newborns are at risk if their parent is unvaccinated or gives birth in unsanitary conditions.": Neonatal tetanus can occur in infants born to unvaccinated mothers or in non-sterile birth environments, making this a valid point for preventive education.
E. "Since there is no treatment for tetanus once acquired, vaccination is very important.": Vaccination is the primary preventive measure because treatment after infection is complex and outcomes can be severe, highlighting the importance of immunization.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "JIA can cause joint damage leading to permanent deformities and reduced mobility.": Systemic juvenile idiopathic arthritis involves chronic inflammation that can damage cartilage and bone over time. Without effective management, this can result in joint deformities, limited range of motion, and functional impairment, highlighting the importance of long-term monitoring and therapy.
B. "JIA has no long-term developmental effects as long as it is treated with NSAIDs.": NSAIDs help manage pain and inflammation but do not prevent all complications. Children with JIA may still experience growth disturbances, joint damage, or delays in physical development despite treatment.
C. "The inflammation of the joints experienced with this type of JIA is mild.": Systemic JIA can involve severe, persistent inflammation affecting multiple joints and sometimes organs. Describing it as mild underestimates disease severity and may give parents false reassurance.
D. "Most children do not need any treatment beyond monitoring, and they will grow out of this type of JIA.": Systemic JIA often requires pharmacologic interventions such as NSAIDs, corticosteroids, or disease-modifying antirheumatic drugs. The disease does not spontaneously resolve in most cases, and untreated inflammation can cause permanent damage.
Correct Answer is B
Explanation
A. Assess the stoma site monthly to minimize disruption to the client's routine: Stoma assessment should be performed at least daily, especially in pediatric clients, to monitor for changes in color, size, and skin integrity, rather than monthly.
B. Consult the wound-ostomy team for guidance on treating irritated or broken skin around the stoma: Involving a wound-ostomy-continence (WOC) nurse ensures specialized care for peristomal skin breakdown and helps prevent complications, which is essential for maintaining the stoma and surrounding tissue.
C. Change the ostomy appliance daily regardless of the condition of the stoma site: Routine daily changes are unnecessary and can irritate the skin. Appliance changes should be based on the condition of the skin and the integrity of the pouch system.
D. Empty the ostomy's stool output only when the collection appliance is full to capacity: Waiting until the appliance is full can increase the risk of leakage, skin breakdown, and odor. It is recommended to empty the pouch when it is one-third to one-half full.
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