Chapter 16: The Child with an Infectious Disease

Chapter 16: The Child with an Infectious Disease

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which of the following statements made by an adolescent girl indicates an understanding about the prevention of sexually transmitted diseases (STDs)?

a.	“I know the only way to prevent STDs is not to be sexually active.”
b.	“I practice safe sex because I wash myself right after sex.”
c.	“I won’t get any kind of STD because I take the pill.”
d.	“I only have sex if my boyfriend wears a condom.”

 

 

ANS:   A

 

	Feedback
A	Abstinence is the only foolproof way to prevent an STD.
B	STDs are transmitted through body fluids (semen, vaginal fluids, blood). Perineal hygiene will not prevent an STD.
C	Oral contraceptives do not protect women from contracting STDs.
D	A condom can reduce but not eliminate an individual’s chance of acquiring an STD.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 450

OBJ:    Nursing Process Step: Evaluation

MSC:   NCLEX: Health Promotion and Maintenance

 

2. Which sexually transmitted disease would the nurse suspect when an adolescent girl comes to the clinic because she has a vaginal discharge that is white with a fishy smell?

a.	Human papillomavirus
b.	Bacterial vaginosis
c.	Trichomonas
d.	Chlamydia

 

 

ANS:   B

 

	Feedback
A	Manifestations of the human papillomavirus are anogenital warts that begin as small papules and grow into clustered lesions.
B	Bacterial vaginosis is characterized by a profuse, white, malodorous (fishy smelling) vaginal discharge that sticks to the vaginal walls.
C	Infections with Trichomonas are frequently asymptomatic. Symptoms in females may include dysuria, vaginal itching, burning, and a frothy, yellowish-green, foul-smelling discharge.
D	Many people with chlamydial infection have few or no symptoms. Urethritis with dysuria, urinary frequency, or mucopurulent discharge may indicate chlamydial infection.

 

 

DIF:    Cognitive Level: Analysis                  REF:    Text Reference: pg 453

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

 

3. A child taking oral corticosteroids for asthma is exposed to varicella. The child has not had the varicella vaccine and has never had the disease. What intervention should be taken to prevent varicella from developing?

a.	No intervention is needed unless varicella develops.
b.	Administer the varicella vaccine as soon as possible.
c.	The child should begin a course of oral acyclovir.
d.	Give the child varicella zoster immune globulin (VZIG).

 

 

ANS:   D

 

	Feedback
A	Children taking oral corticosteroids are immunosuppressed and are at high risk for serious complications. Intervention must be taken to prevent the disease when exposure occurs.
B	The varicella vaccine is a live virus vaccine and would be contraindicated for an immunosuppressed child.
C	An antiviral drug, such as acyclovir, is given to individuals at high risk for developing moderate to severe varicella. If administered, it should be started as soon as lesions appear. Acyclovir will not prevent the child from manifesting the disease after exposure.
D	For children at high risk for development of severe varicella, VZIG should be given within 96 hours after exposure for maximum effectiveness.

 

 

DIF:    Cognitive Level: Analysis                  REF:    Text Reference: pg 435

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

4. What is the body’s first line of defense against infection in the innate immune system?

a.	Nutritional status
b.	Skin integrity
c.	Immunization status
d.	Proper hygiene practices

 

 

ANS:   B

 

	Feedback
A	Nutritional status is an indicator of overall health, but it is not the first line of defense in the innate immune system.
B	The first lines of defense in the innate immune system are the skin and intact mucous membranes.
C	Immunizations provide artificial immunity or resistance to harmful diseases.
D	Practicing good hygiene may reduce susceptibility to disease, but it is not a component of the innate immune system.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 420

OBJ:    Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity