The nurse is caring for an 86-year-old client who is reporting inability to concentrate, uneasiness, lightheadedness, weakness, and muscle and joint discomfort. The client also has an elevated pulse, elevated respirations, and a normal temperature. Which of the following statements would be accurate?

Without an elevated temperature, infection is not present.

The client's symptoms are typical of an older adult client.

An infection was present and has dissipated.

An older adult can have an infection without a fever.

Answer and Explanation

The Correct Answer is D

A.   It is possible for an infection to be present without an elevated temperature, especially in older adults.
B.   While some symptoms may be common in older adults, the presence of symptoms alone does not exclude the possibility of infection.
C.   The resolution of infection cannot be determined solely based on the absence of fever.
D.   Older adults may have a blunted fever response to infection, leading to a lack of fever despite the presence of other symptoms.

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Correct Answer is B

Explanation

A. The clinical illness phase refers to the stage when signs and symptoms of the disease are present and identifiable.
B. The incubation period is the time between exposure to a pathogen and the onset of symptoms or signs of illness. In this case, the nurse is awaiting the potential development of infection after exposure to the hepatitis B virus.
C. The prodromal period is the time when initial symptoms begin to appear but are not yet specific or fully developed.
D. The convalescent period occurs after the acute phase of illness when the patient is recovering, which does not apply to the nurse's situation immediately after needlestick exposure.

A. Allow the client to ambulate in the hall B. Apply a N95 mask prior to entering the room C. Stand 6 feet away from the client D. Provide a positive air pressure room

Correct Answer is B

Explanation

A. Allowing the client to ambulate in the hall would not be an appropriate precaution for airborne precautions.

B. This is an appropriate precaution to prevent the nurse from inhaling airborne pathogens.
C. While maintaining distance may help reduce the risk of transmission, wearing appropriate personal protective equipment is essential.
D. Providing a positive air pressure room is not typically a nursing precaution but rather a facility consideration for isolation rooms.

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Naxlex Comprehensive Predictor Exams

While administering an IM, the nurse accidentally stuck themselves with a dirty needle. The nurse has not completed their Hepatitis B series. Which of the following stages would this nurse be placed?

Correct Answer is B

Explanation

A nurse is planning care for a client who has been placed on airborne precautions. Which of the following in an appropriate nursing precaution?

Correct Answer is B

Explanation

A client had a right knee replaced 4 days ago. The client returns with an elevated temperature for the past 24 hours. Which assessment would the nurse prioritize?

A client is admitted with a severe allergic response to a bee sting. Which lab would the nurse expect to be the most elevated on the white blood count (WBC) differential?

A nurse is completing a head-to-toe assessment on a client who is 3 days post-operative from a right mastectomy. Which of the following should the nurse recognize as a sign of possible infection? Select all that apply.

The nurse is caring for a client who was recently diagnosed with Ankylosing Spondylitis. Which of the following symptoms would the nurse expect in this client?

The health care provider ordered a urine specimen for culture and sensitivity. After the nurse collects the specimen, the client asks, "When will I know the results of the test?" Which of the following is the best response?

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