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 D

Explanation

A. DIC is not a genetic disorder but is often secondary to other conditions.
B. In DIC, platelet count decreases rather than increases.
C. While heparin may be used in the treatment of DIC, it is not a lifelong therapy, and its use depends on the specific clinical situation.
D. DIC involves abnormal coagulation, with consumption of clotting factors and fibrinogen, leading to both bleeding and thrombosis.

A. Turn off fans and heaters. B. Evacuate the entire facility of all residents and staff. C. Close the doors and windows of each resident’s apartment. D. Be sure the fireplaces in each room are burning. E. Place wet towels under the doors.

Correct Answer is ["A","C","E"]

Explanation

A. Turning off fans and heaters can help prevent the circulation of potentially contaminated air.
B. Evacuation may be necessary in extreme cases but should be done following established protocols and considering the safety of residents.
C. Closing doors and windows helps minimize the entry of external air, reducing exposure to potential contaminants.
D. Keeping fireplaces burning may increase the risk of indoor air pollution and is not a recommended action during a chemical disaster.
E. Placing wet towels under doors can help create a barrier to limit the entry of external air and contaminants.

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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 assisting with the care of a client who has septic shock and is at risk for disseminated intravascular coagulation (DIC). Which of the following nursing statements indicates an understanding of the condition?

Correct Answer is D

Explanation

A nurse working in an assisted living facility has been made aware that a chemical disaster has occurred within the community and is a threat to the facility. Which of the following actions should the nurse take? (select all that apply)

Correct Answer is ["A","C","E"]

Explanation

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