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Questions 160

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Question 1 of 5

The nurse is providing information to the client diagnosed with genital herpes- Which is the priority information that the nurse should provide to the client?

Correct Answer: D

Rationale: A. Information about females being infected more than males is important, and the client should be informed of this, but this is not the priority. B. Information about the mode of transmission is important, and the client should be informed of this, but this is not the priority. C. Typically in the first year after the diagnosis, the client will have four to five outbreaks, not two to three. D. The priority information to tell the client is that transmission can occur from a partner who does not have a visible sore.

Question 2 of 5

After assessing the client, the nurse initiates the process for reporting the client's STI to the state health agency. Which client has the STI that the nurse is reporting?

Correct Answer: B

Rationale: A. This illustrates acne vulgaris, which is not an STI. B. This illustrates herpes. While herpes simplex may not necessarily be state reportable, it is an STI. By state law, the incidence of some STIs must be reported to the state. C. This illustrates a contact dermatitis; in this client it was caused by nail polish. D. This illustrates candidiasis or thrush. This is not reportable.

Question 3 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. Which oxygen delivery method is most appropriate for this client?

Correct Answer: C

Rationale: A Venturi mask delivers precise oxygen concentrations, which is critical for COPD clients to avoid suppressing their hypoxic drive.

Question 4 of 5

A client diagnosed with a GI bleed has received an order for a blood transfusion. Place the nursing actions in the correct order for administering the blood transfusion.

Order the Items

Source Container

Verify the client's identity and blood product with another nurse.
Obtain the client's baseline vital signs.
Start the blood transfusion at a slow rate.
Monitor the client for transfusion reactions.
Prime the IV tubing with normal saline.

Correct Answer: B,E,A,C,D

Rationale: 1. Obtain baseline vital signs to assess for changes. 2. Prime IV tubing with normal saline to ensure compatibility. 3. Verify identity and blood product to prevent errors. 4. Start transfusion slowly to monitor for reactions. 5. Monitor for transfusion reactions throughout.

Question 5 of 5

An 8-year-old is sent to the school nurse when the teacher notices recurrent staring episodes with frequent blinking. Shortly after an episode, the student is alert and oriented and responds appropriately. Which action by the school nurse is most appropriate?

Correct Answer: C

Rationale: Recurrent staring and blinking suggest possible absence seizures, requiring a medical evaluation, so contacting the parents is appropriate.

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