EAQ Infection

A nurse is caring for a client with scabies. Which information about scabies should the nurse consider when planning care for this client?

Highly contagious

A client who has syphilis tells the nurse that it must have been contracted from a toilet seat. The nurse knows that this cannot be true because of what property of the causative agent of syphilis?

It is inactivated when exposed to a dry environment

During a pelvic examination of a 24-year-old woman, the nurse suspects a vaginal infection because of the presence of a white curdlike vaginal discharge. What other finding supports a fungal vaginal infection?

An itchy perineum

The mother of a school-age child asks the school nurse how her child got head lice. What should the nurse explain to the mother?

Transmission occurs through contact with contaminated children and objects.

A client newly diagnosed with tuberculosis has a productive cough. The most appropriate nursing intervention is to teach the client to do what?

Use disposable tissues

A nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). What precautions should the nurse take when caring for this client?

Use standard precautions

A nurse receives a call from the emergency department about a client with tuberculosis (TB) who will be admitted to the medical unit. What precautions should the nurse take?

Wear a particulate respirator when caring for the client.

Which client is at risk for a postpartum infection?

A woman who required catheterization after voiding less than 75 mL

A nurse is interviewing a female client with a tentative diagnosis of cystitis pending laboratory results. The nurse anticipates that the causative agent of the cystitis is Escherichia coli. Why does the nurse anticipate this microorganism?

It inhabits the intestinal tract

A 4-year-old child develops thrombocytopenia after vaccination. Which vaccination may be responsible?

Measles, mumps, and rubella virus vaccine (MMR

A client is admitted to the hospital for general paresis as a complication of syphilis. Which therapy should the nurse anticipate will most likely be prescribed for this client?

Penicillin therapy

In preparation for discharge, the nurse reviews wound care for a client recovering from a total hip replacement. The nurse identifies that the client understands the instructions when the client makes which statement?

"I will inspect the incision for healing when I change the dressing."

A client with an upper respiratory infection asks the nurse why the health care provider did not prescribe an antibiotic. What would be the best response from the nurse?

"Upper respiratory infections generally are caused by viruses and therefore should not be treated with antibiotics."

A nurse provides discharge teaching related to intermittent urinary self-catheterization to a client with a new spinal cord injury. Which instruction is most important for the nurse to include?

"Wash your hands before performing the procedure."

A client with tuberculosis asks the nurse how long treatment will be continued. What is the nurse's most accurate reply?

6 to 12 months

A practitioner orders doxycycline (Vibramycin) for a sexually active woman with a history of a mucopurulent discharge and bleeding associated with cervical dysplasia, dysuria, and dyspareunia. With which sexually transmitted infection are these clinical findings and medication therapy commonly associated?

Chlamydial infection

A client has a large open abdominal wound. The health care provider's prescription states to cleanse the wound with normal saline, pack the wound with damp gauze, cover with abdominal pads, and secure with Montgomery straps twice a day. What should the nurse do to maintain sterility when changing the dressing?

Cleanse the wound with wet sterile gauze from the center of the wound outward.

A nurse discusses the potential for cross-contamination with the nursing assistants on a surgical unit. The nurse explains that standard precautions are designed to do what?

Decrease the risk of transmitting unidentified pathogens

Which condition refers to the rapid gastric emptying of undigested food from the stomach into the small intestine?

Dumping syndrome

A female client has a history of frequent urinary tract infections (UTIs). To decrease the incidence of the infections, what should the nurse instruct the client to do along with increasing fluid intake?

Empty the bladder every three hours

Before a client with syphilis can be treated, what should be determined?

Existence of allergies

A client is diagnosed as having the hepatitis B virus (HBV). The nurse reviews the client's health history for possible situations in which exposure may have occurred. Which event does the nurse determine is the most likely source of this infection?

Got a small tattoo on the arm 3 months ago

A nurse is teaching Unlicensed Assistive Personnel (UAP) about ways to prevent the spread of infection. It would be appropriate for the nurse to emphasize that the cycle of the infectious process must be broken, which is accomplished primarily through what action?

Handwashing before and after providing client care.

A client scheduled for surgery has a history of methicillin-resistant Staphylococcus aureus (MRSA) since developing an infection in a surgical site nine months ago. The site is healed and the client reports having received antibiotics for the infection. What should the nurse do to determine if the infecting organism is still present?

Obtain an order to culture the client's blood

A nurse instills an antibiotic ophthalmic ointment into a newborn's eyes. What condition does this medication prevent?

Ophthalmia neonatorum