The nurse is caring for a client with multiple traumas after a motor vehicle collision.

The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?

a Gloves should be worn during direct contact with the client's skin.

No precautions in addition to standard precautions are necessary.

Handwashing is required before and after contact with the client.

A mask should be worn by anyone entering the client's room.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Gloves should be worn during direct contact with the client's skin. This is a standard precaution that applies to all clients, but especially to those with infectious diseases that can be transmitted through contact. Secondary syphilis is highly contagious and can be spread through direct contact with the skin lesions or mucous

membranes of an infected person.

Choice B rationale: This is incorrect because secondary syphilis requires more than standard precautions to prevent transmission.

Choice C rationale: This is incorrect because handwashing is a basic component of standard precautions and is not sufficient to prevent the spread of syphilis.

Choice D rationale: This is incorrect because a mask is not necessary for contact precautions, unless the client has respiratory symptoms or is undergoing aerosol- generating procedures.

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Correct Answer is C

Explanation

Choice A rationale: Clients with Graves' disease may have increased sensitivity to light due to ocular manifestations like photophobia, so keeping the room well-lit may can cause eye irritation.

Choice B rationale: Encouraging frequent ambulation and exercise may worsen the symptoms of hyperthyroidism, such as tachycardia, palpitations, and tremors.

Choice C rationale: This is because clients with Graves' disease have an increased

metabolic rate and may experience weight loss, muscle wasting, and fatigue. A high- calorie and high protein diet can help prevent these complications and provide adequate nutrition for the client.

Choice D rationale: Placing extra blankets over the client may increase the body temperature and cause heat intolerance, which is another common symptom of Graves' disease.

A. refer to a condition where significant urinary tract obstruction which in severe or long- standing cases can yield to backup of urine into the kidneys B. refer to a condition when direct damage to the kidneys causes a sudden loss in kidney function. C. refer to a condition in which the kidneys stop functioning due to internal kidney disease. D. refer to a condition in which kidney blood flow may become significantly reduced include those in which a significant amount of fluid has been lost.

Correct Answer is D

Explanation

Choice A rationale: This refers to postrenal AKI, which is caused by an obstruction in the urinary tract that prevents urine from leaving the body.

Choice B rationale: This refers to AKI in general and is not specific compared to choice D.

Choice C rationale: This refers to intrinsic AKI, which is caused by damage to the kidney tissue or cells from various causes, such as inflammation, infection, toxins, or ischemia.

Choice D rationale: This is correct because it is pre-renal AKI, a condition in which kidney blood flow may become significantly reduced, including cases where a significant amount of fluid has been lost. This situation suggests potential hypovolemia (low blood volume) due to the massive GI bleed, which can lead to reduced kidney blood flow and subsequent acute kidney injury.

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The nurse is caring for a client with multiple traumas after a motor vehicle collision. The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client with a new diagnosis of Graves' disease. Which of the following interventions does the nurse include in the plan of care?

Correct Answer is C

Explanation

A-55-year old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury?

Correct Answer is D

Explanation

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The nurse is caring for a client with multiple traumas after a motor vehicle collision.

The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?