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. Mild exercise like gardening may be suitable for some clients with leukopenia, but it is not a specific precaution related to their immune status.

B. Clients with leukopenia have reduced white blood cell counts, making them more susceptible to infections. Avoiding crowds helps reduce the risk of exposure to infectious agents.
C. Monitoring oral temperature weekly is important for early detection of infection.

However, it should be done more frequently, daily and not weekly.

D. While eating plenty of fresh fruits and vegetables is generally beneficial for overall health, a patient with leukopenia is encouraged to eat cooked foods due to their low immunity.

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

A client with leukopenia is being discharged home. Which of the following should the nurse include in the teaching plan for this client?

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 nurse is assisting with the admission of a client who requires droplet precautions due to influenza. Which nursing action should be completed?

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.

A nurse who uses meticulous sterile technique when performing wound care procedures is attempting to control which link in the chain of infection?

A nurse is caring for a client who has a wound infection. Wound cultures identify the infecting organism as vancomycin-resistant enterococci (VRE). Which type of precautions should the health care team initiate?

A client has been diagnosed with mumps as a child, the nurse concluded the client has which type of immunity?

The nurse is assessing a client who has been diagnosed with osteoarthritis. What findings would the nurse anticipate during their assessment?

A nurse is instructing an unlicensed assistive personnel (UAP) on the use of personal protective equipment while caring for clients. Which of the following statements made by the UAP indicates an understanding of standard precaution techniques?

The nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 10mg/1mL. How many mL should the nurse administer? (Round to the nearest whole number and label your answer.)