Infection Quiz

th ensure is providing instruction to a parent of a child with influenza. which statement by the parent indicates the need for further instruction? 1. "ill manage the fever with baby aspirin" 2. "we'll make sure to get a flu shot next season" 3. "providing fluids will help relive the symptoms" 4. "staying home from school will prevent transmission"

1

which medication would the nurse consider is causing difficulty hearing in a client with a history of tuberculosis? 1. streptomycin 2. pyrazinamide 3. isoniazid 4. ethambutol

1

a 2 yo toddler has hearing loss caused by recurrent otitis media. which treatment would the nurse anticipate that the practitioner will recommend? 1. eardrums 2. myringotomy 3. mastoidectomy 4. steroid therapy

2

a primary health care provider diagnoses the client's condition as otitis media. which assessment finding supports that diagnosis? 1. nodules on the pinna 2. redness of the eardrum 3. lesions in the external canal 4. excessive cerumen in the external canal

2

the nurse completes medication reconciliation in preparation for discharge of a client recovering from osteomyelitis and a ruptured Achilles tendon. for which medication would the nurse contact the primary health care provider? 1. gentamicin 2. levofloxacin 3. acetaminophen 4. cyclobenzaprine

2

when a client is diagnosed with pneumonia, which finding would the nurse expect when assessing the chest? 1. hyper resonance to percussion 2. increased tactile (vocal) remits 3. Cheyenne-Stokes respiratory pattern 4. vesicular sounds over all lung fields

2

a new mother asks the nurse why medicine is being put in her baby's eyes. which infection would the nurse tell the mother it is given to prevent? 1. chlamydia 2. candidiasis 3. streptococcus 4. staphylococcus

1

the nurse is obtaining the health history of a 7 month old infant who has had repeated episodes of otitis media. which question is most important for the nurse to include in the interview with the mother? 1. "please describe how you position your child during feedings" 2. "tell me how often your child has had ear infections" 3. "what medicine do you give your child for the ear infections" 4. "please describe your oral health practices"

1

when palpating the chest during a respiratory assessment, which finding would the nurse expect in a client with pneumonia? 1. bilateral decreased chest expansion 2. increased remits over the affected area 3. tracheal deviation away from the affected side 4. decreased chest expansion on the affected side

2

which condition may be present in the client with a neutrophil count of 12,000 mm? 1. influenza 2. pneumonia 3. immunosuppression 4. autoimmune disorder

2

which infection would the nurse identify as requiring a client to be placed on droplet precautions? 1. human immunodeficiency virus (HIV) 2. influenza 3. tuberculosis (TB) 4. methicillin-resistant staphylococcus aureus (MRSA)

2

sterile warm saline soaks three times a day are prescribed for a client with cellulitis form a puncture wound. the primary nurse places a clean basin, washcloth, and protective pad at the bedside in preparation for the soak but is unable to continue the procedure. which step would the new nurse assigned to complete the soak do? 1 continue the procedure as started 2. collect new supplies before starting 3. discuss the type of soak with the primary health care provider 4. report the primary nurse to the unit's nurse manager

2

which action would the occupational health nurse take after a tuberculin skin test (TST) on a nurse working in the emergency department revealed an 11-mm induration? 1. plan for a repeat TST in 1 year 2. schedule the nurse for a chest x-ray 3. ask the nurse to provide sputum specimens 4. teach about the multiple drug treatment regimen

2

which response would a nurse give when a client asks what to expect when beginning treatment for tuberculosis? 1. "therapy will last a few weeks" 2. "therapy will occur over two phases" 3. "therapy will involve one medication" 4. "therapy will require monitoring kidney function"

2

which statement made by the nurse will be most significant when teaching strategies to reduce the risk for developing antibiotic-resistant infections? 1. "wash your hands frequently with warm soapy water" 2. "do not skip any prescribed doses of your antibiotics" 3. "do not save unfinished antibiotics for later use" 4. "do not stop takin the antibiotics when you feel better"

2

which clinical manifestation would lead the nurse to contact the health care provider regarding the potential development of acute osteomyelitis? (select all that apply) 1. presence of a foot ulcer 2. temperature of 102F 3. erythema of the affected area 4. tenderness of the affected area 5. drainage from the affected area

2, 3, 4

a woman who is 34 weeks pregnant is hospitalized for pyelonephritis. which assessments would the nurse include in the plan of care? (select all that apply) 1. Homan sign 2. urine output 3. temperature 4. dietary sodium 5. blood pressure 6. uterine contractions

2, 3, 5, 6

which diagnostic tests would the nurse expect the primary health care provider to prescribe to confirm the diagnosis of urinary tract infection in a client recovering from deep partial-thickness burns who develops chills, fever, flank pain, and malaise? 1. cystoscopy and bilirubin level 2. specific gravity and pH of the urine 3. urinalysis with a urine culture and sensitivity 4. creatinine clearance and albumin/globulin (A/G) ratio

3

which intervention is most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client? 1. pouring warm water over the perineum 2. ensuring the patency of the catheter 3. removing the catheter within 24 Horus 4. cleaning the catheter insertion site

3

a child is prescribed tetracycline. the nurse understands which possible medication-related reaction is associated with this medication? 1. kernicterus 2. gray syndrome 3. reye syndrome 4. staining of teeth

4

a client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. which type of room would the nurse assign this client? 1. private room 2. semiprivate room 3. room with windows that be be opened 4. negative-airflow room

4

which diagnostic testing would a nurse focus on when caring for a client is isoniazid therapy for tuberculosis? 1. creatinine 2. hearing tests 3. electrocardiogram 4. liver function tests

4

which priority nursing intervention would the nurse implement when caring for a client with pneumonia? 1. increase fluid intake 2. instruct client on breathing exercises and controlled coughing 3. encourage client to ambulate as much as possible 4. maintain a nothing-by-mouth (NPO) status

2

when preparing the assess a client with clostridium difficile, which piece of personal protective equipment would the nurse put on before entering the client's room? 1. head covering 2. clear eye mask 3. full plastic gown 4. N95 respiratory mask

3

which action of a female client after teaching on prevention of urinary tract infections indicates need for additional teaching? 1. drinking yeast-active milk 2. wearing loose-fitted clothes 3. taking a frequent bubble baths 4. using hosiery with a cotton crotch

3

which medication turns urine reddish-orange in color? 1. amoxicillin 2. ciprofloxacin 3. nitrofurantoin 4. phenazopyridine

4

a 5 yo child is given fluoroquinolones. which potential adverse effect unique to pediatric clients would the nurse anticipate? 1. tendone rupture 2. cartilage erosion 3. staining of developing teeth 4. central nervous system toxicity

1

a client who has been receiving treatment for osteomyelitis reports hives, mouth sores, and bloody diarrhea. which medication would the nurse expect to see in the client's medication administration record? 1. cefazolin 2. neomycin 3. tobramycin 4. ciprofloxacin

1

a parent of three young children has contracted tuberculosis. which medication would the nurse anticipate being prescribed for members of the family who have been exposed? 1. isoniazid 2. multiple-puncture test 3. bacille calmette-guerin 4. tuberculin purified protein derivative

1

which clinical manifestation is associated with cellulitis? 1. lymphadenopathy 2. occasional papules 3. vesicles that evolve into postures 4. isolated erythematous pustules

1

which assessment findings are systemic manifestations of acute osteomyelitis? (select all that apply) 1. malaise 2. restlessness 3. night sweats 4. warmth at the infection site 5. swelling at the infection site

1, 2, 3

which information will the employee health nurse include when teaching about ways to prevent transmission of influenza in the workplace? (select all that apply) 1. sneeze or cough into the upper sleeve 2. avoid use of over-the-counter antihistamines 3. use alcohol0based hand sanitizers after blowing the nose 4. turn the head away from others when coughing or sneezing 5. antiviral medications are the most effective means of transmission prevention

1, 3, 4

which clinical manifestation is associated with a diagnosis of tuberculosis? (select all that apply) 1. diarrhea 2. anorexia 3. weight gain 4. hemoptysis 5. night sweats

2, 4, 5

a 2 yo exhibits a runny nose and cough after being administered a vaccine via the intranasal route. which vaccine was administered to the child? 1. rotavirus 2. inactivated influenza 3. live attenuated influenza 4. haemophilus influenza type B

3

the nurse is providing preoperative teaching to the parents of a toddler who is to undergo myringotomy. the nurse explains that the type of infection most common in children that are prone to otitis media is which type of organism? 1. viral 2. fungal 3. bacterial 4. Rickettsial

3

which finding in the older adult client is associated with a urinary tract infection (UTI)? (select all that apply) 1. dysuria 2. urgency 3. confusion 4. incontinence 5. slight rise in temperature

3, 4, 5

the nurse creates a plan of care for a client with a risk infection. which is the desirable expected outcome for the client? 1. all nursing functions will be completed by discharge 2. all invasive intravenous lines will remain patent 3. the client will remain awake, alert, and oriented at all times 4. the client will be free of signs and symptoms of infection by discharge

4

when a client in the picnics is offered the influenza vaccine and state, "I had the vaccination already last year, so I went need it now," which response will the nurse give? 1. "the flu vaccine is recommended for everyone" 2. "you only need 1 flu shot in your lifetime to achieve immunity" 3 "as long as you are younger than 50 years old, you will not really need vaccination" 4. "th immunization changes, so you need to get vaccine annually to stay protected".

4

when preparing to assess a client with active tuberculosis, which piece of personal protective equipment would the nurse put on before entering the client's room? 1. isolation gown 2. surgical mask 3. show covers 4. N95 respiratory mask

4

when teaching a group of older adults about differences between the common cold and influenza, the nurse would educate the clients that it is most important to communicate with the healthcare provider about which symptom? 1. earache 2. sneezing 3. nasal stuffiness 4 elevated temperature

4

an older client with shortness of breath is admitted to the hospital. the medical history reveals a diagnosis of pneumonia 3 days ago. which vital sign assessment would be seen as a sign that the client needs immediate medical attention? 1. oxygen saturation: 89% 2. body temperature: 101 F 2. blood pressure: 130/80 mmHg 4. respiratory rate: 26 breaths/minute

1

which evidenced-based nursing intervention links to reducing catheter associated urinary tract infection (CAUTIs) in client requiring long--term indwelling catheters? 1. perform catheter care twice a day 2. replace the catheter on a routine basis 3. administer cranberry tablets three times a day 4. administer prophylactic anitbiotics twice a day for the duration of the catheter

1

which statement indicates effective discharge teaching for a client with osteomyelitis? (select all that apply) 1. "I will take the antibiotic at the same time every day" 2. "I will take the antibiotic regularly until my symptoms subside" 3. "I will take the antibiotic with food if I develop gastric distress when on the antibiotic" 4. "I will notify my health care provider and stop taking the medication if I develop a rash or shortness of breath" 5. "I will need to change my diet to avoid milk and milk products while on these antibiotics"

1, 3, 4

which complication would the nurse recognize as associated with frequent episodes of otitis media in infants? (select all that apply) 1. mastoiditis 2. heart failure 3. hearing loss 4. gastroenteritis 5. bacterial meningitis

1, 3, 5

which action would be used to decrease risk for postoperative respiratory complications in an older client with decreased viral capacity? 1. give prescribed intravenous antibiotic 2. administer oxygen per nonrebreather mask 3. teach the client coughing and deep-breathing exercises 4. keep the client on the mechanical ventilation for several days

3

which category of isolation would the nurse implement for a client who is positive for clostridium difficile? 1. airborne precautions 2. droplet precautions 3. contact precautions 4. protective environment

3

which intervention would the nurse perform to prevent disease transmission when caring for a hospitalized client with influenza? 1. dispose of all sharps 2. administer antibiotics 3. don a surgical mask in the room 4. wear sterile gloves

3

which prescribed intervention would the nurse question for a client who has just been diagnosed with influenza after having symptoms for 4 days? 1. loratidine 2. ibuprofen 3. oseltamivir 4. acetaminophen

3

which should the nurse include when teaching a client with clostridium difficile about decreasing the risk of transmission to family members? 1. increase fluid intake 2. eat a high-fiber diet 3. use soap and water for hand washing 4. wash hands with an alcohol-based hand sanitizer

3

which topic would the nurse incline when teaching a client who is being treated for active tuberculosis and has a productive cough? 1. reasons to avoid going outside 2. need for continued hospitalization 3. use of disposable tissues when coughing 4. benefits of attending community events

3

which assessment finding for a client with pneumonia would be most important for the nurse to communicate to the health care provider? 1. cough productive of rust-colored sputum 2. sharp chest pain with deep inspiration 3. oral temperature of 103 F 4. respiratory rate of 38 breaths per minute

4

which client would the nurse suspect has symptoms of influenza? 1. headache, nasal irritation, sneezing, nasal congestion, watery drainage form the nose, itchy and watery eyes 2. pain over the cheek, pain to the back of the head, general facial paint that worsens while bending forward, purulent nasal drainage, fever 3. through soreness and dryness, throat pain, pain on swallowing, difficulty swallowing, fever 4. headache, muscle aches, fever, chills, pain to the back of the head

4

which factor would the nurse consider when the parent of a 10 month old infant expresses frustration that this is the baby's third otitis media in 3 months? 1. analgesics are contraindicated 2. oral antibiotics will be prescribed 3. the labyrinth and cochlea are inflamed 4. the Eustachian tube is short and horizontal

4

which medication is the first-line medication used to treat a client with mild diarrhea who is diagnosed with a clostridium difficile infection? 1. rifaximin 2. fidaxomicin 3. vancomycin 4. metronidazole

4

which response by the nurse would be the best explanation to give to a client with cellulitis of the leg who asks why bed rest has been prescribed to prevent sepsis? 1. "bed rest will decrease catabolism to promote healing at the site of injury" 2. "bed rest will lower your metabolic rate in an attempt to help reduce the fever" 3. "bed rest will reduce the energy demands on your body in the presence of infection" 4. "bed rest limits muscle contractions that ,may force bacteria into the bloodstream"

4

which statement by a client about sulfonamide use for a urinary tract infection would the nurse review for correction? 1. "I will avoid the sunlight" 2. "I will increase my fluid intake" 3. "I will let my doctor know if I develop a rash" 4. "I will stop taking the medication when my symptoms subside"

4