A patient has been recently diagnosed with an upper respiratory infection. His brother arrives and would like to visit. The patient says he is not feeling strong enough to have visitors. Which symptom would indicate to the nurse that the client is developing a complication?
Dry, occasional cough.
Temperature or Febrile 103 degrees F (39.4 degrees C)
Clear, watery drainage from the nose
Scratchy throat
The Correct Answer is B
A. Dry, occasional cough: A dry, occasional cough is a common symptom of upper respiratory infections and may not necessarily indicate a complication.
B. Temperature or Febrile 103 degrees F (39.4 degrees C): A high fever (over 100.4 degrees F or 38 degrees C) is a concerning symptom that may indicate the development of a complication such as pneumonia or a secondary bacterial infection.
C. Clear, watery drainage from the nose: Clear, watery drainage from the nose is typically associated with viral upper respiratory infections and may not necessarily indicate a complication.
D. Scratchy throat: A scratchy throat is a common symptom of upper respiratory infections and may not necessarily indicate a complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dry, occasional cough: A dry, occasional cough is a common symptom of upper respiratory infections and may not necessarily indicate a complication.
B. Temperature or Febrile 103 degrees F (39.4 degrees C): A high fever (over 100.4 degrees F or 38 degrees C) is a concerning symptom that may indicate the development of a complication such as pneumonia or a secondary bacterial infection.
C. Clear, watery drainage from the nose: Clear, watery drainage from the nose is typically associated with viral upper respiratory infections and may not necessarily indicate a complication.
D. Scratchy throat: A scratchy throat is a common symptom of upper respiratory infections and may not necessarily indicate a complication.
Correct Answer is B
Explanation
A. Droplet: Droplet precautions are used for diseases transmitted by large droplets expelled during coughing, sneezing, or talking, such as influenza or pertussis.
B. Contact: Contact precautions are used for diseases transmitted by direct contact with the
patient or indirect contact with contaminated objects or surfaces, such as MRSA or Clostridium difficile (C. diff).
C. Protective: Protective precautions are not a standard category of transmission-based precautions. It is not applicable in this context.
D. Airborne: Airborne precautions are used for diseases transmitted by small particles suspended in the air, such as tuberculosis or measles.
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