Chapter 66 Infectious Diseases
When assessing a client with infectious diarrhea, which of the following would lead the nurse to suspect that the client is experiencing severe dehydration? A. Rapid, thready pulse B. Dry oral mucous membranes C. Increased thirst D. Sunken eyes
A
What is the mode of transmission for tetanus? A. Puncture wound B. Saliva C. Bite from an infected tick D. Droplet inhalation
A
The nurse is providing education to a client who has been diagnosed with chlamydia. The client will begin treatment with azithromycin today. Which teaching point should the nurse reinforce with this client?
"Abstain from any sexual activity for 1 week after the antibiotic is complete."
A 28-year-old sexually active male presented to a clinic because he was concerned about a round, painless sore on the shaft of his penis that had appeared 2 days prior to his visit. The nurse practitioner recognized the lesion as a "chancre," an indicator of primary syphilis. The nurse should tell the patient:
"An antibiotic injection is the best treatment since the lesion has just occurred."
The nurse is seeing a female client in a community health clinic who reports having dyspareunia and pelvic tenderness after her menstrual period. The client also reports she experiences pain when she has a bowel movement. What question should the nurse include when obtaining the client's health history?
"Have you ever been assessed for gonorrhea and chlamydia in the past?"
The nurse is seeing a client who came into the sexual health clinic after discovering condylomata along her labia. The client states, "This makes no sense, I don't even know who I got this from and I have been so careful!" What is the nurse's best response?
"It sounds like you are feeling angry. Let's talk more about human papillomavirus (HPV) and strategies to stay healthy while you are being treated."
A 36-year-old client is in the clinic for an annual physical. The client asks the nurse, "Should I get a flu shot?" Which is the best response by the nurse?
"The flu shot is recommended for all people over 6 months of age."
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?
"The use of condoms is one of the best ways to reduce the risk of acquiring an STI."
A client diagnosed with influenza is admitted to the hospital. Which transmission-based precautions should the nurse initiate? A. Airborne B. Droplet C. Contact D. Neutropenic
B
The nurse is caring for a patient with a meningococcus infection. What type of precautions should be used for this patient? A. Airborne B. Droplet C. Standard D. Contact
B
A client comes to the emergency department reporting severe diarrhea. The client is pale with dry mucous membranes and poor skin turgor. The nurse would suspect Escherichia coli (E. coli) as the potential cause when the client states which of the following? A. "I drank some water from a mountain spring the other day while hiking." B. "I had some chicken that might not have been cooked completely." C. "Yesterday for lunch, I ate a hamburger that was on the rare side." D. "I had some over-easy eggs yesterday for breakfast."
C
The nurse is providing education about treatment for syphilis to a client who has a confirmed infection. The client states, "Penicillin causes me to have raised, red bumps all over my body. Will I have to take it again?" How should the nurse respond? A. "Ceftriaxone is an antibiotic that is also effective in the treatment of this infection." B. "Topical application of an immune response modifier can be used instead." C. "There are many alternatives to taking antibiotics to treat syphilis." D. "You can be treated with an alternative antibiotic called doxycycline."
D
A client admitted with bacterial meningitis must be transported to the radiology department for a repeat computed tomography scan of the head. His level of consciousness is decreased, and he requires nasopharyngeal suctioning before transport. Which infection control measures are best when caring for this client? A. Use standard precautions, which require gloves for suctioning. B. Put on gloves, a mask, and eye protection. C. Take no special precautions for this client. D. Put on gloves, a mask, and eye protection during suctioning, and then apply a mask to the client's face for transport.
D
A client contracts Calicivirus while on a cruise and has been experiencing nausea and diarrhea for several days. Which guidance will the nurse provide to the client? A. Rectal bleeding is the most common complication. B. Use an over-the-counter disinfectant in the home. C. Continue with normal activities of daily living. D. Limit exposure to others for 2 weeks.
D
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? A. Patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas B. One or more flat, wart-like papules in the genital area that are sensitive to touch C. Copper-colored macules on the palms and soles that appeared after a brief fever D. A painless genital ulcer that appeared about 3 weeks after unprotected sex
D
A client with suspected primary syphilis is to undergo diagnostic testing. Which of the following would the nurse expect to be done to confirm this diagnosis? A. Fluorescent treponemal antibody absorption tests (FTA-ABS) B. Rapid plasma reagin circle card test (RPR-CT) C. Venereal Disease Research Laboratory (VDRL) test D. Direct identification in a specimen from the chancre lesion
D
A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata? A. Hemophilus ducreyi bacillus B. Herpes virus C. Treponema pallidum D. Human papilloma virus
D
The nurse is providing education to a client who has a positive nontreponemal test (NTT). The client states, "If I've already had a positive test and I know I have syphilis, why do I need to have another test?" How should the nurse respond? A. "This test will help determine of the infection has moved to the third stage." B. "Another test can identify additional sexually transmitted infections you may have acquired." C. "An additional test needs to be done to determine which antibiotics you will need." D. "A second test can help confirm the diagnosis, because the NTT can give a false-positive result."
D
The nurse is seeing a client who was recently diagnosed with primary syphilis after reporting a painless penis lesion to his health care provider. The client states, "I don't want anyone to find out that I have this disease." How should the nurse respond? A. "It is part of my role to contact anyone you have had sexual contact with. Please provide the contact information to me." B. "It is important that you inform your sexual partners you have this infection. I can sit with you while you make the necessary phone calls." C. "Your health is personal and confidential. No one outside this room needs to know about your infection." D. "You're test results are reported to a public health department. You will need to share the information about your sexual contacts, and they will notify and screen those people."
D
A client is diagnosed with herpes simplex. Which statement about herpes simplex infection is true?
During early pregnancy, herpes simplex infection may cause spontaneous abortion or premature birth.
After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?
Genital herpes
A patient is admitted with severe dehydration related to diarrhea. The patient was hiking in the mountains during a camping trip and drank water from a mountain stream without purifying. What does the nurse know is the most likely cause of this diarrhea?
Giardia lamblia
A nurse who provides care in a busy ED is in contact with hundreds of clients each year. The nurse has a responsibility to receive what vaccine?
Hepatitis B vaccine
Which of the following sexually transmitted infections (STIs) could be transmitted perinatally?
Herpes simplex
The nurse is caring for a client with genital herpes experiencing a reoccurrence. Which nursing diagnosis would be the priority?
Impaired Skin Integrity
The nurse is trying to determine if a patient admitted to the hospital the previous day has a bacterial wound infection. What laboratory study should the nurse review to obtain this information?
Microbiology report
Which can be used for rehydration therapy for diarrheal disorders?
Oral rehydration salts (ORS)
When assessing a client with suspected pertussis, which of the following would the nurse most likely find?
Paroxysmal cough
Which of the following is the medication of choice for early syphilis?
Penicillin G benzathine
The nurse has received several laboratory studies back at the clinic. Which of these results should be reported to the local health department?
Positive gonorrhea or chlamydia
After discussing the vaccine available for human papillomavirus with the mother of a 12-year-old female client, the mother agrees to have her daughter immunized. It is July when the nurse administers the first dose. The nurse would instruct the mother to bring the girl in for her second dose at which time?
September
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
When a hospitalized client is in contact precautions, which action is necessary?
The client should be placed in a private room when possible.
Nursing students are reviewing the various infectious diseases that require transmission-based precautions. The students demonstrate understanding of the information when they identify which infectious disease as requiring airborne precautions?
Tuberculosis
How often should women diagnosed with human papillomavirus (HPV) have Pap smears?
Yearly
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.
Which instruction should be given to a woman newly diagnosed with genital herpes? A. Have your partner use a condom when lesions are present. B. Obtain a Papanicolaou (Pap) test every 3 years. C. Use a water-soluble lubricant for relief of pruritus. D. Limit stress and emotional upset as much as possible.
D
Which is the usual incubation period (from infection to first symptom) for AIDS? A. 3 to 6 months B. 1 year C. 5 years D. 10 years
D
Which test would the nurse anticipate as being ordered to confirm a diagnosis of chlamydia? A. Venereal disease research laboratory (VDRL) B. Gram stain C. Rapid plasma reagin (RPR) D. Nucleic acid amplification test (NAAT)
D
The following outcome appears on the plan of care for a client with genital herpes: "Client demonstrates knowledge about measures to reduce the risk of transmission and recurrences." Which of the following, if reported by the client, would support achievement of this outcome? A. Consistently uses condoms with sexual activity B. Avoids sexual activity when lesions are present C. Applies occlusive dressings to lesions D. Cleans lesions with strong anti-bacterial soap
A
The nurse is presenting a community lecture about STIs, and emphasizes that some STIs are easily cured with early and adequate treatment. Which is not among these easily treated diseases? A. genital herpes B. chlamydia C. gonorrhea D. syphilis
A
The nurse is scheduled to administer tetanus, diphtheria, and pertussis (Tdap) vaccine to a client at the clinic. The client states, "I had a reaction the last time I got an immunization." What action should the nurse take first? A. Withhold the immunization. B. Administer the Tdap as ordered. C. Document the reaction to the previous immunization. D. Obtain further history regarding the reaction and immunization.
A
The nurse is seeing a client in the community health clinic who reports finding "sores" in the mouth. On assessment, the nurse notes the lesions appear flat, flesh colored and papillary. What should the nurse do next? A. Obtain a health history that includes inquiring about sexual health practices B. Provide the client with information about having a colposcopy C. Suggest serology testing for herpes simplex virus (HSV) D. Inform the client that the lesion in the mouth is consistent with a human papillomavirus (HPV) infection
A
The nurse recognizes the client is in which stage of syphilis when the client has no signs or symptoms of syphilis? A. Latency B. Primary C. Tertiary D. Secondary
A
To confirm a diagnosis of syphilis, the nurse would identify the gram-negative bacteria, Treponema palladium, on the laboratory report. The nurse knows that this bacteria is classified among: A. Spirochetes B. Proteobacteria C. Cyanobacteria D. Green-sulphur bacteria
A
When developing a teaching plan for a client with syphilis, which of the following would be most important to include? A. With proper treatment, the disease can eventually be cured. B. Condoms have little effect in preventing the transmission of the disease. C. Oral therapy needs to continue after the initial injection. D. Sexual contact can be resumed after treatment.
A
A 2-year-old is brought to the clinic by her mother who tells the nurse her daughter has diarrhea and the child is complaining of pain in her stomach. The mother says that the little girl had not eaten anything unusual, consuming homemade chicken strips and carrot sticks the evening prior. Which bacterial infection would the nurse suspect this little girl of contracting? A. Salmonella B. Escherichia coli C. Shigella D. Giardia lamblia
A
A client is admitted to the acute care facility for vomiting and diarrhea. An intravenous (IV) catheter is inserted for the delivery of IV fluids. A family member is with the client and observes the nurse enter the room and begin touching the IV site without washing hands or wearing gloves. Why should the client and family member be concerned with the nurse's actions? A. The client will develop a healthcare-associated infection. B. The nurse could develop the same symptoms. C. The client will have an allergic reaction to the IV. D. Dislodging of the IV catheter.
A
A client is admitted with bacterial meningitis. Which hospital room is the best choice for this client? A. An isolation room three doors from the nurses' station B. A semiprivate room with a client who has viral meningitis C. A two-bed room with a client who previously had bacterial meningitis D. A private room down the hall from the nurses' station
A
A client is diagnosed with early latent syphilis of unknown duration. Which medication treatment will the nurse expect to be prescribed for this client? A. Penicillin G benzathine, three intramuscular injections at 1-week intervals B. Penicillin G benzathine, one intramuscular injection C. Doxycycline for 10 days D. Zithromax for 4 days
A
A family member of a client in a long-term care facility asks why the nurse cannot insert a catheter so the client will not develop skin breakdown from being wet. What should the explanation include when the nurse responds to the family member? A. The invasive nature of the catheter provides a portal for infection. B. Older adult residents are able to have catheters inserted if the family requests them. C. If a catheter is inserted, it must be flushed with normal saline daily. D. Catheters are no longer used for treatment of incontinence.
A
A nurse practitioner was preparing a health education program for freshmen college students. During orientation week, the nurse mentioned that C. trachomatis and N. gonorrhoeae are the two most common infections in sexually active young women under the age of 25. The nurse told the students that the most common finding for these infections is: A. Mucopurulent cervicitis. B. Vaginitis. C. Urinary tract infections. D. Pelvic inflammatory disease.
A
A nurse would anticipate instituting contact precautions for a client with which of the following? A. Clostridium difficile infection B. Varicella C. Mumps D. Measles
A
After attending a conference at a hotel for several days, a patient is having symptoms suspected of being related to Legionnaires' disease. When making a bed assignment for this patient, how should the assignment be made? A. The patient can be placed in a semiprivate room because the disease is not transmitted from person to person. B. The patient should be placed in a private room on airborne precautions. C. The patient should be placed in a negative pressure room. D. The patient should be placed in a private room on droplet precautions.
A
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? A. Vigorously scrubbing between the fingers B. Washing the hands for 5 to 10 seconds C. Washing underneath artificial fingernails D. Removing the soap with a paper towel before rinsing
A
An adult client in the ICU has a central venous catheter in place. Over the past 24 hours, the client has developed signs and symptoms that are suggestive of a central line associated bloodstream infection (CLABSI). What aspect of the client's care may have increased susceptibility to CLABSI? A. The client's central line was placed in the femoral vein. B. The client has received antibiotics and IV fluids through the same line. C. The client had blood cultures drawn from the central line. D. The client was treated for vancomycin-resistant enterococcus (VRE) during a previous admission.
A
Which of the following is the most common sexually transmitted infection (STI) among young, sexually active people? A. Human papillomavirus (HPV) B. Chlamydia C. Trichomoniasis D. Gonorrhea
A
A 28-year-old sexually active client presented to a clinic because they were concerned about a round, painless sore on the shaft of their penis that had appeared 2 days prior to the visit. The nurse practitioner recognized the lesion as a "chancre," an indicator of primary syphilis. What information should the nurse communicate to the patient? A. "No treatment is necessary unless you notice a rash on your chest." B. "An antibiotic injection is the best treatment since the lesion has just occurred." C. "Abstain from sexual activity for 2 weeks, after which the lesion will resolve." D. "Without treatment, the lesion will increase in size and become painful."
B
A client is hospitalized for an infected decubitus ulcer of the sacral area. The physician is planning to remove the dead and damaged tissue. What type of procedure will the nurse prepare the client for? A. Administration of filgrastim (Neupogen) B. Debridement C. Application of a dry dressing D. Inject antibiotics into the wound
B
A long-term care facility is the site of an outbreak of infectious diarrhea. The nurse educator has emphasized the importance of hand hygiene to staff members. The use of alcohol-based cleansers may be ineffective if the causative microorganism is identified as what? A. Escherichia coli B. Clostridium difficile C. Norovirus D. Shigella
B
A male client comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention? A. Painful, red papules on the shaft of the penis B. Discharge from the penis and burning during urination C. Cauliflower-like warts on the penis D. Rashes on the palms of the hands and soles of the feet
B
A nurse is preparing to insert a peripheral intravenous access device into the arm of a client. When preparing the skin for insertion, which of the following should the nurse use to prevent possible health-care associated bloodstream infections? A. Povidone-iodine B. Chlorhexidine C. Normal saline D. Alcohol
B
The nurse educator identifies the student understands the function of normal flora in the human body when the student makes which statement? A. includes the bacteria that cause sexually transmitted infections in humans. B. Normal flora compete with potential pathogens and work symbiotically with the host. C. Normal flora fight infection by working to engulf invading pathogens. D. Normal flora becomes the cause of illness when the body perceives threat of foreign bacteria.
B
The nurse educator is teaching a group of nursing students about the physiologic manifestations of tertiary syphilis. The students respond correctly by stating which major organ systems are identified as the most affected by tertiary syphilis? A. Integumentary and genitourinary B. Cardiovascular and neurological C. Musculoskeletal and gastrointestinal D. Respiratory and endocrine
B
The nurse has been teaching a client with genital herpes how to care for the lesions. Which of the following statements by the client indicates that additional instruction is needed? A. "I'll use a sitz bath to decrease the inflammation of the sores." B. "I'll wear occlusive underwear to prevent transmission of the virus." C. "It's important that I drink plenty of fluids." D. "I can wash the lesions gently with soap and pat them dry with a towel."
B
The nurse is discussing information regarding the human papilloma viral (HPV) infection. Which statement, made by the client, requires clarification? A. "HPV can be spread by autoinoculation." B. "HPV is spread during sexual intercourse." C. "HPV may be spread to a newborn at the time of delivery." D. "HPV transmission may occur when the client is asymptomatic."
B
The nurse is providing care to a client who has been diagnosed with gonorrhea. The nurse also prepares the client for treatment of which of the following? A. Syphilis B. Chlamydia C. Herpes simplex D. Human immunodeficiency virus
B
The nurse is providing education to a client who has been diagnosed with trichomoniasis. When providing information about metronidazole, what should the nurse be certain to include? A. "You will need to have a follow up appointment to determine if you have been cured." B. "You will need to avoid alcohol during treatment and for 3 days after the medication is complete." C. "This infection is not curable and treatment is aimed at symptom management." D. "Sexual activity with your partner can continue as usual while you are being treated."
B
The nurse places a client in isolation. Isolation techniques have the potential to break the chain of infection by interfering with what component of the chain of infection? A. Portal of entry B. Mode of transmission C. Susceptible host D. Agent
B
The usual incubation period (from infection to first symptom) for hepatitis B is A. 2 to 7 days. B. 45 to 160 days. C. 6 to 9 months. D. unclear.
B
Which of the following describes microorganisms present without host interference or interaction? A. Reservoir B. Colonization C. Infection D. Infectious disease
B
Which of the following nursing instructions is most important for the nurse to emphasize to the client with a new HSV-2 diagnosis? A. Use a condom during sexual activity. B. You must inform all sexual partners. C. Keep lesions dry with alcohol or peroxide. D. Wear loose underwear to promote air circulation.
B
A client in the clinic is diagnosed with diarrhea caused by a Campylobacter species. Which instruction should the nurse provide to prevent further episodes? A. Do not ingest raw eggs. B. Drink water only from purified or filtered sources. C. Properly store and cook meat. D. Wash hands after going to the bathroom.
C
A client who has developed a painless penile ulcer is diagnosed with syphilis. What treatment would physician prescribe? A. IV penicillin G; multiple dosing B. oral penicillin G; single dose C. IV penicillin G; single dose D. IV tetracycline
C
A nurse implements aseptic technique as a means to break the chain of infection at which element? A. Portal of exit B. Means of transmission C. Portal of entry D. Reservoir
C
A nurse is assessing a client with vaginal discharge. The nurse suspects bacterial vaginosis when the client states which of the following? A. "The discharge is yellowish but thin." B. "I've been experiencing some really intense itching." C. "I noticed a strange fishy odor during my period." D. "The discharge looks almost like cottage cheese."
C
A nurse is having a yearly employee tuberculin skin test. Which skin test results would indicate a positive result? A. An induration of 4 mm B. An induration of less than 1 mm C. An induration of 12mm D. An uneven erythemic area
C
A nurse is preparing a presentation for a local community group in a small rural area about hantavirus pulmonary syndrome. Which of the following would the nurse suggest as a major prevention strategy? A. Vaccinating infants and children B. Avoiding whirlpool spas C. Eliminating rodent food sources in areas near humans D. Wearing insect repellent
C
A nurse practitioner advised the mother of a 16-year-old girl, who was diagnosed with human papillomavirus (HPV), that the infection can cause cancer of the _______ in the future. A. Vagina B. Urethra C. Cervix D. Uterus
C
A patient comes to the clinic with complaints of a painless sore on their lip 2 weeks after they had oral sex with their partner. The nurse observes a chancre on the lips and the physician orders testing for syphilis. If results are positive, what is the likely stage the patient is in? A. Latency B. Secondary C. Primary D. Tertiary
C
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported? A. Condyloma acuminata B. Genital herpes C. Syphilis D. Hepatitis B
C
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. Human papilloma virus C. Shigella D. Syphilis
C
Painless chancres are associated with which systemic disease? A. Psoriasis B. Kaposi sarcoma C. Syphilis D. Urticaria
C
The nurse educator is teaching a group of young adult clients about sexually transmitted infections. The nurse explains that which infection is most likely to be "silent" with no overt symptoms? A. Pelvic inflammatory disease B. Herpes genitalis (HSV-2) C. Chlamydia D. Syphilis
C
The nurse is assessing a client in the emergency department who grimaces and reports swelling of the testicles, burning on urination and a green discharge from the penis. The nurse suspects the client will be diagnosed with which infection? A. Trichomoniasis B. Herpes genitalis C. Gonorrhea D. Primary syphilis
C
The nurse is assessing a client who states having had "unusual aches" in the muscles and joints. On physical examination, the nurse notes the client has rough, reddish-brown spots on the palms and the soles of the feet. The client reports being infected with a "cold sore" from her partner 1 month ago. What should the nurse anticipate will be the next step in this client's care? A. Administration of pain medication B. Obtaining a culture from the rash covered areas C. A prescription for a nontreponemal test (NTT) D. A prescription for a topical antibiotic
C
The nurse is instructing a client with herpes simplex virus type 2 (HSV-2) about self-care and precautions. Which instruction would not be included in this client education session? A. Inform all potential sexual partners of the HSV infection even if it is in an inactive state. B. Wear loose clothing that promotes air circulation about the genitals. C. A condom does not need to be used during sexual activity if the disease is dormant. D. Keep lesions dry using alcohol, peroxide, witch hazel, and warm air from a hair dryer.
C
The nurse teaches the parent of a child with chickenpox that the child is no longer contagious to others when A. the fever disappears. B. the first rash appears. C. the vesicles and pustules have crusted. D. the rash is changing into vesicles, and pustules appear.
C
Which organism is responsible for impetigo? A. Histoplasma capsulatum B. Clostridium difficile C. Staphylococcus aureus D. Bacillus anthracis
C
Which type of sexually transmitted disease is the nurse most accurate to highlight in the client's history as it remains dormant in the body and can reoccur at any time? A. Chlamydia B. Gonorrhea C. Herpes infection D. Syphilis
C
The nurse is caring for a client diagnoses with severe acute respiratory syndrome (SARS). A family member asks what causes SARS. Which response by the nurse is accurate?
Coronavirus
A family will be staying in a cabin by a lake and, upon arriving, observes rodent droppings on the floor in the kitchen. What is the best way for the family to clean up in order to avoid contracting hantavirus from the feces? A. Vacuum the droppings and then apply a bleach solution. B. Sweep the droppings in a pile and then vacuum them up. C. Sweep up all of the droppings and then apply a bleach solution. D. Apply a bleach solution prior to sweeping or vacuuming the floor.
D
A nurse is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention? A. Cauliflower-like warts on the penis B. Rashes on the palms of the hands and soles of the feet C. Painful red papules on the shaft of the penis D. Foul-smelling discharge from the penis
D
A nurse practitioner is treating a client with early latent syphilis of less than 1 year's duration. The nurse told the client about the need to receive penicillin G benzathine injections according to the following protocol: A. three injections at 7-day intervals. B. Seven injections, at one per day. C. eight injections, at 7-day intervals. D. one injection.
D
A public health nurse is teaching a mother about vaccinations prior to obtaining informed consent for her child's vaccination. What should the nurse cite as the most common adverse effect of vaccinations? A. Temporary photosensitivity B. Nausea and vomiting C. Joint pain near the injection site D. Allergic reactions to the antigen or carrier solution
D
The nurse is caring for a client with secondary syphilis. What intervention should the nurse institute when caring for this client? A. Ensure that the client is housed in a private room. B. Administer hydrocortisone ointment to the lesions as prescribed. C. Administer combination therapy with antiretrovirals as prescribed. D. Wear gloves if contact with lesions is possible.
D
The parent of a child diagnosed with chickenpox asks when the child can go to play group again. What is the best response by the nurse? A. "Two days after the rash appears." B. "When the fever disappears." C. "When the rash is changing into vesicles, and pustules appear." D. "When the vesicles and pustules have crusted."
D
The public health nurse has been talking to a group of community members about sexually transmitted infections. Which statement by one of the participants demonstrates an understanding of methods during sexual intercourse to decrease the risk of a sexually transmitted infection? A. "Using condoms will always prevent a sexually transmitted infection." B. "Sexually transmitted infections cannot be passed without having sexual intercourse." C. "If I find out that I have a sexually transmitted infection, I should limit sexual contact to the individual I believe gave me the infection." D. "I will make sure and wash my genital area before and after having sexual intercourse."
D
You are teaching a health class in the local public health center. What instructions should you provide as the single most important measure to prevent the spread of infection? A. Regular immunizations B. Sufficient food intake C. Minimal social contact D. Thorough hand washing
D
virus type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care will the nurse prepare for? A. Place an antibacterial ointment on the client's lesions. B. Complete a full assessment of the newborn on delivery. C. Administer an intravenous antibiotic to the client while in labor. D. Prepare for a cesarean section.
D
