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Discussion

Why is this correct?

the rn makes nursing assignments for the burn unit. which of the following indicates the most appropriate assignment for a client with a positive cytomegalovirus (cmv) titer?

[table=class: interaction]

[tr=class: answerchoicerow]

[td][/td]

[td]1. [/td]

[td=class: choicecontent] a nurse with an upper respiratory infection.[/td]

[/tr]

[tr=class: answerchoicerow]

[td][/td]

[td]2. [/td]

[td=class: choicecontent] a young nurse who is 8 weeks pregnant.[/td]

[/tr]

[tr=class: answerchoicerow selectedansstyle]

[td][/td]

[td]3. [/td]

[td=class: choicecontent] a male nurse who is cmv-negative.

[/td]

[/tr]

[tr=class: answerchoicerow]

[td][/td]

[td]4.

[/td]

[td=class: choicecontent correctanswerhighlight1] an older nurse with 30 years of experience.[/td]

[/tr]

[/table]

strategy: determine the nurse with the least risk.

(1) those with a cytomegalovirus-positive titer are often immunosuppressed clients who should be protected from other pathogens

(2) cmv is fetotoxic; should inform client of risks

(3) this nurse is at increased risk for developing the disease

(4) correct--most appropriate option due to decreased risk

a question in kaplan. i answered 3 but why is it wrong? why is the male nurse not accepted? he's cmv negative. isn't the older nurse slightly more at risk?

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    i dont really know why but im thinking because 4 has that long of experience so he knows his safety precautions really well.

    1&2 are immunosuppressed, 3 i have no idea if it matters whether hes negative or positive

  • Quote
    • Author

    but isn't that thinking your way into the question? I mean choice 3 has that fact included in the answer which is he is CMV negative. Idk. This is what I don't like about Kaplan sometimes. Their rationales sometimes are lacking

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    this is what i think:

    *the cmv negative patient doesn't have immunity to the primary infection, so if he were to take care of the patient, he'd be susceptible in developing cmv.

    *the 30 years experienced nurse has probably gotten exposed to cmv (read fact below), therefore she probably has better immunity to cmv

    "[color=#111111]although cmv comes from the same virus family as chickenpox, mononucleosis and herpes, it is usually harmless, and most people don’t even realize they’ve been exposed to it. in the u.s., between 50-85%[color=#111111] of adults will contract cmv by the time they reach the age of 40."

  • Quote
    • Author

    hmm I guess if put that way, that sort of makes sense. Thanks.

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