NUR3010: CHAPTER 71- PREPU QUIZZES
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."
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."
The nurse is giving an educational talk to a local parent-teacher association. A parent asks how he can help his family avoid community-acquired infections. What would be the nurse's best response to help prevent and control community-acquired infections?
"Make sure your family has all their childhood immunizations."
A client the nurse is caring for has developed a bladder infection while in the hospital. The client has had a Foley catheter for two weeks. The client's family asks you how the client got this infection. What would be the nurse's best response?
"People in hospitals are often more susceptible to infections because they are already ill and they are exposed to germs while they are in the hospital."
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 providing education to a client who has been diagnosed with trichomoniasis. When providing information about metronidazole, what should the nurse be certain to include?
"You will need to avoid alcohol during treatment and for 3 days after the medication is complete."
The nurse is teaching a health class in the local public health center. What instructions should the nurse provide as the single most important measure to prevent the spread of infection?
Thorough handwashing
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis?
A painless genital ulcer that appeared about 3 weeks after unprotected sex
A client comes to the clinic and informs the nurse that he has a "painful area under his armpit." The nurse observes a 2-cm raised area that is erythremic and has a white substance inside of it. What does the nurse suspect the client may be experiencing?
An abscess
A nurse is having a yearly employee tuberculin skin test. Which skin test results would indicate a positive result?
An induration of 12mm
A client comes to the emergency department complaining of sudden onset of diarrhea, anorexia, malaise, cough, headache, and recurrent chills. Based on the client's history and physical findings, the physician suspects legionnaires' disease. While awaiting diagnostic test results, the client is admitted to the facility and started on antibiotic therapy. What's the drug of choice for treating legionnaires' disease?
Azithromycin (Zithromax)
In which group is it most important for the client to understand the importance of an annual Papanicolaou test?
Clients infected with the human papillomavirus (HPV)
A nurse would anticipate instituting contact precautions for a client with which of the following?
Clostridium difficile infection
Which of the following describes microorganisms present without host interference or interaction?
Colonization
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?
Debridement
A client visits the clinic reporting a circular rash on the upper right arm. The rash is diagnosed as tinea corporis. For what type of infection does the nurse anticipate the client will be treated?
Fungus
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?
Gonorrhea
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?
Human papilloma virus
Which of the following is the most common sexually transmitted infection (STI) among young, sexually active people?
Human papillomavirus (HPV)
A patient presents with vulvar itching and diffuse green vaginal discharge. Upon evaluation, she is prescribed metronidazole (Flagyl). What is the paramount nursing intervention in discharge planning?
Instruct the patient not to drink alcohol with this treatment.
Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis?
Latency
Which of the following are risk factors for the development of a sexually transmitted disease (STD)? Select all that apply.
Multiple partners Unprotected sex Prostitution
The nurse educator identifies the student understands the function of normal flora in the human body when the student makes which statement?
Normal flora compete with potential pathogens and work symbiotically with the host.
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
A client is in the acute care facility for the administration of intravenous (IV) antibiotics to treat bacterial pneumonia. The client begins to have severe diarrhea 3 days after the IV antibiotics with abdominal cramping and pain. What does the nurse suspect the client has developed due to the antibiotic use?
Pseudomembranous colitis
A client reports nausea, vomiting, and diarrhea for 5 days. The nurse assesses the mucous membranes as pale and dry. The client has sunken eyes with the following vital signs: pulse 122 and thready, respirations 23, blood pressure 78/55, temperature 101.8°F oral. Which is the priority nursing intervention?
Request an order from the physician for IV rehydration therapy.
Painless chancres are associated with which systemic disease?
Syphilis
Painless chancres or ulcerated lesions are associated with which systemic disease?
Syphilis
A client is suspected of sepsis from a postsurgical incision infection. What characteristic of sepsis would the nurse recognize? Select all that apply.
Temperature of 102F Heart rate of 120 beats/minute Respiratory rate of 24 breaths/minute
When a hospitalized client requires contact precautions, which responses is necessary?
The client should be placed in a private room when possible.
The nurse us assessing a client who reports stiff joints and alopecia. While taking the client's health history, the client reports having multiple sexual partners in the 6 months and finding a lesion on her labia about 1 month before today's appointment. What should the nurse anticipate based on the signs and symptoms presented?
The client will require treatment for the secondary stage of syphilis.
The school health nurse is conducting a teaching session for parents to provide information about the human papillomavirus (HPV) vaccination. What prevention information should the nurse include in the session?
The effect of the vaccination is optimized if it is administered before the child becomes sexually active.
You work on a long-term care unit. In the last two weeks more than half the clients on your unit have been diagnosed with gastroenteritis. What is the most likely reason?
The infection is being transmitted by healthcare personnel.
A client is placed in isolation for suspected tuberculosis. Which action should the nurse take when entering the client's room?
Wear an N95 respirator.
How often should women diagnosed with human papillomavirus (HPV) have Pap smears?
Yearly
During flu season, a nurse is teaching clients about the chain of infection. What components are considered "links" in this chain? Select all that apply.
infectious agent portal of entry susceptible host
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?
genital herpes
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.
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, and
mode of entry into the host.
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.
