A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes this disease is caused by a tick bite that infected the patient with:

Coxiella burnetii.

Rickettsia rickettsii.

Aspergillus.

Rickettsia prowazekii.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Coxiella burnetii is the causative agent of Q fever, not Rocky Mountain spotted fever. This bacterium is transmitted through inhalation of contaminated aerosols from infected animals.

Choice B rationale

Rickettsia rickettsii is the causative agent of Rocky Mountain spotted fever. It is transmitted through the bite of infected ticks and causes symptoms like fever, headache, and a characteristic rash.

Choice C rationale

Aspergillus is a genus of fungi that causes aspergillosis, not Rocky Mountain spotted fever. Aspergillosis primarily affects the respiratory system and is not transmitted by tick bites.

Choice D rationale

Rickettsia prowazekii is the causative agent of epidemic typhus, not Rocky Mountain spotted fever. It is transmitted through the bite of infected body lice and causes symptoms like high fever, chills, and rash. .

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Correct Answer is D

Explanation

Choice A rationale

Opening the sterile tray by first unfolding the flap furthest from the body is a correct practice to avoid reaching over the sterile field, which helps maintain the sterility of the field.

Choice B rationale

Holding a sterile item just above waist level is appropriate as long as the item remains within the sterile field's boundaries. Keeping items at this level helps prevent accidental contamination from lower surfaces.

Choice C rationale

Placing a sterile dressing 5 cm (2 in) from the border of the sterile field is acceptable, as the border is considered non-sterile, and maintaining this distance helps ensure the sterility of the item within the field.

Choice D rationale

Opening a sterile package directly over the middle of the sterile field can lead to contamination. Any particles or contaminants from the package may fall into the sterile field, compromising its sterility. .

A. Withholding food and fluids until a diagnosis is established. B. Administering prophylactic IV antibiotics. C. Giving the client a heating pad to place on the abdomen for comfort. D. Administering a cleansing enema in preparation for surgery. E. Having the client ambulate at least once every hour.

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

Explanation

Choice A rationale

Withholding food and fluids is essential to prevent complications should surgery be needed.

Choice B rationale

Administering prophylactic IV antibiotics helps prevent infection, which is critical in cases of appendicitis.

Choice C rationale

Applying heat to the abdomen can increase circulation and the risk of rupture in appendicitis.

Choice D rationale

Administering an enema can increase the risk of perforation in appendicitis.

Choice E rationale

Ambulation can exacerbate pain and the risk of rupture in a client with suspected appendicitis.

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A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes this disease is caused by a tick bite that infected the patient with:

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Naxlex Comprehensive Predictor Exams

A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

Correct Answer is D

Explanation

The nurse is caring for a client with suspected appendicitis. Nursing interventions for this client would include: (SELECT ALL THAT APPLY)

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

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend?

A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes this disease is caused by a tick bite that infected the patient with:

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