QUESTIONS PREMIUM REVIEW
◉ A nurse working in a clinic is caring for a client who states, "I do
not know why I've had a cold sore on my lip since I have had an
infection." Which of the following responses should the nurse make?
Answer: - "It is likely related to a gastrointestinal disorder."
- "Oral herpes lays dormant and can appear during increased stress
or with a weakened immune system."
- "that should never happen, because once you have had herpes, you
are immune from it reoccurring."
- "That is likely not herpes, because it doesn't usually appear on the
lips."
Correct Answer: "Oral herpes lays dormant and can appear during
increased stress or with a weakened immune system."
Rationale: Following exposure to HSV-1, the virus remains dormant
and can reappears later during increased stress or due to a
weakened immune system, such as after a different infection.
◉ A nurse is caring for a client who just finished treatment for their
H. pylori infection. Which of the following should the nurse
, recommend to prevent a recurrent infection? Answer: - "Avoid spicy
foods."
- "Only eat food that is overcooked."
- "Make sure to wash your hands after handling raw fish."
- "Prepare food so that it is slightly undercooked."
Correct Answer: "Make sure to wash your hands after handling raw
fish."
Rationale: Proper hand washing after touching raw goods can
decrease the risk of developing H. pylori infection.
◉ A nurse in the emergency department is caring for a client who
reports severe pain of 10 on a scale from 0 to 10 in their abdomen
that radiates to their back. The client states that the pain started
about 4 hrs ago. They are diaphoretic, anxious, and nauseated. There
is abdominal guarding noted on the exam. The client has a history of
alcohol use disorder and states that they drank "a lot of booze" last
night. Which of the following actions should the nurse take first?
Answer: -Prepare the client for admission to the ICU
-Obtain an order for an anti-emetic medication
-Start a peripheral IV for hydration
-Obtain an order for a fast-acting pain relief medication