Infection Adaptive Quizzing

Which prescribed intervention would the nurse question for a client who has just been diagnosed with influenza after having symptoms for 4 days? a) loratadine b) ibuprofen c) oseltamirvir d) acetaminophen

c) oseltamirvir

A new mother asks the nurse why medicine is being put in her baby's eyes. Which infection would the nurse tell the mother it is given to prevent? a) chlamydia b) candidiasis c) streptococcus d) staphylococcus

a) chlamydia

Which clinical manifestation is associated with cellulitis? a) lymphadenopathy b) occasional papules c) vesicles that evolve into pustules d) isolated erythematous pustules

a) lymphadenopathy

Which action would be used to decrease risk for postoperative respiratory complications in an older client with decreased vital capacity? a) give prescribed intravenous antibiotic b) administer oxygen per nonrebreather mask c) teach the client coughing and deep-breathing exercises d) keep the client on the mechanical ventilation for several days

c) teach the client coughing and deep-breathing exercises

Which should the nurse include when teaching a client with C.diff about decreasing the risk of transmission to family members? a) increase fluid intake b) eat a high-fiber diet c) use soap and water for hand washing d) wash hands with an alcohol-based hand sanitizer

c) use soap and water for hand washing Alcohol does not kill C.diff

When preparing to assess a client with active tuberculosis, which piece of personal protective equipment would the nurse put on before entering the client's room? a) isolation gown b) surgical mask c) shoe covers d) N95 respiratory mask

d) N95 respiratory mask

Which medication is the first-line medication used to treat a client with mild diarrhea who is diagnosed with a C.diff infection? a) rifaximin b) fidaxomicin c) vancomycin d) metronidazole

d) metronidazole

Which assessment finding for a client with pneumonia would be MOST important for the nurse to communicate to the HCP? a) cough productive of rust-colored sputum b) sharp chest pain with deep inspiration c) oral temperature 103 F d) respiratory rate 38 breaths per minute

d) respiratory rate 38 breaths per minute Rationale: indicates respiratory distress

A child is prescribed tetracycline. The nurse understands which possible medication-related reaction is associated with this medication? a) kernicterus b) gray syndrome c) reye syndrome d) staining of teeth

d) staining of teeth

Which statement indicates effective discharge teaching for a client with osteomyelitis? SELECT ALL THAT APPLY a) "I will take the antibiotic at the same time every day" b) "I will take the antibiotic regularly until my symptoms subside" c) "I will take the antibiotic with food if I develop gastric distress when on the antibiotic" d) "I will notify my HCP and stop taking the medication if I develop a rash or SOB" e) "I will need to change my diet to avoid milk and milk products while on these antibiotics"

a) "I will take the antibiotic at the same time every day" c) "I will take the antibiotic with food if I develop gastric distress when on the antibiotic" d) "I will notify my HCP and stop taking the medication if I develop a rash or SOB"

A parent of three young children has contracted tuberculosis. Which medication would the nurse anticipate being prescribed for members of the family who have been exposed? a) isoniazid b) multiple-puncture test c) bacille calmette guerin d) tuberculin purified protein derivative

a) isoniazid Rationale: used as a prophylactic agent for people who have been exposed to tuberculosis

Which complications would the nurse recognize as associated with frequent episodes of otitis media in infants? SELECT ALL THAT a) mastoiditis b) heart failure c) hearing loss d) gastroenteritis e) bacterial meningitis

a) mastoiditis c) hearing loss e) bacterial meningitis

Which information will the employee health nurse include when teaching about ways to prevent transmission of influenza in the workplace? SELECT ALL THAT APPLY a) sneeze or cough into the upper sleeve b) avoid use of OTC antihistamines c) use alcohol-based hand sanitizers after blowing the nose d) turn the head away from others when coughing and sneezing e) antiviral medications are the most effective means of transmission prevention

a) sneeze or cough into the upper sleeve c) use alcohol-based hand sanitizers after blowing the nose d) turn the head away from others when coughing and sneezing

Which medication would the nurse consider is causing difficulty hearing in a client with a history of tuberculosis? a) streptomycin b) pyrazinamide c) isoniazid d) ethambutol

a) streptomycin

A 5-year-old is given fluoroquinolones. Which potential adverse effect unique to pediatric clients would the nurse anticipate? a) tendon rupture b) cartilage erosion c) staining of developing teeth d) CNS toxicity

a) tendon rupture

Which response would a nurse give when a client asks what to expect when beginning treatment for tuberculosis? a) "therapy will last a few weeks" b) "therapy will occur over two phases" c) "therapy will involve one medication" d) "therapy will require monitoring kidney function"

b) "therapy will occur over two phases"

When a client is diagnosed with pneumonia, which finding would the nurse expect when assessing the chest? a) hyperresonance to percussion b) increased tactile (vocal) fremitus c) cheyne-stokes respiratory pattern d) vesicular sounds over all lung fields

b) increased tactile (vocal) fremitus

Which infection would the nurse identify as requiring a client to be placed on droplet precautions? a) HIV b) influenza c) TB d) MRSA

b) influenza

Which condition may be present in the client with a neutrophil count of 12,000/mm3? a) influenza b) pneumonia c) immunosuppression d) autoimmune disorder

b) pneumonia elevated

Which action would the occupational health nurse take after a tuberculin skin test on a nurse working in the emergency department revealed a 11-mm induration? a) plan for a repeat TST in 1 year b) schedule the nurse for a chest x-ray c) ask the nurse to provide sputum specimens d) teach about the multiple drug treatment regimen

b) schedule the nurse for a chest x-ray

Which clinical manifestation would lead the nurse to contact the HCP regarding the potential development of acute osteomyelitis? SELECT ALL THAT APPLY a) presence of a foot ulcer b) temp of 102 F c) erythema of the affected area d) tenderness of the affected area e) drainage from the affected area

b) temp of 102 F c) erythema of the affected area d) tenderness of the affected area

The nurse is providing preoperative teaching to the parents of a toddler who is to undergo myringotomy. The nurse explains that the type of infection most common in children that are prone to otitis media is which type of organism? a) viral b) fungal c) bacterial d) rickettsial

c) bacterial

When preparing to assess a client with C.diff, which piece of PPE would the nurse put on before entering the client's room? a) head covering b) clear eye mask c) full plastic gown d) N95 respiratory mask

c) full plastic gown