Chapter 8. Nursing Care of Patients With Infections

Chapter 8. Nursing Care of Patients With Infections

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A patient says to the nurse, “what is a culture?” What would be the best response by the nurse?

a.	“A culture measures the level of an antibiotic.”
b.	“A culture identifies an antibiotic’s effect on a pathogen.”
c.	“A culture determines the appropriate medication dosage to be used.”
d.	“A culture identifies the presence of disease-causing microorganisms.”

 

 

____     2.   The nurse reviews the method of transmission of Rocky Mountain spotted fever with a patient being treated for the disease. On which mode of transmission for the disease should the nurse focus with the patient?

a.	Droplet
b.	Airborne
c.	Vector-borne
d.	Vehicle-borne

 

 

____     3.   There are limited amounts of influenza vaccine currently available in the clinic. Which individual should the nurse identify as having the highest priority to receive vaccination at this time?

a.	A 15-year-old who plays ice hockey
b.	A 26-year-old with three young children
c.	A 49-year-old who works in food services
d.	An 88-year-old who lives in an apartment for senior citizens

 

 

____     4.   The nurse is discharging a patient who has been treated for conjunctivitis. Which patient statement indicates that teaching was effective?

a.	“I will have to wear a mask for 2 weeks.”
b.	“I will not share towels with others in the house.”
c.	“I will need to have a special air filter running at all times.”
d.	“I must stay 3 feet away from people when talking to them.”

 

 

____     5.   The nurse is reviewing patient care needs with a nursing assistant. Which intervention should the nurse explain as being the most important means of preventing the spread of infection?

a.	Gloving
b.	Gowning
c.	Hand washing
d.	Wearing a mask

 

MULTIPLE CHOICE

 

1. ANS:  D

A culture is obtained and grown to identify the presence of pathogens. B. C. A sensitivity examination is done after a culture, which exposes any organism to many antibiotics to determine which antibiotic will be most effective for treatment. A. A peak and trough level determines the level of an antibiotic present in the blood.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application

 

2. ANS:  C

Vector-borne transmission is the spread of infectious organisms through a living source other than humans. Rocky Mountain spotted fever is transmitted to humans by tick bite. A. Droplet transmission is a spray into the eyes or mucous membranes during sneezing, coughing, spitting, singing, or talking. D. Vehicle-borne transmission is the spread of an infectious organism by contact with a contaminated object. B. Airborne transmission occurs from organisms inhaled or deposited on the mucous membrane of a susceptible host.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application

 

3. ANS:  D

Factors that increase susceptibility to infection are very young age, old age, malnourishment, being immunocompromised, chronic disease, stress, and invasive procedures. A. B. C. Although all individuals are encouraged to receive an annual influenza vaccination the 15-year-old, 26-year-old, and 49-year-old have more competent immune systems. The influenza vaccination can be delayed for these individuals.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

 

4. ANS:  B

Vehicle-borne transmission is the spread of an infectious organism by contact with a contaminated object, such as dressings from a wound; surgical instruments; water, food, and biological products such as blood, serum, plasma, tissues, and organs. Conjunctivitis is a vehicle-borne illness. A, D. Droplet transmission is a spray into the eyes or mucous membranes and requires the use of a mask or a 3-foot distance between individuals. C. Airborne transmission occurs from organisms inhaled or deposited on the mucous membrane of a susceptible host.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Health Promotion and Maintenance | Cognitive Level: Evaluation

 

5. ANS:  C

Although using gloves, gowns, masks, goggles, and face shields help prevent the spread of infection, the most important action is hand washing.

 

PTS:     1          DIF:     Moderate