Infection

The nurse is administering an ophthalmic ointment to a patient with conjunctivitis. What disadvantage of the application of an ointment does the nurse explain to the patient?

Blurred vision results after application.

What advice should the nurse give a client with a furuncle to prevent the spread of the infection?

Never pick or squeeze a furuncle.

Which organism is responsible for impetigo?

Staphylococcus aureus

The nurse understands that an infection caused by a secondary pathogen, which can occur during prolonged antibiotic therapy, is known as which of the following?

Superinfection

A client is admitted with acute osteomyelitis that developed after an open fracture of the right femur. When planning this client's care, the nurse should anticipate which measure? a. administering large doses of I.V. antibiotics as ordered b. withholding all oral intake c. instructing the client to ambulate twice daily d. administering large doses of oral antibiotics as ordered

a. administering large doses of IV antibiotics as ordered

The term for a reddened circumscribed lesion that ulcerates and becomes crusted and is a primary lesion of syphilis is a(n) a. chancre. b. actinic cheilitis. c. leukoplakia. d. lichen planus.

a. chancre

A client presented to the emergency department of the hospital with a swollen, reddened, painful leg wound and has been diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) cellulitis. The client's physician has ordered a complete blood count and white cell differential. Which blood component would the physician most likely anticipate to be elevated? a. Basophils b. Neutrophils c. Eosinophils d. Platelets

b. neutrophils

Which of the following is the medication of choice for early syphilis? a. Rocephin b. Penicillin G benzathine c. Doxycycline d. Tetracycline

b. penicillin g benzathine

Nursing students are reviewing information about sexually transmitted infections (STIs). They demonstrate a need for additional review when they identify which of the following as an example? a. Chlamydia b. Syphilis c. Shigella d. Human papilloma virus

c. shigella

Painless chancres are associated with which systemic disease? a. Kaposi sarcoma b. Urticaria c. Syphilis d. Psoriasis

c. syphilis

The nurse teaches the parent of a child with chickenpox that the child is no longer contagious to others when a. the rash is changing into vesicles, and pustules appear. b. the fever disappears. c. the vesicles and pustules have crusted. d. the first rash appears.

c. the vesicles and pustules have crusted

Aminoglycoside antibiotics tend to collect in the eighth cranial nerve. The nurse would anticipate that which clinical manifestation may occur from the cranial nerve involvement? a. Inability to swallow b. Slurred speech c. Vertigo d. Blindness

c. vertigo

The mode of transmission of hepatitis A virus (HAV) includes which of the following? a. Blood b. Semen c. Saliva d. Fecal-oral

d. fecal-oral

A client with a urinary tract infection (UTI) has a new prescription for nitrofurantoin. The nurse would question this order if the client has a history of:

renal dysfunction.

The infection control nurse at a large hospital has instituted a new education campaign aimed at reducing the incidence of hospital-acquired pneumonia (HAP). The nurse should identify which client as being particularly susceptible to hospital-acquired pneumonia?

An intubated client who is ventilator dependent following a traumatic head injury

What would be categorized as an anti-infective agent?

Anthelmintics

What would the instructor tell the students purulent fluid indicates?

Infection

What should the school nurse working in the elementary school setting be aware is one of the most frequent health care problems to affect this population?

Infections

What does the nurse recognize as one of the most common postoperative respiratory complications in elderly clients?

Pneumonia

A night-shift nurse receives a call from the emergency department about a client with herpes zoster who is going to be admitted to the floor. Based on this diagnosis, where should the nurse assign the client?

Private room

A client complains of general malaise and fatigue and has a mild fever. The nurse would evaluate this stage of disease as the:

Prodromal stage

Nursing students are reviewing information about sexually transmitted infections (STIs). They demonstrate a need for additional review when they identify which of the following as an example?

Shigella

A patient is receiving chemotherapy with paclitaxel as treatment for ovarian cancer. The patient arrives at the facility for laboratory testing prior to her next dose of chemotherapy. The results are as follows: Hemoglobin: 12.9 gm/dL White blood cell count: 2,200 /cu mm Platelets: 250,000 /cu mm Red blood cell count: 4,400,00/cu mm Which result would be a cause for concern?

White blood cell count

A client is acutely ill with a brain abscess and the family has questioned why the client is not receiving intravenous antibiotics. When providing education to the family, the nurse should explain: a. the structure and function of the blood-brain barrier. b. the lack of blood perfusion in many areas of the brain. c. the role of cerebral spinal fluid (CSF) in pharmacokinetics. d. the effect that macrophages in the CNS have on medications.

a. the structure and function of the blood brain barrier

A client who has tested positive for the human immunodeficiency virus (HIV) gives birth. When she asks whether her baby has acquired immunodeficiency syndrome (AIDS), how should the nurse respond? A. "Your child may have acquired HIV in utero, but we won't know for sure until the child is older." b. "All babies born to HIV-positive women are infected with HIV, but your baby won't have symptoms for years." c. "Don't worry. It's too soon to tell." d."Chances are the baby will be okay because you don't have AIDS yet."

a. your child may have acquired HIV in utero but we wont know for sure until the child is older

A client is admitted with acute osteomyelitis that developed after an open fracture of the right femur. When planning this client's care, the nurse should anticipate which measure?

administering large doses of I.V. antibiotics as ordered

A nurse is caring for a client newly diagnosed with hepatitis A. Which statement by the client indicates the need for further teaching? a. "I'll wash my hands often." b. "How did this happen? I've been faithful my entire marriage." c. "I'll take all my medications as ordered." d. "I'll be very careful when preparing food for my family."

b. how id this happen? ive been faithful my entire marriage

The nurse is providing education regarding sexually transmitted infections. Which statement regarding herpes virus 2 (herpes genitalis) is accurate? a. The virus is very difficult to kill. b. In pregnant women with active herpes, babies delivered vaginally may become infected with the virus. c. Transmission of the virus requires sexual contact. d. Usually, the virus is killed at room temperature by drying.

b. in pregnant woman with active herpes babies delivered vaginally may become infected with the virus

The nurse is monitoring a client's postoperative course after an appendectomy. The nurse's assessment reveals that the client has vomited, has abdominal tenderness and rigidity, and has tachycardia. The nurse reports to the physician that the client has signs/symptoms of which complication? a. Pelvic abscess b. Peritonitis c. Ileus d. Hemorrhage

b. peritonitis

The nurse is caring for a young child who has been admitted to the hospital with pertussis. To prevent the spread of the infection, which of the following is the most important action of the nurse? a. wear gloves when providing care for the child b. provide masks for everyone entering the room c. use eye protection for direct contact with the child d. place the child in a negative pressure room

b. provide masks for everyone entering the room

A client with herpes simplex virus (HSV) encephalitis is receiving acyclovir. To ensure early intervention, the nurse monitors laboratory values and urine output for which type of adverse reactions? a. Hepatic b. Renal c. Musculoskeletal d. Integumentary

b. renal

After teaching a group of nursing students about the different classes of drugs, the instructor determines that the teaching was successful when the students identify drugs that slow or retard the multiplication of bacteria as which types of medication?

bacteriostatic

A nurse is preparing the medical history report of a patient with a urinary tract infection. Which of the following conditions should the nurse identify as one in which the use of cephalosporins is restricted? a. Abdominal cramps b. Headache c. Renal disease d. Aplastic anemia

c. renal disease

The following information is documented on the assessment form for an older adult: Kyphosis Dry mucous membranes Decreased respiratory excursion Urinary incontinence The nurse is reviewing the information and reports which finding to the physician? a. Dry mucous membranes b. Decreased respiratory excursion c. Urinary incontinence d. Kyphosis

c. urinary incontinence

During a follow-up visit, a female client who underwent a mastectomy presents with an infection that requires an antibiotic. She admits she has been doing some gardening. What further instruction and reinforcement of teaching is needed? a. Avoid household chores for at least 6 to 9 months. b. Avoid working in the garden or yard altogether. c. Wear gloves and protective clothing to avoid any injuries. d. Increase the frequency of follow-up visits if she does works.

c. wear gloves and protective clothing to avoid any injuries

Several children in a kindergarten class have been treated for pinworm. To prevent the spread of pinworm, the school nurse meets with the parents and explains that they should: a. have their children immunized. b. not let children share hairbrushes. c. tell the children to cover their mouths and noses when they cough or sneeze. d. tell the children not to bite their fingernails.

d. tell the children not to bite their fingernail

The nurse should teach the client with asthma to avoid which of the most common precipitating factors of an acute asthma attack?

exposure to cigarette smoke

Use caution and arrange to reduce the dose if a monoclonal antibody is combined with any other ________________ drug because severe immune suppression with increased infections and neoplasms can occur.

immunosuppressant

A nurse is teaching parents how to reduce the spread of impetigo. The nurse should encourage parents to:

teach children the importance of proper hand washing.

A client is diagnosed with shigellosis. The nurse teaches the client and family how the disease is transmitted and treated and discusses the need for enteric precautions. The nurse should explain that enteric precautions must be maintained:

until three fecal cultures are negative for Shigella.