Infectious or Communicable Disorders

Infectious or Communicable Disorders

Spots, dots, and shots

Multiple Select

The nurse is taking care of a patient with rabies what are some interventions that the nurse suspect to implement?

• Administer HRIG

• Apply EMLA cream to the sight

• Provide wound care

• Rabies heals on its on without intervention

Multiple Choice

patient presented to ED with a bull's eye rash to the back, myalgia, joint pain, and a temp of 101.2. What treatment options will the nurse expect to preform.

• Administer doxycycline to the 5 year old

• Administer amoxicillin to the 2 year old

• Administer doxycycline to the 7 year old

• Administer both amoxicillin and doxycycline together.

Multiple Choice

The instructor teaching a student nurse on how to properly remove a tick. The instructors know that no further teaching is need when the student nurse states?

• "You are going to use fine tip tweezers while protecting your fingers when grasping tick closest to the skin while pulling upwards, and clean after."

• Your going to use wide tip tweezers when grasping the end closest to the finger of the ticks body and pulling up on it."

• "Your just going to let the tick come out on its own."

• "Your going to use fine tip tweezers when removing the tick closes to the skin and twist as you pull the tick out."

Multiple Select

A nurse is educating a parent about the scabies that the 2 year old was diagnosed with. What does the nurse need to include in the teaching?(SAP)

• prophylactic therapy to the entire family

• Wash the bedding and clothes in cold water.

• make sure to vacuum the house

• do not scratch the sites because this could cause a infection to occur.

• you can wash the scabicide cream off after 7 hours.

Multiple Choice

3 year old is brought into the doctors office. The mom states that the child has had severe itching after coming home from daycare. Upon further assessment the nurse inspects the toddlers scalp with gloves on and notices eggs attached to the hair. The nurse anticipates to educate on which of the following?

• the importance of retreating after 7-9 days , along with treating the other family members too.

• continue using the brushes without boiling them.

• using cold water to disinfect.

• checking the ends of the hair after treatment.

Multiple Choice

the nursing student is going over todays lecture on bed bugs and notes that which of the following is important to know?

• they are easy to get rid of

• they can travel on furniture, bedding, luggage, and clothing

• the treatment only takes 3 days

• there is no need to use pesticides to treat because they will go away on there own.

Multiple Choice

5 year old patient presents to ED with anal itching, restlessness, and weight loss. The nurse suspects to educate the parents on which of the following?

• They importanct of taking a bath instead of a shower.

• the importance of changing underclothes and bedding every two days.

• The importance of keeping short nails, avoiding scratching perianal area, and avoid nail biting.

• make sure to clean the toilet seat monthly.

• The best time to use the transparent tape is when the child is taking a bath.

Multiple Choice

According to Healthy People 2020 what can the nurse do to reduce, or maintain elimination of vaccine- preventable diseases.

• Teach on the importance of immunizations.

• evaluation immunization status on the first healthy encounter.

• Never give the families their written immunization records.

• Tell them that immunizations are not important

Multiple Choice

The nurse is educating the patiet on what causes and infection to occur. The nurse notes that the patient understands teaching when the following is stated?

• "The infection occurs when a organism leaves the body."

• "My white blood cells do not factor into an infection."

• "The infection occurs when a organism enters the body and multiplies."

• "I will need to watch for a low fever to occur."

Multiple Choice

during _______ symptoms of illness are gone but the infection is not completely eliminated. A relapse is possible.

• exposure

• incubation

• immunity

• convalescence

Multiple Choice

True or False the doctor should be called if the patient is 10 months with a temp or 39.2 C (102.6F)

• True

• False

Multiple Choice

True or False children younger than 19 years old should receive aspirin?

• True

• False

Multiple Select

The nurse is discussing medication options for the treatment of a fever. He anticipates that the doctor could order which of the following? Select all that apply.

• Ibuprofen 6mg/kg/dose po q6hr for a fever of 102.3 F in a 8 month old.

• acetaminophen 10- 20 mg/kg/dose po q2hr with a fever of 100.5 F to a 2 month old.

• acetaminophen 10-15mg/kg/dose po q4hr for a fever of 101.5 F in a 7 month old

• Ibuprofen 15-25mg/kg/dose po q3hrs for a fever of 102.2 F in a 3 month old.

• NO ASPRIN

Multiple Select

A 7 year old is admitted to the ED due to mom noticing and change in the Childs LOC, and lack of drinking. Upon further assessment that WBC is elevated. The patient has a HR of 180, BP 88/50 Temp is 104 F, RR 26 What intervention would the nurse expect to do? (SAP)

• Administer penicillin

• Administer IV fluids

• Administer a Vasopressor

• Everything is fine so you wont do anything.

Multiple Choice

A 17 year old comes into the ED with a swollen area that has draining and redness noted. He informs the nurse that he just came from football practice. Upon inspection the nurse anticipate that the doctor will order which of the following.

• Amoxicillin

• diphenhydramine

• acetaminophen

• propranolol

Multiple Choice

True or False. A patient with a diagnoses with be placed on contact if they are diagnosed with MRSA?

• True

• False

Multiple Select

Nurse goes into evaluate her patient after they were admitted to the ED. The nurse assesses and noted a rash to the face, a strawberry tounge. The nurse suspects that the doctor will order which of the following? (SAP)

• Throat Culture

• Penicillin

• this is a normal finding

• The doctor will tell them to come back later.

Multiple Choice

The nurse notes that a patient has a diagnoses of diphtheria. what does the nurse expect to see when assessing the patient.

• Sore throat, low temp, adequate drinking,

• Sore throat, fever, dehydration from poor intake, difficulty swallowing, edematous neck.

• temp of 98.6

• swelling in the feet and hands. redness noted in the mouth.

Multiple Select

Sarah is reviewing her notes on the stages of infectious disease. She notes that which of the following are the stages?

• Convalescence

• Incubation

• Prodrome

• Transitional

• Illness

Multiple Choice

When reviewing a patients chart the nurse notes that the patient has a diagnosis of Cystic fibrosis. What will the nurse anticipate using when entering the patients room?

• Gloves and Gown

• Mask, Gloves, and Gown

• N-95 mask, gloves, gown, goggles

• NOTHING

Multiple Choice

A nursing student is being taught on the proper airborne precautions for a TB, Measles, and Covid patient. The instructor realizes further teaching is needed when the nursing student states.

• "There is two doors to go through on these patients. "

• "I will make sure to put on my surgical mask when entering the room."

• "If I anticipate the spraying of fluids I can also wear gown, gloves, and goggles."

• "They are in a negative pressure room so hand hygiene will likely be preformed behind the first door to the patients room."

Multiple Select

A 10 month old comes in with cyanosis, increased secretions , lethargy , dehydration and whooping cough. what would interventions would the nurse preform. (SAP)

• azithromycin

• hydration

• suction

• humidified oxygen

• penicillin

Multiple Choice

A patient with a diagnosis of pertussis would be on which precaution?

• droplet

• airborne

• contact

Multiple Choice

The nursing student identifies which of the following as s/sx of an infection that enters through a break in the skin while walking barefoot through the garden.

• lock jaw, difficulty swallowing, seizures, fever, opisthotonos, increased muscle tone and spasms.

• fever, chills, bradycardia, weakness, hypotension

• tachypnea, nausea, vomiting, blurred vision

• rash, strawberry tongue, swelling. night sweets.

Multiple Select

The nurse has a patient with a locked jaw and is having difficulty swallowing. The nurse is monitoring for which possible complications.

• breathing problems

• dysrhythmias

• fractures

• HTN

• pneumonia

Multiple Select

The nurse is caring for a patient with tetanus. What interventions does the nurse anticipate preforming? (SAP)

• keeping emergency trach kit at bedside (airway management)

• reduce anxiety/ stimuli

• administer ABT

• manage pain, spasms, seizures

• no wound care needed.

Multiple Choice

The nurse is caring for a patient who is C/O tightness in the chest along with pain and states that when she cause there is blood on her hand. Temp is 100.3. The patient says that she have no energy. What does the nurse suspect is going on with the patient?

• Tuberculosis

• Rubella

• Pneumonia

• RSV

Multiple Select

Which of the following is a diagnostic test for TB?(SAP)

• CXR

• MRI

• CBC

• positive Mantoux

Multiple Choice

Which of the following disease can be prevented with a MMR vaccine?

• Mumps

• Tuberculosis

• Pertussis

• Scarlet fever

Multiple Select

A student nurse is reviewing a case study on Mumps. They noted that which s/sx is expected.(SAP)

• poor po intake

• parotitis

• orchitis

• oophoritis

• pain in the foot

Multiple Choice

The nurse has a male patient that is complaining of pain in his testes. What intervention should the nurse preform?

• provide an ice pack

• give him some water

• give antihistamine

• give beat blocker

Multiple Select

The nurse is assessing a 9 month old who came in with a rash on the body. The mother stated that the rash started at the face and spread down to the feet. She also reported that her son constantly scratches. What does the nurse suspect to be ordered?

• antipyretics

• fluids

• antipuritics

• humidified air

Multiple Choice

A patient is admitted to the ED with stuffy nose, white spots on the tongue, cough, and conjunctivitis. The nurse realizes what precaution should be initiated

• none

• droplet

• airborne

• contact

Multiple Choice

A mom brings her 14 month old in with a temp of 102.1 F ,a rash that started and the scalp and ended with the extremities. The nurse realizes that what could have prevent this from occurring

• Varicella vaccine

• MMR vaccine

• Flu Shot

• Rocephin

Multiple Choice

The nurse is teaching a mother with a infant about what can be done if chicken pots were to occur. the nurse notes that further teaching is needed when the mom states.

• " I need to make sure that my child is getting enough fluids."

• " Its okay to dress my baby in a tight onesie."

• "i can give my baby Tylenol if they have a fever."

• " If itching continues I can use Calamine lotion."

Multiple Choice

sixth disease is also known as what?

• Rubella

• Rubeola

• Roseola Infantum

• Mumps

Multiple Choice

A patient comes in with a pinkish rash that developed 16hr after having a fever for the past four days. Upon assessment by the nurse the rash blanched when touched. The nurse anticipates what intervention?

• Administer acetaminophen

• Restrict fluids

• lotion the skin

• Do nothing because this is normal

Multiple Choice

The fifth disease is also known as

• rubella

• pertussis

• rubeola

• erythema infectiosum

Multiple Select

What does the nursing student expect to see as a sign and symptom of the fifth disease?

• Flushing of cheeks (slap Cheek)

• high fever

• rash that disappears in sunlight

• pain or swelling in the joints

Multiple Choice

A 5 month old was admitted for temp of 103.2F. vesicles were noted in the mouth and on the hands. The mom mention that the baby was drooling a lot and wasn't wanting to drink much. What would the nurse anticipate to do?

• Administer acetaminophen

• Fluid restriction

• Don't use mouth wash

• call the doctor

Multiple Select

Which of the following are signs and symptoms of cat scratch disease

• LAD

• abscess

• HA

• fatigue

• fever

Multiple Select

The nurse educates parents on cat scratch disease. What is included in this teaching

• avoid rough play with the cats

• wash bites with soap and water

• Make sure to keep animals free of fleas.

• there is nothing to teach on

Multiple Choice

A nurse is doing an admission assessment on a patient that came in with altered LOC, fever, and pruritus . The nurse also notes a bite what should the nurse do further assessment on?

• Have you been in contact with a dog ?

• Has a cat scratched you recently anywhere?

• Have you been in contact with a Bat recently.

• What do you like to do in your free time?

Multiple Choice

what does the CDC have put in place to aide with the treatment of rabies?

• PCP

• PFT

• PEP

• A guard dog.