Chapter 71 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

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Chapter 71  Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1. A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention?

  1. A)  Rashes on the palms of the hands and soles of the feet
  2. B)  Cauliflower-like warts on the penis
  3. C)  Painful, red papules on the shaft of the penis
  4. D)  Foul-smelling discharge from the penis

Ans: D

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 assessment finding as an indicator of dehydration?

  1. A)  Labile BP
  2. B)  Weak pulse
  3. C)  Fever
  4. D)  Diaphoresis

Ans: B

Feedback:

Assessment of dehydration includes evaluation of thirst, oral mucous membrane dryness, sunken eyes, a weakened pulse, and loss of skin turgor. Diaphoresis, labile BP, and fever are not characteristic signs and symptoms of dehydration.

3. A nursing home patient has been diagnosed with Clostridium difficile. What type of precautions should the nurse implement to prevent the spread of this infectious disease to other residents?

  1. A)  Contact
  2. B)  Droplet
  3. C)  Airborne
  4. D)  Positive pressure isolation

Ans: A

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 or chickenpox. Positive pressure isolation is unnecessary and ineffective.

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4. A nurse who provides care in a busy ED is in contact with hundreds of patients each year. The nurse has a responsibility to receive what vaccine?

  1. A)  Hepatitis B vaccine
  2. B)  Human papillomavirus (HPV) vaccine
  3. C)  Clostridium difficile vaccine
  4. D)  Staphylococcus aureus vaccine

Ans: A

Feedback:

Nurses should recognize their personal responsibility to receive the hepatitis B vaccine and an annual influenza vaccine to reduce potential transmission to themselves and vulnerable patient groups. HPV is not a threat because it is sexually transmitted. No vaccines are available against C. difficile and S. aureus.

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 tuberculosis?

  1. A)  Integumentary system
  2. B)  Urinary system
  3. C)  Respiratory system
  4. D)  Gastrointestinal system

Ans: C

Feedback:

The portal of entry for M. tuberculosis is through the respiratory tract.

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