Module 2
The nurse plans a presentation for community members about how to decrease the risk for antibiotic-resistant infections. Which information will the nurse include in the teaching plan (select all that apply)? A. Hand washing is effective in preventing many viral and bacterial infections. B. Continue taking antibiotics until all the medication is gone. C. Antibiotics are effective in treating influenza associated with high fevers. D. Antibiotics may sometimes be prescribed to prevent infection. E. Unused antibiotics that are more than a year old should be discarded.
A,B, and D
A young adult patient who is receiving antibiotics for an infected leg wound has a temperature of 101.8° F (38.7° C). Which action by the nurse is most appropriate? A. Apply a cooling blanket. B. Check the patient's oral temperature again in 4 hours. C. Notify the health care provider. D. Give the prescribed PRN aspirin (Ascriptin) 650 mg.
B. Check the patient's oral temperature again in 4 hours.
The second line of defense that leads to local capillary dilation and leukocyte infiltration is known as: A. normal flora. B. inflammatory response. C. Immune response. D. humoral immunity.
B. inflammatory response.
A new mother expresses concern about her baby developing allergies and asks what the health care provider meant by "passive immunity." Which example should the nurse use to explain this type of immunity? A. Exposure to communicable diseases B. Bone marrow donation C. Breastfeeding her infant D. Early immunization
C. Breastfeeding her infant
The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate? A. Obtain wound cultures. B. Notify the health care provider. C. Assess the wound every 2 hours. D. Document the assessment.
D. Document the assessment.
The nurse cares for a patient infected with human immunodeficiency virus (HIV) who has just been diagnosed with asymptomatic chronic HIV infection. Which prophylactic measures will the nurse include in the plan of care (select all that apply)? A. Influenza virus vaccine B. Hepatitis B vaccine C. Trimethoprim-sulfamethoxazole D. Pneumococcal vaccine E. Varicella zoster immune globulin
A,B, and,D
According to the Center for Disease Control (CDC) guidelines, which personal protective equipment will the nurse put on when assessing a patient who is on contact precautions for diarrhea caused by Clostridium difficile (select all that apply)? A. Gown B. Gloves C. Mask D. Shoe covers E. Eye protection
A. Gown and B. Gloves
A patient with a systemic bacterial infection feels cold and has a shaking chill. Which assessment finding will the nurse expect next? A. Rising body temperature B. Muscle cramps C. Decreasing blood pressure D. Skin flushing
A. Rising body temperature
The patient for whom the nurse should observe Contact Precautions in addition to Standard Precautions would be diagnosed with: A. respiratory syncytial virus. B. Haemophilus influenzae meningitis. C. pertussis. D. pulmonary tuberculosis.
A. respiratory syncytial virus.
A patient had abdominal surgery 3 days ago and now has a temperature of 101.2° F and reports feelings of malaise. The nurse assesses the abdominal incision and observes edema around the incision and some purulent drainage. This patient is in the ____________ stage of infection.
Illness
