CHN CE2

Flexion of hip and knees with passive flexion of the neck

A client is admitted with a diagnosis of meningitis, Which finding would the nurse expect while assessing the client?

Petechial rashes

A frequent presenting sign in meningococcal meningitis / meningococcemia is:

Hands

A mother asks the nurse, "How did my children get pinworms?" the nurse explains that pinworms are most commonly spread by which of the following when contaminated ?

14 days

Observation of the suspected animal infected with rabies should last until:

Tetanus

Risus sardonicus, trismus, and rigidity of the abdominal muscles is pathognomonic of

Inaability of the child to extend the legs fully when lying supine

A mother brings the child to the health care clinic. The child has been complaining of severe headaches and has been vomiting. The child has a high fever, and the nurse notes the presence of nuchal rigidity in the child. The nurse suspects a possible diagnosis of bacterial meningitis. The nurse continues to assess the child for the presence of Kernig's sign. Which finding would indicate the presence of this sign.

Rifampin

A patient to the patient's immediate family members and the following drugs should be given prophylactically Coccobacilli that grows on Chocolate agar, Which of puncture reveals CSF with Gram-negative reveals a recent upper respiratory infection. Lumbar present with signs of meningitis. History contacts?

I drank lemonade from the roadside while on this trip

After business trip to an underdeveloped country 3 weeks ago, Patient C is diagnosed with hepatitis A. In completing the assessment, Nurse Rhy might expect which of the following responses to be most likely associated with the client's contracting of the disease?

Increased pressure , protein and decreased glucose

To confirm the diagnosis, the doctor performed lumbar puncture. The result that would indicate that the cause of the disease is more of bacterial in origin would be

assess the injury, vital signs, and past health history

An 8-year-old boy arrives with his mother at the emergency department after being bitten by a stray dog. There is a bleeding soft tissue injury on the inner aspect of the left forearm. The first nursing action would be

Chloramphenicol

As a nurse you know that the drug of choice for typhoid fever is:

Educate the public on the advantages of immunization

As a rural health nurse, your most important function in polio prevention is to:

Sanitary disposal of human feces and maintenance of fly proof latrine

As a student nurse you know that the spread of typhoid fever can be controlled by:

Institute standard precautions

A child is admitted to the pediatric unit with the diagnosis of severe gastroenteritis Which of the following would be most appropriate for the nurse to do?

Institute droplet precaution

A child with meningococcal meningitis seen in the emergency department is to be admitted to the pediatric unit. In preparation for the child's arrival, the nurse would expect to do which of the following first?

Monitor changes in intracranial pressure

15 months old Female, Client U is admitted to the hospital with a temp of 39 C, petechiae, and purpuric lesions on her skin. A diagnosis of meningococcemia is established. In planning for Client's U care, the nurse priority is

Inability to suck following stiffness of the body and or convulsion

A 4 day old neonate has a diagnosis of Tetanus. As the attending nurse to this patient you will suspect that the client has neonatal tetanus if the neonate has history of which of the following:

Rose Spot

A 40 year male client has typhoid fever and client ask you what the pathognomonic sign for Typhoid fever is. Your correct statement is based on your knowledge that the unique sign in typhoid fever is:

d all of these questions

A 7 day old child is brought to the health center because of inability to suck since yesterday, You suspect that this is a case of neonatal tetanus, As you asses the child which of the questions will you ask the mother in order to confirm your suspision? A. Did the child normally suck and cry 2-4 days before she was brought to the center? B. Did the child have convulsion? C. Have you observed stiffness of the child's body D. all of these questions

After 4 weeks

Baby E receives the first dose of his polio vaccine in April 1, 2023. When will he come back for his second dose?

Sexual transmission

Badong is engaging in MSM , which of the following Mode of transmission he acquired the Disease?

Vibrio cholera

Chito, a student nurse knows that the etiology of Cholera is:

Doxycycline

Cholera is one of the most common Enteric Infection. The first line drug in treatment of cholera is :

Keep room dark and quite

Client L with Teatnus has Opisthotonus and spasms. During the acute phase of tetanus, how can spasms be prevented?

Reducing environmental stimuli

Client U is acutely ill. Which of the following measures will be essential for the nurse to incorporate in Julia's care?

Rice watery stools

During assessment, you can confirm cholera as a your diagonosis if the stool is?

vomiting

During the early symptoms of poliomyelitis, the client usually suffers from

Blood streaked mucoid stool

During your assessment to Patient L who is diagnose with amoebiasis you know that the characteristics stool :

Tetanus immunization of pregnant mothers

Earliest prevention of Tetanus neonatorum is:

Hepatitis A

Infectious hepatitis is also known as

Leashed immediately & observed for 10 days

If a dog bites a person, it should be

All of these measures

If you were to conduct on the seminar on the prevention and control of tetanus neonatorium for your new midwives, which of the following should be given emphasis? A. Methods equipments and techniques of asepsis in childbirth B. Education of mothers on the practice of asepsis in the care of umbilical stamp C. Education of birth attendants on the practice of strict D. All of these measures

Invasive Diarrhea

Lito is experiencing painful diarrhea with blood and pus in the stool, This type of Diarrhea is:

Decorticate rigidity

MC, a 26-year-old female, developed fever, chills & body malaise for 5 days. On the 7th day of illness, she developed convulsions & was rushed to a tertiary hospital. As an ER nurse in that hospital, you noticed that the patient's upper & lower extremities are in a flexed position. You very well know that this is

Feces

Nurse Rhy plans care for the client with Hepatitis A with the understanding that the causative virus will be excreted from the client's body primarily through the:

Metabolic Acidosis

Mr. D., a 28 year old client of barangay D is admitted to the hospital with complaints of diarrhea, diagnosis Cholera. Which acid / base imbalance would the nurse expect the client to have?

Respiratory tract spasms

Mr. F, 34 years old, is admitted to the hospital with wound that is swollen and painful. The diagnosis is tetanus. The nurse should observe Mr. F for symptoms of tetanus that could be life-threatening. The nurse should assess for:

Tetanus toxoid

Nurse Fer is aware that one of the following vaccines is done by intramuscular (IM) injection?

Painful passage of stool

Nurse Kim knows that Tenesmus means?

Tell the family members to wash their hands frequently

Nurse Rhy develops a teaching plan for the client about how to prevent the transmission of hepatitis A. Which of the following discharge instructions is appropriate for the client

Wearing gloves when giving direct care

Nurse Rhy is planning a staff development program for health care staff on how to care for the clients with hepatitis A. Which of the following precautions would the nurse indicate as essential when caring for clients with Hepatitis A

Salmonella typhi

One of the Epidemic Diseases when flood occur is Typhoid fever. The pathogenic organism of typhoid is :

Eating improperly cooked crabs

Paragonimiasis is acquired through :

Regular habit of handwashing

Parasitism can be prevented by developing among children :

"The incubation period varies depending on the site of the bite."

Patient E asked the nurse regarding the incubation period of rabies. Which of the following statements made by the nurse is appropriate?

"You should receive immunization for rabies & tetanus as soon as possible."

Patient E, a 35-year-old female was bitten by a stray dog on the left hand. She sought an advice of the nurse in the health center. The best response of the nurse is

Increased urinary output

Patient J who is diagnosed with encephalitis is being treated with mannitol Which of the following treatment with mannitol has been effective for a patient outcomes should indicate to a nurse that patient who has increased intracranial pressure?

Fever and rose spots on the trunk

Patient K is a 40 years old, was referred to you by one of your staff. He is sick of typhoid fever. The typical symptoms that you can expect to see Patient K are the following:

increasing the immunization coverage of women of child - bearing age with tetanus toxoid .

Prevention of tetanus neonatorum can be achieved through:

Airborne spread

Psyphillis Rabies can be transmitted through the following except:

All these are appropriate preventive measures

To prevent schistosomiasis in an endemic community , the community health nurse should advice members of the community to A. Use safe water B. Use sanitary toilets C. Avoid washing, bathing or laundering in infected water D. All these are appropriate preventive measures

Rhabdoviridae

Rabies remains a health problem in our country. Which of the following is the, causative agent of rabies?

Snail

Schistosomiasis is an endemic disease that can be found in various places here in the Philippines . The intermediary host of Schistosomiasis is:

Hypovolemia

Severe complication of Cholera after experiencing Continuous Diarrhea is:

Observe her frequently for signs of photophobia and hyperreflexia

She was started with antibiotic and sulfonamides. Since Client U is receiving sulfonamides, it is important for the nurse to include which of the following measures in her daily care?

Bacillary dysentery

Shigellosis is also known as :

Cover IV bottle with brown paper bag

Sight & sound of water as well as drip of the faucet disturb a patient with rabies. Which of the following should the nurse do first in taking care of a patient with rabies?

Metronidazoie

Situation : Badong, A 45 year old male client experienced severe loose bowel movement and was rushed at the hospital. Prior admission he was complaining of constipation and tenesmus. Diagnosis : Acute Amoebiasis What is the Drug of choice to badong prior admission to the hospital

Opisthotonus

Tetanus is characterized by muscular contractions. One of its symptoms is arching of the back l. This is also known as:

3rd month

The DOH program for the control of rabies is Responsible pet ownership, pets must be immunized as early as:

Poliomyelitis

The assigned nurse reiterated before a mother's class on important points of her lecture. She tells them that a viral disease cause by one of the smallest human viruses that infect the motor cells of the anterior horn of the spinal cord is:

Rendering physical therapy exercises to limit atrophy

The best nursing intervention in the case of a client with paralysis of lower extremity due to poliomyelitis is:

During your first visit to Patient K

The best time to advice Patient K and his family on how to prevent the occurrence of Thypoid fever is:

Severity of bite

The categorization of the bite treatment depends on what parameter?

Inaability of the child to extend the legs fully when lying supine

The child has been complaining of severe headaches and has been vomiting. The child has a high fever, and the nurse notes the presence of nuchal rigidity in the child. The nurse suspects a possible diagnosis of bacterial meningitis. The nurse continues to assess the child for the presence of Kernig's sign. Which finding would indicate the presence of this sign.

Praziquantel

The drug of choice used to treat all species that causes schistosomiasis is:

Itchiness of the skin at point of entrance of microorganism, fever

The early signs / symptoms of schistosomiasis are

Rubbing garlic on the wounds

The following are nursing management for rabies, except:

Fecal-oral

The major route of transmission of polio virus in poor sanitation environment is:

Contact with water infected with cercaria

The mode of transmission of schistosomiasis is through

a.Haemopilus influenzae B

The most common cause of bacterial meningitis in children is

Nocturnal anal itchiness

The most common feature of enterobiasis is :

"Wash the bite area with lots of running water, and then check the injury."

The mother of a 3 y/o who has been bitten by the family dog asks the nurse what to do about the bite. Which of the following would be most appropriate recommendation to this mother?

BP of 140/70

The nurse knows that it is important to assess the child with meningitis for signs of increase intracranial pressure Along with decrease in level of consciousness, the nurse should be concerned with

The infant will receive clear liquids for a period of time

The nurse teaches the father of an infant hospitalized with gastroenteritis about the next step of the treatment plan once the infant's condition has been controlled. The nurse would determine that the father understands when he explains that which of the following will occur with his infant?

Ability to void

The physician orders IV fluid replacement therapy with potassium chloride to be added for a child with severe gastroenteritis. Before adding the potassium chloride to the IV, which of the following assessments would be most important?

"Some people become carriers and stay infectious for a long time"

The stool culture of a child with profuse diarrhea reveals Salmonella bacilli. After teaching the mother about the course of Salmonella enteritis, which of the following statements by the mother indicates effective teaching?

Flies

The vector of typhoid fever are :

Any of these modes of transmission

Typhoid fever can spread from Patient K to the other members of the family through what mode of transmission

Widal's Test

Typhoid fever is endemic in City X. The confirmatory test for typhoid fever is:

Lumbar puncture: Cloudy CSF: decreased glucose

What diagnostic test is used to confirm the presence of meningitis?

Snail fever

What is the other term for Schistosomiasis?

Trophozoite stage

What stage of the etiology of amoebiasis would you think Badong has before rushed in the Hospital?

Undercooked eggs

When assessing a child diagnosed with diarrhea due to Salmonella, for which of the following possible sources would the nurse be alert during history taking ?

Gastro-intestinal tract

When the virus is ingested, where does it multiply?

Tetanospasmin

Which among the following causes trismus to a client with tetanus?

Weighing the infant each day

Which of following would be the best activity for the nurse to include in the plan of care for an infant experiencing severe diarrhea?

D. All of the above

Which of the following are the classical symptoms of rabies? A. Aerophobia B. Convulsions C. Hydrophobia

Increased serum and potassium output

Which of the following diagnostic findings is not seen in client having Diarrhea?

Deficient fluid volume related to excessive losses from severe diarrhea

Which of the following nursing diagnosis would be appropriate for the nurse to identify as a priority diagnosis for an infant just admitted to the hospital with a diagnosis of acute gastroenteritis?

Depressed anterior fontanelle

Which of the following would be an important assessment finding for an 8 month of infant admitted with severe diarrhea?

Auscultation of moist crackles

Which of the following would first alert the nurse to suspect that a child with severe gastroenteritis who has been receiving IV therapy for the past several hours may be developing circulatory overload?

Vomiting

Which of the following would most likely alert the nurse to the possibility that a preschooler is experiencing moderate dehydration?

The infant will receive no liquids by mouth

Which of the following would the nurse include when teaching the father of an infant just admitted with gastroenteritis about initial treatment for his infant l?

Moist mucous membranes

Which of the following would the nurse use to determine achievement of the expected outcome for an infant with severe diarrhea and nursing diagnosis of Deficient Fluid volume related to passage of profuse amounts of watery diarrhea?

tetanus bacillus is directly transmitted from man to man

Which of these statements about tetanus is wrong?

Vibrio cholerae

While reviewing your lecture in cholera, you know that the etiologic agent of cholera:

Proper waste disposal

Your health teaching to Cristina, the polio victim includes:

FAT (Fluorescent Antibody Test)

whether the client is infected with rabies, what test male was bitten by a rabid dog. To confirm A 22 year is to be done?