Deck 11: Nursing Care of People With Infections

Question 1

A person has been vaccinated against measles. This is an example of which type of immunity?

A)Passive artificial
B)Active artificial
C)Active natural
D)Passive natural

Answer 1

Active artificial

Question 2

A person who was diagnosed with an infection is prescribed the macrolide antibiotic erythromycin (Eryc). Which of the following should the nurse instruct the person about taking this medication? Take the medication:

A)with a full glass of juice.
B)with a glass of milk.
C)on an empty stomach.
D)immediately after eating.

Answer 2

on an empty stomach.

Question 3

A person with a compromised immune system is admitted to the hospital with an infection. Which of the following will most likely be done to help this person?

A)Discharge the person early to recover at home.
B)Place the person in a semi-private room.
C)Place the person in respiratory isolation.
D)Utilise isolation techniques to protect the person from further infection.

Answer 3

Place the person in a semi-private room.
Place the person in respiratory isolation.
Utilise isolation techniques to protect the person from further infection.

Question 4

The nurse is caring for a person who is requiring airborne precautions. Which of the following should the nurse wear when providing care to this person?

A)P2 respirators
B)Gown and gloves
C)Shoe covering and gown
D)Head covering and gown

Question 5

A person wants to know why he developed an infection after being cut on the leg with a piece of wood, but his friend who was also cut did not become infected. Which of the following can the nurse explain to this person?

A)'You might have an autoimmune disorder'.
B)'Your friend will eventually get an infection, too'.
C)'The organism found you more susceptible to the creation of an infection'.
D)'Maybe the wood that cut your friend wasn't as dirty and infected'.

Question 6

An older adult with a history of lung disease had a pneumococcal vaccination 10 years ago. Which of the following should be done for this person?

A)Remind the person that he will need a booster in the future.
B)Collect a blood sample to test for antibody levels.
C)Suggest that the person have a pneumococcal booster during this visit.
D)Remind the person that he does not need a flu vaccination.

Question 7

One school district is not enforcing vaccinations for children who are starting school. What could be the result of this action?

A)Healthier children.
B)An epidemic of an illness that could have been avoided with vaccinations.
C)A reduction in the number of colds and flu incidences in the school.
D)A decrease in school costs.

Question 8

A person asks the nurse how long it will be before a leg wound heals. The nurse realises that healing occurs in three phases. What are these phases? Select all that apply.

A)Reconstruction
B)Deconstruction
C)Resolution
D)Inflammation
E)Convalescence

Question 9

A person recovering from an infection has a reduced appetite. Which of the following nutrients is of utmost importance for this person to ingest to support the healing process?

A)Complex carbohydrates
B)Vitamins
C)Protein
D)Fats

Question 10

A person has elevated blood levels of immunoglobulin IgM. What does this suggest to the nurse? The person is:

A)in the early stages of an infection.
B)experiencing a hypersensitivity response.
C)responding to bacterial toxins.
D)in the later stages of an infection.

Question 11

The nurse is assessing a person's arm for inflammation. What are cardinal signs of a localised inflammatory process? Select all that apply.

A)Hyperaemia
B)Swelling
C)Loss of function
D)Purulent drainage

Question 12

The nurse is caring for a person recovering from abdominal surgery. The person asks the nurse why the incentive spirometry must be used. Which of the following can be provided as an explanation to the person for the use of this device?

A)'It will help with intestinal parastalysis'.
B)'It will help prevent skin breakdown'.
C)'It will help prevent the development of pneumonia'.
D)'It will prevent you from getting the flu'.

Question 13

A person with methicillin-resistant Staphylococcus aureus (MRSA)is no longer responding to the medication vancomycin. What is this person most likely demonstrating?

A)VISA
B)VRE
C)MDR-TB
D)ESBL

Question 14

A person asks the nurse, 'What's going to happen to me now that my spleen is gone?' What is an appropriate nursing response?

A)'Your liver and bone marrow will assume its functions'.
B)'You will have to avoid getting colds and flu'.
C)'Your spleen doesn't do much, so you will not miss it'.
D)'Your stomach will assume its functioning'.

Question 15

A person who is demonstrating an inflammatory response is prescribed a non-steroidal anti-inflammatory drug (NSAID). The nurse realises that this medication will result in which of the following?

A)Inhibition of prostaglandin synthesis
B)Increase in the flow of serous exudate
C)Reduction in the production of leukotrienes
D)Increase in the production of histamine

Question 16

A person who has never experienced a reaction to a bee sting comes into the emergency department with intense oedema and redness at the site of the sting. The nurse realises that this person is demonstrating which of the following?

A)Circulation of oesinophils
B)Increased production of monocytes
C)Mobilisation of lymphocytic memory T cells
D)Activation of basophils

Question 17

A person is having skin testing done to assess for allergies. What would be evidence of exposure to an antigen?

A)A response that only appears 5 days later
B)Itching at the site of the skin test
C)An area of approximately 1 mm of induration and erythema
D)An area of greater than 10 mm of induration and erythema

Question 18

The nurse is caring for a person who has decreased neutrophils on their full blood count. This suggests to the nurse that the person:

A)is experiencing an allergic reaction.
B)has a skin fungal infection.
C)has a parasitic worm infection.
D)has bone marrow depression.

Question 19

A person who received a vaccination 2 weeks prior returns to the clinic with a wound at the inoculation site. What has happened? The person is:

A)scratching the inoculation site.
B)allergic to the inoculation.
C)experiencing a severe localised reaction to the inoculation.
D)demonstrating localised signs of the disease that the inoculation was intended to prevent.