Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

Dry crust on the incision line

Adventitious breath sounds

Increased urine output

Decreased level of consciousness

Oral temperature of 38.3° C (101° F)

Answer and Explanation

Correct Answer : B,D,E

A.   Dry crust on the incision line may indicate normal healing, not necessarily infection.
B.   Adventitious breath sounds can be indicative of pneumonia, a potential infection.
C.   Increased urine output is not a sign of infection but may suggest other issues.
D.   Decreased level of consciousness suggests a systemic issue, which could include infection affecting the central nervous system.
E.   Oral temperature of 38.3° C (101° F) indicates fever which is a common sign of infection.

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Correct Answer is A

Explanation

A. Influenza vaccines are typically produced using eggs, and individuals with egg allergies may react to the vaccine. However, there are egg-free alternatives available, and consultation with an allergist is recommended in such cases.
B. Polio vaccines do not contain egg proteins and are safe for individuals with egg allergies.=
C. Hib vaccines are not contraindicated for individuals with egg allergies.
D. Hepatitis B vaccines do not contain egg proteins and are generally safe for individuals with egg allergies.

Correct Answer is ["100"]

Explanation

To answer this question, we need to use the formula:

IV flow rate (gtt/min) = (Volume to be infused in mL x Drop factor in gtt/mL) / Time of infusion in minutes

Plugging in the given values, we get:

IV flow rate (gtt/min) = (100 mL x 60 gtt/mL) / 60 min Simplifying, we get:

IV flow rate (gtt/min) = 100 gtt/min

Therefore, the nurse should set the IV flow rate to deliver 100 gtt/min.

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Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer immunizations to a patient who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations?

Correct Answer is A

Explanation

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min.The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

Correct Answer is ["100"]

Explanation

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