Ch. 71 Prep U - Med surg 2 #1
The nurse is educating a group of people on hepatitis B. One participant asks what is the usual incubation period for hepatitis B. Which of the following responses by the nurse is appropriate?
"45 to 160 days"
The nurse is caring for a patient diagnose with severe acute respiratory syndrome (SARS). A family member asks what causes SARS. Which of the following responses by the nurse is accurate?
"Coronavirus"
Which statement made by a client with a chlamydial infection indicates understanding of the potential complications?
"I need to treat this infection so it doesn't spread into my pelvis because I want to have children some day."
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?
"When the vesicles and pustules have crusted."
The nurse is caring for a client with an abscess on his back. The nurse observes purulent drainage coming from the abscess. What type of specimen does the nurse anticipate the physician will order to determine the type of bacteria present in the exudate?
A culture
A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?
Burning on urination
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
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?
Chlorhexidine
Which of the following is the gold standard for herpes simplex virus (HSV) diagnosis?
Culture
Patients who have had pelvic inflammatory disease (PID) are prone to which of the following complications?
Ectopic pregnancy
A nurse is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?
Foul-smelling discharge from the penis
The nurse is presenting a community lecture about STIs. She emphasizes that some STIs are easily cured with early and adequate treatment. Which of the following is not among these easily treated diseases?
Genital herpes
The six elements necessary for infection include a causative organism, a reservoir of available organisms, a portal or mode of exit from the reservoir, a mode of transmission from reservoir to host, a susceptible host, in addition to which of the following?
Mode of entry to host
The infection control nurse collects data that indicates an increase in the number of clients in the hospital with multidrug-resistant infections. What priority education should healthcare providers receive?
Hand hygiene
Which of the following interventions should a nurse perform after administering injections of penicillin to a patient with an infection?
Make the patient wait at least 30 minutes before leaving
Which of the following is the medication of choice for early syphilis?
Penicillin G benzathine
A client with influenza is admitted to an acute care facility. The nurse monitors the client closely for complications. What is the most common complication of influenza?
Pneumonia
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?
Put on gloves, a mask, and eye protection during suctioning, and then apply a mask to the client's face for transport.
Pelvic infection is most commonly caused by which of the following?
Sexual transmission
Which organism is responsible for impetigo?
Staphylococcus aureus
When a hospitalized patient is in contact precautions, which of the following responses is necessary?
The patient should be placed in a private room when possible.
Which of the following statements holds true for a client with untreated genital warts?
Untreated genital warts may resolve on their own, remain unchanged, or increase in size or number.
A patient is placed in isolation for suspected tuberculosis. Which of the following actions should the nurse take when entering the patient's room?
Wear an N-95 respirator.
A college student comes to the campus health care center complaining of headache, malaise, and a sore throat that has worsened over the past 10 days. The nurse measures a temperature of 102.6° F (39.2° C) and finds an enlarged spleen and liver and exudative tonsillitis. Laboratory tests reveal a leukocyte count of 20,000/mm3, antibodies to Epstein-Barr virus, and abnormal liver function tests. These findings suggest:
infectious mononucleosis.
