Infection/Immunity Practice-to-Pass

The nurse tells the parents of a child who has a positive throat culture for group A hemolytic streptococcus that the treatment most likely will be:

• acetaminophen and plenty of fluids

• oral penicillin for 10 days

• penicillin until his sore throat is gone

• streptococcus immunization

A nurse is instructing a client on home care after a culture for a bacterial infection and cellulitis. Which of the following information should the nurse include?

• Bathe daily with moisturizing soap.

• Apply antibacterial topical medication to the crusted exudate.

• Apply warm compresses to the affected area.

• Cover affected area with snug-fitting clothing.

A nurse in a clinic is preparing to obtain a skin specimen from a client who has a suspected herpes infection. Which of the following actions should the nurse take? (Select all that apply.)

• Scrape the site with a wooden tongue depressor.

• Use a razor to cut the scabbed area to obtain the specimen.

• Use a cotton-tipped application to obtain fluid from the lesion.

• Place specimen in a potassium hydroxide (KOH) solution tube.

• Place specimen tube on ice after obtaining sample

A nurse in a residential care facility is assessing an older adult client. Which of the following findings should the nurse identify as atypical indications of infection in this client? (Select all that apply.)

• Urinary incontinence

• Malaise

• Acute confusion

• Fever

• Agitation

A nurse in a primary care clinic is assessing a client who has a history of herpes zoster. Which of the following findings suggests that the client has postherpetic neuralgia?

• Linear clusters of vesicles on the right shoulder

• Purulent drainage from both eyes

• Decreased white blood cell count

• Report of continued pain following resolution of the rash

A charge nurse is teaching a newly licensed nurse about the care of a client who has methicillin‑resistant Staphylococcus aureus (MRSA). Which of the following statements should the charge nurse identify as an indication that the newly licensed nurse understands the teaching?

• “I should obtain a specimen for culture and sensitivity after the first dose of an antimicrobial.”

• “MRSA is usually resistant to vancomycin, so another antimicrobial will be prescribed."

• “I will protect others from exposure when I transport the client outside the room.”

• “To decrease resistance, antimicrobial therapy is discontinued when the client is no longer febrile.

A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?

• Prodromal

• Incubation

• Convalescence

• Illness

A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection. Which of the following are manifestations of a systemic infection? (Select all that apply.)

• Fever

• Malaise

• Edema

• Pain or tenderness

• Increase in pulse and respiratory rate

A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?

• Offer chicken broth.

• Initiate oral rehydration therapy.

• Start hypertonic IV solution.

• Keep NPO until the diarrhea subsides

A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply.)

• Fever

• Vomiting

• Watery stools

• Bloody stools

• Confusion