NUR 106 Quiz #3

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Which can be used for rehydration therapy for diarrheal disorders? Gelatin Oral rehydration salts (ORS) Undiluted apple juice Sports drinks

Oral rehydration salts (ORS) Chapter 71: Management of Patients With Infectious Diseases - Page 2145

A client who was bitten by a wild animal is admitted to an acute care facility for treatment of rabies. Which type of isolation does this client require? Enteric Respiratory Strict Contact

A client who was bitten by a wild animal is admitted to an acute care facility for treatment of rabies. Which type of isolation does this client require? Chapter 71: Management of Patients With Infectious Diseases - Page 2131

The nurse is working on a gerontology unit. A family member calls and tells the nurse they want to bring the family in to see one of the clients on the unit. The family member is concerned because several of the family members have colds. What instructions should the nurse provide to someone with a respiratory infection? Avoid visiting older adults. Avoid direct sunlight. Avoid intake of frozen foods. Avoid meats and other protein-rich foods.

Avoid visiting older adults.

A client comes to the emergency department complaining of sudden onset of diarrhea, anorexia, malaise, cough, headache, and recurrent chills. Based on the client's history and physical findings, the physician suspects legionnaires' disease. While awaiting diagnostic test results, the client is admitted to the facility and started on antibiotic therapy. What's the drug of choice for treating legionnaires' disease? Amantadine (Symmetrel) Rifampin (Rifadin) Amphotericin B (Fungizone) Azithromycin (Zithromax)

Azithromycin (Zithromax) Chapter 71: Management of Patients With Infectious Diseases - Page 2152

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

Colonization Chapter 71: Management of Patients With Infectious Diseases - Page 2125

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 Genital herpes HPV HIV

Chlamydia Chapter 71: Management of Patients With Infectious Diseases - Page 2148

Which of the following describes microorganisms present without host interference or interaction? Infection Reservoir Colonization Infectious disease

Colonization Chapter 71: Management of Patients With Infectious Diseases - Page 2125

A client who has developed a painless penile ulcer is diagnosed with syphilis. What treatment would physician prescribe? oral penicillin G; single dose IV penicillin G; single dose IV tetracycline IV penicillin G; multiple dosing

IV penicillin G; single dose Chapter 71: Management of Patients With Infectious Diseases - Page 2147

A client has been admitted with diarrhea. He has mild dehydration (less than 5%). The nurse is reviewing the laboratory report of the stool specimen, as indicated in the following: WBC: Mildly elevated RBC: Few Bacteria: Positive for Escherichia coli Ova and parasites: Negative Based on the laboratory report, what should the nurse do first? Clean and protect the anal area. Start an I.V. infusion. Instruct the family to wash all family bed linens in hot water. Institute enteric precautions.

Institute enteric precautions. Chapter 71: Management of Patients With Infectious Diseases - Page 2131

A patient presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole (Flagyl). What is the paramount nursing intervention in discharge planning? Counsel the patient to refrain from sex for 1 week. Instruct the patient not to drink alcohol with this treatment.

Instruct the patient not to drink alcohol with this treatment. Chapter 71: Management of Patients With Infectious Diseases - Page 2144

Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis? Latency Secondary Primary Tertiary

Latency Chapter 71: Management of Patients With Infectious Diseases - Page 2147

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. The clients don't wash their hands after going to the bathroom. The visitors brought the disease into the unit. The clients are in too small an area, so they pass around diseases.

The infection is being transmitted by healthcare personnel. Chapter 71: Management of Patients With Infectious Diseases - Page 2125

Which of the following are risk factors for the development of a sexually transmitted disease (STD)? Select all that apply. Starting sex at a late age Over 30 years of age Unprotected sex Prostitution Multiple partners

Unprotected sex Prostitution Multiple partners *No text Reference

After demonstrating to a group of nursing students the proper technique for handwashing using soap and water, the nursing instructor determines that the teaching has been successful when the students demonstrate which of the following? Washing the hands for 5 to 10 seconds Vigorously scrubbing between the fingers Washing underneath artificial fingernails Removing the soap with a paper towel before rinsing

Vigorously scrubbing between the fingers Chapter 71: Management of Patients With Infectious Diseases - Page 2129

The nurse is caring for a client who has just been diagnosed with chlamydia and is very upset. The client says, "I don't understand this. The person I had sex with did not have any symptoms at all. How could I have known?" What is the best response by the nurse to this client? "It is really important that you know the sexual history of every potential lover. It may be uncomfortable but it will prevent the situation you are dealing with right now." "Many people with chlamydia won't have symptoms for up to 3 weeks after being infected." "I think you realize that if you had used some form of a barrier protection such as a condom, it would have helped prevent this situation." "It is very hard to see signs of infection in the heat of passion."

"Many people with chlamydia won't have symptoms for up to 3 weeks after being infected."

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." "People in hospitals sometimes exhibit signs of infections they had before being admitted." "Sometimes people in hospitals get exposed to microorganisms that their visitors bring in." "People in hospitals are surrounded by infectious agents, so they can get infections they didn't have before being admitted."

"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." Chapter 71: Management of Patients With Infectious Diseases - Page 2137

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? "You are too young to be having sex at all." "If he won't use a condom, then he doesn't care about you." "The use of condoms is one of the best ways to reduce the risk of acquiring an STI." "I can understand your concern and you should bring him here so that I can talk with him about STIs."

"The use of condoms is one of the best ways to reduce the risk of acquiring an STI." Chapter 71: Management of Patients With Infectious Diseases - Page 2149

A client with gastroenteritis is admitted to an acute care facility and presents with severe dehydration and electrolyte imbalances. Diagnostic tests reveal the Norwalk virus as the cause of gastroenteritis. Based on this information, the nurse knows that: enteric precautions must be continued. enteric precautions can be discontinued. the client requires an antiviral agent. the client's infection may be caused by droplet transmission.

enteric precautions must be continued. Chapter 71: Management of Patients With Infectious Diseases - Page 2144

An 82-year-old client is admitted to the hospital with a diagnosis of pneumonia. The nurse learns that the client lives alone and hasn't been eating or drinking properly. When assessing the client for dehydration, the nurse would expect to find: tachycardia. distended jugular veins. hypertension. hypothermia.

tachycardia Chapter 71: Management of Patients With Infectious Diseases - Page 2142

A nurse is teaching a client with genital herpes. Education for this client should include an explanation of: the importance of informing his partners of the disease. the need for the use of petroleum products. the option of disregarding safer-sex practices now that he's already infected. why the disease is transmittable only when visible lesions are present.

the importance of informing his partners of the disease. Chapter 71: Management of Patients With Infectious Diseases - Page 2149


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