Chapter 70 Management of Patients With Infectious Diseases

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Chapter 70  Management of Patients With Infectious Diseases

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?
A) Rashes on the palms of the hands and soles of the feet
B) Cauliflower-like warts on the penis

C) Painful red papules on the shaft of the penis D) Foul-smelling discharge from the penis

Ans: D
Chapter: 70
Client Needs: D-4
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 6
Page and Header: 2145, Sexually Transmitted Diseases

Feedback: Signs and symptoms of gonorrhea in men include purulent, foul-smelling drainage from the penis and painful urination. Rashes on the palms of the hands and soles of the feet are a sign of the secondary stage of syphilis. Cauliflower-like warts on the penis are a sign of human papillomavirus. Painful red papules on the shaft of the penis may be a sign of the first stage of

genital herpes.

2. A nurse is caring for a child who was admitted to the Pediatric unit with infectious diarrhea. The nurse should be alert to what parameter as an indicator of dehydration?
A) Moist mucus membranes
B) Weak pulse

C) Profuse salivation D) Increased tearing

Ans: B
Chapter: 70
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 8
Page and Header: 2141, Diarrheal Diseases

Feedback: Assessment of dehydration includes evaluation of thirst, oral mucous membrane dryness, sunken eyes, a weakened pulse, and loss of skin turgor. Profuse salivation, increased tearing, and moist mucus membranes are not indicators of dehydration.

3. A nursing home patient has been diagnosed with clostridium difficile. What type of precautions would the nurse use to prevent the spread of this infectious disease to other residents?
A) Contact

B) Droplet
C) Airborne
D) No precautions are necessary

Ans: A
Chapter: 70
Client Needs: A-2
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Page and Header: 2126, Infection Control and Prevention

Feedback: Contact Precautions are used for organisms that are spread by skin-to-skin contact,

such as antibiotic-resistant organisms or Clostridium difficile. Droplet precautions are used for organisms that can be transmitted by close, face-to-face contact, such as influenza or meningococcal meningitis. Airborne precautions are required for patients with presumed or proven pulmonary TB of chickenpox.

4. There are vaccines that are available to nurses in the health care setting because of the risk of contracting blood-borne diseases in the work setting. What vaccine will reduce the risk of contracting a blood borne virus?
A) Hepatitis B vaccine

B) PPD administration C) Varicella vaccine D) MMR vaccine

Ans: A
Chapter: 70
Client Needs: A-2
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Page and Header: 2134, Home-Based Care of the Patient with an Infectious Disease

Feedback: Hepatitis B vaccine should be administered to reduce the risk of contracting hepatitis B. PPD administration relates to tuberculosis. Varicella vaccine is given to prevent the chickenpox. MMR (measles, mumps, and rubella) vaccine is given to children and susceptible adults to prevent this disease process from occurring. All who work in health care should demonstrate immunity to these three viruses.

5. When a disease infects a host a portal of entry is needed for an organism to gain access. What has been identified as the portal of entry for TB?
A) Neurological system
B) Urinary system

C) Respiratory system
D) Gastrointestinal system

Ans: C
Chapter: 70
Client Needs: A-1
Cognitive Level: Comprehension Difficulty: Moderate

Integrated Process: Nursing Process Objective: 1
Page and Header: 2123, The Infectious Process

Feedback: The portal of entry for M. tuberculosis is through the respiratory tract. Therefore options A, B, and D are incorrect.

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