Evolve Infectious Disease Questions

A client presents to the emergency department with a fever, headache, loss of appetite, and malaise. The nurse identifies raised red bumps on the client's arms and legs. A diagnosis of chickenpox is made. The client should be placed in a private room with what kind of precautions? Select all that apply.

Contact, Airborne

A client who has been diagnosed with Lyme disease is started on doxycycline (Vibramycin) as part of the therapy. What should the nurse do when administering this drug?

Administer with meal or snack

What is the primary focus of nursing care for a client admitted with tetanus caused by a puncture wound?

Decreasing external stimuli

Isoniazid (INH) is prescribed as a prophylactic measure for a client whose spouse has active tuberculosis (TB). What statements by the client indicate that there is a need for further teaching? Select all that apply.

-wine not cheese -skin test -children in bed

The primary health care provider has prescribed an intravenous (IV) piggyback to be administered every four hours. The prescription is: 1200 mg antibiotic to be added to 50 mL D5W. After the nurse dilutes the powdered medication with the correct amount of saline, the resulting solution contains 1 gram of drug per 3 mL. How much antibiotic solution should be added to the 50 mL of D5W? Record your answer using one decimal place. ___ mL

3.6

The nursing instructor determines that the student nurse understands the type(s) of hepatitis that most commonly are spread by consuming contaminated food and water or by fecal contamination if the student identifies which of the following? Select all that apply.

A, E

A nurse is giving an educational program to paramedics who have volunteered to give the smallpox vaccine in a community vaccination drive. Which type of needle and method of administration should the nurse teach the volunteers to use when administering the smallpox vaccine?

Bifurcated needle for 15 injections within 5 mm

The registered nurse determines that the new graduate understands the type(s) of hepatitis that generally develop into a chronic hepatitis infection if the graduate identifies which of the following? Select all that apply

C, D

A client who is to receive nitrogen mustard as part of a drug protocol for cancer asks how this drug works in the body. Before responding in language the client can understand, the nurse considers the actions of nitrogen mustard, which include:

Combining DNA stands and preventing replication

A client is diagnosed with gastroenteritis. What does the nurse determine is the basic intention underlying the unique dietary management for this client?

Eliminate chemical, thermal, and physical irritation

A nurse is caring for a client with a diagnosis of acquired immunodeficiency syndrome (AIDS). The IV infiltrates and needs to be restarted. What is necessary to protect the nurse when restarting the IV? Select all that apply

Gloves Hand hygiene

Which action should the nurse take when caring for a client with malaria?

Provide nutrition between paroxyms

The nurse understands that the best way to reduce catheter associated urinary tract infections (CAUTIs) in long term indwelling catheters is to do what?

Replace catheter on routine basis

A client arrives for a vaccination at an influenza prevention clinic. A nursing assessment identifies a current febrile illness with a cough. The nurse should:

Reschedule Vaccine until next month

A nurse is precepting a senior level nursing student. The preceptor knows the nursing student understands the concept of screening for sepsis when the student states:

Sepsis mortality is affected greatly by treatments performed in the first 6 hours.

The nurse cares for a client who develops pyrexia three days after surgery. The nurse should monitor the client for which signs and symptoms commonly associated with pyrexia? Select all that apply.

Tachypnea Increased Pulse rate

A nurse is teaching a client about drug therapy against Plasmodium falciparum. What information should the nurse include in the teaching plan?

The infection can generally be eliminated