A nurse is teaching a newly licensed nurse about reportable communicable diseases. Which of the following diseases should the nurse include in the teaching?

Respiratory syncytial virus

Mumps

Group A streptococcus

Rubeola

Answer and Explanation

The Correct Answer is B

Rationale:

A. Respiratory syncytial virus: Respiratory syncytial virus (RSV) is a common viral infection, especially in infants and young children, but it is not typically considered a reportable communicable disease.

B. Mumps: Mumps is a viral infection that is reportable in many regions. It can cause severe complications such as meningitis, encephalitis, and hearing loss, which is why it must be reported to public health authorities for tracking and control.

C. Group A streptococcus: While infections like streptococcal throat infections are common, only more severe complications like invasive Group A streptococcal disease (e.g., necrotizing fasciitis, toxic shock syndrome) are reportable, not all cases of throat infection.

D. Rubeola: Although rubeola (measles) is a reportable disease, mumps, is more frequently emphasized about in reportable vaccine-preventable illnesses alongside rubella and pertussis.

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Correct Answer is C

Explanation

Rationale:

A. Ventricular Tachycardia (VTach): Regular, very fast rhythm (150–250 bpm), Wide QRS complexes, No visible P waves. Interpretation: Life-threatening rhythm, not expected after pacemaker. Immediate intervention is needed.

B. Atrial Fibrillation (AFib): Irregularly irregular rhythm, No distinct P waves, Narrow QRS complexes. AFib can exist with or without a pacemaker, but not expected immediately post-insertion unless patient has pre-existing AFib.

C. Rhythm: Ventricular paced rhythm (normal post-pacemaker). Regular rhythm -60 bpm, Narrow QRS complexes following sharp pacing spikes, Pacing spikes appear just before QRS complexes. Expected ECG after permanent pacemaker insertion — it shows effective ventricular capture.

D. Irregular rhythm, Alternating normal and wide QRS complexes, Wide QRS possibly not preceded by pacing spike, not expected right after pacemaker insertion. Suggests poor pacer function or ventricular ectopy.

A. Pain level B. Urinary output C. Blood pressure D. Respiratory rate E. Echocardiogram results F. Oxygenation saturation G. Heart rate

Correct Answer is ["A","C","F","G"]

Explanation

Rationale:

A. Pain level: The client's pain level decreased from 7/10 to 5/10 after 2 doses of nitroglycerin, which indicates that the treatment is effective in reducing the chest pain associated with myocardial infarction (MI).

B. Urinary output: The client's urinary output (32 mL) is still low compared to intake (500 mL), suggesting potential renal perfusion issues. Urine output should be more closely monitored as it may indicate worsening shock or poor kidney perfusion.

C. Blood pressure: The client's blood pressure has decreased from 176/82 mm Hg to 110/62 mm Hg. A drop in blood pressure, especially after treatment with nitroglycerin and morphine, suggests that the heart's workload is reducing and the condition is stabilizing.

D. Respiratory rate: The respiratory rate has decreased slightly from 24/min to 22/min, but it still remains elevated. This may indicate ongoing respiratory distress or the need for further assessment and stabilization of the respiratory system.

E. Echocardiogram results: The echocardiogram results indicate a myocardial infarction, which means that while the condition is identified, it does not yet suggest improvement. Further monitoring and interventions are required to prevent further damage to the heart muscle.

F. Oxygen saturation: Oxygen saturation improved from 89% on room air to 92% with supplemental oxygen at 2 L/min via nasal cannula. This increase indicates better oxygenation, which is crucial for recovery in a patient with a myocardial infarction.

G. Heart rate: The client's heart rate decreased from 120/min to 100/min. This reduction indicates improvement in the heart's rhythm and better control of tachycardia, which is important for the stabilization of the patient following MI.

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A nurse is teaching a newly licensed nurse about reportable communicable diseases. Which of the following diseases should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client's heart rhythm following insertion of a permanent pacemaker. Which of the following images should the nurse expect?

Correct Answer is C

Explanation

The nurse is reviewing the client's medical record. Exhibits The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.

Correct Answer is ["A","C","F","G"]

Explanation

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