Worksheetschapter 13
Total questions: 31
Worksheet time: 17mins
A patient in early labor says to the nurse, “I will pass on protection from diseases, and the baby will not ever need any shots.” What is the best response by the nurse?
“Babies are born with innate (natural) immunity at birth.”
“Babies are born with immunoglobulin E (IgE), an antibody that crosses the placenta, but it only briefly protects the baby.”
“Yes, immediate antibody immunity from the mother is the first line of defense against disease for babies.”
“Yes, the mother passes on cellmediated immunity.”
A school nurse starts a clean-up campaign at a local elementary school in an effort to combat allergens. What is the most common allergic response disorder?
Anaphylaxis
Asthma
Contact dermatitis
Urticaria
A nurse is discussing the body’s first and second lines of defense against infection with a community group. What does the body’s first line of defense include?
Teeth
Sweat
White blood cells
T lymphocytes
A nurse explains that a medication given to a patient with a severe inflammatory response mimics a hormone secreted by the adrenal cortex. To what hormone is the nurse referring?
Aldosterone
Testosterone
Histamine
Cortisol
With the exposure to an antigen, a nurse explains that the initiator of the inflammatory response is the presence of histamine. What is responsible for releasing histamine?
Neutrophils
Eosinophils
Basophils
Monocytes
A nurse is bathing a patient who is immunodeficient and has a Cryptococcus infestation. What is the classification of this organism?
Bacterium
Virus
Fungus
Protozoa
A mosquito or a fly carries an organism that infects another living organism. What is this mode of transmission of infection?
Common vehicle
Direct excretion
Ingestion
Vector
What is the most effective method to control the spread of communicable disease?
Isolate the infected person from all contact with noninfected persons.
Vigorously petition the community health department to increase spraying.
Administer prophylactic antibiotics to the rest of the family.
Demonstrate and monitor a return demonstration of a good hand washing technique by the family.
An air conditioner duct cleaning is recommended by a home health nurse. What should this precaution prevent the spread of in the patient’s home?
Bacteria
Viruses
Fungi
Protozoa
A school nurse cautions a group of parents about children playing barefoot on dirt. To what infectious agents can this action expose the children?
Helminthes
Protozoa
Rickettsiae
Mycoplasmas
11. A large, heavy, and older adult patient has a stroke and develops an
infected decubitus ulcer on the sacrum during the hospital stay. Approximately 2 weeks after the patient has gone home, the patient returns to the hospital with pneumonia. What is the distinction between these two infections?
The decubitus ulcer infection was transmitted from other
patients on the unit, but the pneumonia was transmitted from a neighbor visiting when the patient was at home.
The decubitus ulcer and pneumonia are caused by the same host.
The decubitus ulcer is termed a health care–associated infection, and pneumonia is termed a community-acquired infection.
The decubitus ulcer is considered to be caused by protozoa, but the pneumonia is considered unpreventable because of the size of the patient.
On a visit to administer the fifth in a series of 10 antibiotic doses, a home
health nurse is told that the patient is now complaining about a bothersome
vaginal discharge. The nurse communicates the problem and arranges for medication. What is the most likely cause of the vaginal discharge?
Poor genital hygiene—not changing underwear often enough
Allergy to the soap or soap products used in the genital area
Superinfection response to the antibiotic medication
Sexual contact with another infected person
Which patient diagnosis is most likely related to acquiring a health care– associated infection?
Abdominal abscess after a ruptured appendix
Lice and nits that have come from the emergency department
Urinary infection after the insertion of a Foley catheter
Two-day, postoperative foot fungus after a hip replacement
A community picnic is held. A number of the attendees become ill after the picnic. How was the pathogen acquired?
Indirect contact
Common vehicle
Airborne transmission
Vector transmission
A nurse caring for a patient who is immunosuppressed is diligent about protecting the patient from infection. When visitors come in, in addition to having them put on isolation attire, what should the nurse also prohibit?
Battery-operated DVD player
Book
Potted plant
Box of candy
A nurse explains that although some drugs reduce inflammation, they also hinder the body’s immune response. What are examples of such drugs?
Antihistamines and salicylates
Bronchodilators and corticosteroids
Cardiotonic and anticholinergics
Diuretics and sedatives
17. A patient has had several increasingly severe allergic reactions during last
year’s pollen season. This year, the patient comes regularly to the office to
receive some antigen injections. What education will the nurse provide
regarding these injections?
They will combat infection brought on by the allergic response.
They will act as a steroid to lessen the allergic response.
They will increase tolerance to the antigen.
They will decrease the production of the antibodies.
A patient who is receiving daily steroids for the control of a condition
calls the nurse to ask advice about whether a small child who has been
exposed to influenza should come and visit because she has not had any
symptoms. What is the most appropriate response by the office nurse?
“Yes, let the child visit. There is no reason not to visit because this child is not sick.”
“No, the child should not visit. Infectious diseases are often most communicable in the short period before the child actually becomes ill.”
“It would be up to the patient. Plan not to get overtired with a small child running and bouncing around.”
“Take the child who is not sick to her own physician and ask this question
first.”
A patient with the diagnosis of Clostridium difficile infection asks what has caused the diarrhea. What is the best response by the nurse?
It is caused by a protozoal infection.
It is caused by a fecal–oral contamination.
It is caused by an inflammatory response.
It is caused by a long-term antibiotic therapy.
A patient receiving a large intramuscular dose of antibiotic was asked to please wait 20 to 30 minutes before checking out. What is the reason for this request?
The office staff needs to make sure that the right medicine was
administered before the patient leaves.
The nurse always forgets to ask the patient about allergies before administering the antibiotic.
Antibiotics are a common source of severe allergic reactions within the first few minutes after an injection.
The staff wants to make sure that the patient has time to pay for the services delivered that day.
After receiving an injection of penicillin, a patient undergoes an anaphylactic reaction. What should the nurse do first?
Administer oxygen.
Prepare fluids to combat shock.
Notify the charge nurse.
Cover with several blankets.
The Centers for Disease Control and Prevention (CDC) has issued new guidelines for infection control. Nursing care plans for patients with infection should mainly address which protocol?
Disease-specific precautions
Manner in which clean gloves are worn
Standard Precautions guidelines
Placement of needles and sharps
Which vitamin can enhance wound healing?
A
B
C
D
A patient is hospitalized with cryptococcal pneumonia and AIDS. What is the most important standard precaution for the health care team to implement?
Hands are washed before and after gloving.
After gloves are put on, they do not need to be changed until care is finished.
containers on the medicine cart out of the room.
Needles and sharps should be placed in puncture-resistant
Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as “do not resuscitate.”
The organs involved in immunity include the tonsils, spleen, and lymph nodes. What other organ is involved in immunity?
Liver
Lungs
Periosteum
Pancreas
What is required by medical asepsis that is not required by surgical
asepsis?
Good hand washing technique
That no nonsterile product comes into contact with the patient
Elimination of all microorganisms
Hand washing with antimicrobial soap for 3 minutes
The daughter of an 89-year-old resident in a long-term care facility asks if she may give her father an over-the-counter (OTC) antihistamine that she uses forseasonal allergy. What is the nurse’s most appropriate response?
“Yes. OTCs are mild and very helpful.”
“No. Many antihistamines cause confusion in the older adult.”
“Yes. The drug might energize him so he won’t be so drowsy.”
“No. Allergic symptoms should be allowed to run their course.”
What occurrences of disease is the school nurse required to report to the health department? (Select all that apply.)
Rubella
Lyme disease
Pediculosis
Salmonella
Clostridium difficile
A nurse assesses a high eosinophil count in a pediatric patient. The nurse recognizes that this elevation is an indicator of (a) .
Persons with human immunodeficiency virus (HIV) have acquired Pneumocystis jiroveci (PCP), a serious pulmonary infection caused by (a) .
A nurse reminds the patient who is to undergo hyperbaric oxygen therapy that the clothing worn into the chamber must be made of (a) .
