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Practice Question

A nurse is providing care to a client who has an infection. Which of the following findings is a localized manifestation that the nurse should monitor for?

Answer Choices:

Correct Answer:

Abscess

Rationale:

🔴 An abscess is a hallmark of a localized infection, characterized by swelling, redness, pain, and accumulation of pus in one specific area.

🔴 Localized infections affect a defined tissue or organ, unlike systemic infections that manifest with fever, tachycardia, or confusion.

🔴 The nurse should monitor the abscess for changes in size, drainage, and surrounding tissue inflammation.

🔴 Prompt recognition helps prevent progression into a systemic infection (sepsis).

🔴 This finding requires appropriate wound care and may require incision and drainage.

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This question is from Custom Adult Hlth I Hematology and Immune Test I which contains 51 questions.

More Questions from This Exam
A nurse is providing care to a client who has a skin infection. The client questions the necessity of testing "Why do you need to take a culture? It's clearly infected. Just give me some amoxicillin and let me go home." Which of the following responses by the nurse is most appropriate?

Answer Choices:

A. "The over-prescription of medications like amoxicillin is the reason why there are so many medication-resistant bacteria now. With a skin infection like this, methicillin-resistant Staphylococcus aureus is possible.”
B. "Amoxicillin is usually not the right kind of antibiotic for a skin infection. You are going to need something stronger that can reduce the risk of methicillin-resistant Staphylococcus aureus."
C. "The culture is needed to determine whether the infection is bacterial. If it is bacterial, knowing the kind of bacteria helps the physician determine which antibiotic you need.”
D. "If we do not take a culture and it turns out to be a more serious infection than you think, complications could occur. We need to test to avoid any risk of malpractice.”
From Exam
Custom Adult Hlth I Hematology and Immune Test I

51 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Medical-Surgical
  • Answer Choices: 4
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