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Physiological Adaptation NCLEX RN Questions Questions

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Question 1 of 5

The nurse is caring for a client in ICU diagnosed with rabies following a bite from an infected raccoon. The nurse understands which to be true regarding rabies? Select all that apply.

A. The client should not be bathed, and no running water should be present within hearing of the client. B. Current treatment includes two doses of immunoglobulin and six doses of rabies vaccine over a period of 21 days. C. Nuchal rigidity, convulsions, and tonic or clonic muscle contractions can occur during the neurological phase. D. In the prodromal phase, the client can have irritability, extreme salivation, sore throat, fever, and hyperexcitability. E. During the neurological phase, the client may have aches and pains in different parts of the body, along with sensitivity to light. F. During the paralytic phase, the client becomes unconscious, has loss of bowel and urinary control, and has irregular or labored breathing.

Correct Answer: A,C,D,F

Rationale: Rabies causes hydrophobia, so avoid running water (
A); neurological phase includes nuchal rigidity/convulsions (
C); prodromal phase has irritability/salivation (
D); paralytic phase involves unconsciousness/incontinence/labored breathing (F). Treatment is one immunoglobulin/four vaccines (
B), and photophobia (E) is less specific.

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Physiological Adaptation NCLEX RN Questions Questions

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Question 1 of 5

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Question 4 of 5

Question 5 of 5

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