CH 71

A pregnant patient asks the nurse if it is all right for her take the varicella immunization for entrance into nursing school. What is the best response by the nurse?

"It is not recommended that pregnant women take the live virus. You should wait until after your child is born."

When a hospitalized client requires contact precautions, which responses is necessary?

The client should be placed in a private room when possible.

Which statement reflects what is known about the Ebola virus?

The diagnosis should be considered in a client who has a febrile, hemorrhagic illness after traveling to Asia or Africa.

The school health nurse is conducting a teaching session for parents to provide information about the human papillomavirus (HPV) vaccination. What prevention information should the nurse include in the session?

The effect of the vaccination is optimized if it is administered before the child becomes sexually active.

The nurse is assessing a client in the emergency department who grimaces and reports swelling of the testicles, burning on urination and a green discharge from the penis. The nurse suspects the client will be diagnosed with which infection?

Gonorrhea

The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority?

Impaired Skin Integrity

The nurse is completing the admission assessment on a client with renal failure. The client states, "I was diagnosed with impetigo yesterday." Which is the appropriate nursing intervention?

Initiate contact isolation protocol.

Patients who have had pelvic inflammatory disease (PID) are prone to which of the following complications?

ectopic pregnancy

You are a school nurse teaching a health class about the chain of infection in the transmission of sexually transmitted diseases (STDs). A student asks you which part of the chain of infection can be missing when transmission occurs. What would be your best answer?

"All parts of the chain of infection have to be present for the disease to be passed to another human."

The nurse is seeing a client who came into the sexual health clinic after discovering condylomata along her labia. The client states, "This makes no sense, I don't even know who I got this from and I have been so careful!" What is the nurse's best response?

"It sounds like you are feeling angry. Let's talk more about human papillomavirus (HPV) and strategies to stay healthy while you are being treated."

The nurse is giving an educational talk to a local parent-teacher association. A parent asks how he can help his family avoid community-acquired infections. What would be the nurse's best response to help prevent and control community-acquired infections?

"Make sure your family has all their childhood immunizations."

A client the nurse is caring for has developed a bladder infection while in the hospital. The client has had a Foley catheter for two weeks. The client's family asks you how the client got this infection. What would be the nurse's best response?

"People in hospitals are often more susceptible to infections because they are already ill and they are exposed to germs while they are in the hospital."

An adolescent informs the school nurse that she is afraid of contracting an STI but her boyfriend does not want to use condoms. What is the best response by the nurse?

"The use of condoms is one of the best ways to reduce the risk of acquiring an STI."

A client comes to the emergency department reporting severe diarrhea. The client is pale with dry mucous membranes and poor skin turgor. The nurse would suspect Escherichia coli (E. coli) as the potential cause when the client states which of the following?

"Yesterday for lunch, I ate a hamburger that was on the rare side."

Which of the following medications are used to suppress viral load of the HSV-2 infection?

Acyclovir (Zovirax)

A client comes to the clinic and informs the nurse that he has a "painful area under his armpit." The nurse observes a 2-cm raised area that is erythremic and has a white substance inside of it. What does the nurse suspect the client may be experiencing?

An abscess

A client is admitted with bacterial meningitis. Which hospital room is the best choice for this client?

An isolation room three doors from the nurses' station

A patient is admitted with severe dehydration related to diarrhea. The patient was hiking in the mountains during a camping trip and drank water from a mountain stream without purifying. What does the nurse know is the most likely cause of this diarrhea?

Giardia lamblia

The nurse is caring for a group of clients at a public health clinic. Which sexually transmitted disease would the nurse focus the client education on curative goals?

Chlamydia

The nurse is providing care to a client who has been diagnosed with gonorrhea. The nurse also prepares the client for treatment of which of the following?

Chlamydia

In which group is it most important for the client to understand the importance of an annual Papanicolaou test?

Clients infected with the human papillomavirus (HPV)

Which term refers to a state of microorganisms being present within a host without causing host interference or interaction?

Colonization

SARS is caused by which virus?

Coronavirus

A nurse is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

Foul-smelling discharge from the penis

After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?

Genital herpes

Which of the following is the most effective treatment for trichomoniasis?

Metronidazole (Flagyl)

The nurse is trying to determine if a patient admitted to the hospital the previous day has a bacterial wound infection. What laboratory study should the nurse review to obtain this information?

Microbiology report

The nurse educator identifies the student understands the function of normal flora in the human body when the student makes which statement?

Normal flora compete with potential pathogens and work symbiotically with the host.

A client in the clinic is diagnosed with diarrhea caused by a Campylobacter species. Which instruction should the nurse provide to prevent further episodes?

Properly store and cook meat.

A client is in the acute care facility for the administration of intravenous (IV) antibiotics to treat bacterial pneumonia. The client begins to have severe diarrhea 3 days after the IV antibiotics with abdominal cramping and pain. What does the nurse suspect the client has developed due to the antibiotic use?

Pseudomembranous colitis

Which organism is responsible for impetigo?

Staphylococcus aureus

A client is suspected of sepsis from a postsurgical incision infection. What characteristic of sepsis would the nurse recognize? Select all that apply.

Temperature of 102F Respiratory rate of 24 breaths/minute Heart rate of 120 beats/minute

You work on a long-term care unit. In the last two weeks more than half the clients on your unit have been diagnosed with gastroenteritis. What is the most likely reason?

The infection is being transmitted by healthcare personnel.

After a routine physical exam, a female client is devastated to receive a diagnosis of the sexually transmitted infection, gonorrhea. What would contribute to the client's ignorance of this condition?

being asymptomatic

A client is diagnosed with scabies in a long-term care facility. Which type of client care precautions would the nurse institute?

contact

Which of the following is the gold standard for herpes simplex virus (HSV) diagnosis?

culture

During flu season, a nurse is teaching clients about the chain of infection. What components are considered "links" in this chain? Select all that apply.

infectious agent portal of entry susceptible host

The nurse teaches the parent of a child with chickenpox that the child is no longer contagious to others when

the vesicles and pustules have crusted.

A nurse is assessing a client who may be in the early stages of dehydration. Early manifestations of dehydration include:

thirst or irritability.