Chapter 18: Communicable Diseases

Chapter 18: Communicable Diseases

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When the mother of a 3-year-old with chickenpox (varicella) asks how to ease the pruritus, the nurse suggests:

a.	Bathing the child in warm water and mild soap
b.	Clothing the child in warm clothing
c.	Using drying lotions such as calamine
d.	Giving a dose of oral Benadryl (diphenhydramine) with an application of Benadryl lotion

 

 

ANS:   C

Applying drying lotions will assist in reducing pruritus.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 342              OBJ:    5

TOP:    Pruritus           KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies

 

2. When an 8-year-old asks the nurse how shots kept her from getting whooping cough, the nurse explains that the shots:

a.	Were borrowed antibodies from another person who had whooping cough
b.	Gave her a “tiny” case of whooping cough and then she made her own antibodies
c.	Strengthened the antibodies she was born with
d.	Are only temporary borrowed antibodies, and she needs to have another shot every 5 years

 

 

ANS:   B

Vaccines contain live weakened or dead organisms that are not strong enough to cause disease, but they stimulate the body to develop an immune reaction and antibodies. This is active acquired immunity.

 

DIF:    Cognitive Level: Application             REF:    p. 342              OBJ:    6

TOP:    Immunizations                                    KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. The nurse would delay the administration of DTaP when a mother says that her infant:

a.	Has diarrhea
b.	Had a temperature of 105° F from the previous inoculation
c.	Is teething
d.	Is traveling with her to Europe in a week

 

 

ANS:   B

Contradictions to routine immunizations include febrile conditions.

 

DIF:    Cognitive Level: Application             REF:    p. 342              OBJ:    6

TOP:    Immunizations                                    KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Reduction of Risk

 

4. The nurse is planning to administer immunizations at a well-child visit when a parent reports that her 18-month-old child is allergic to eggs. The vaccine that would be contraindicated is:

a.	Influenza
b.	Inactivated polio vaccine
c.	Diphtheria, tetanus, acellular pertussis
d.	Hepatitis B

 

 

ANS:   A

The influenza vaccine should not be given to children who have an allergy to eggs.

 

DIF:    Cognitive Level: Application             REF:    p. 352              OBJ:    6

TOP:    Influenza Vaccine                              KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Reduction of Risk

 

5. The nurse would choose to administer the immunization injection of:

a.	DTaP subcutaneously
b.	HIB intramuscularly
c.	Varicella intramuscularly
d.	Varicella 1 week after the MMR vaccine

 

 

ANS:   B

HIB vaccine must be given in a separate syringe from other vaccines administered at the same time and must be administered intramuscularly.

 

DIF:    Cognitive Level: Application             REF:    p. 352              OBJ:    6

TOP:    HIB Immunization                             KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies