Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 30- Infections
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which assessment finding is most important in determining nursing care for a client with pneumonia? | |
| A) | A slight cough and fatigue | |
| B) | Confusion and restlessness | |
| C) | Mild pleuritic chest pain | |
| D) | Fever | |
| Ans: | B | |
| Feedback: | ||
| Confusion, restlessness, and behavioral changes may occur as a result of cerebral hypoxia showing the need to address oxygenation levels. The signs and symptoms of pneumonia may be altered in older persons. Pleuritic pain may not be severe; there may be or may not be a fever. Symptoms may include a slight cough, fatigue, and rapid respiration. | ||
| Origin: Chapter 30- Infections, 2
Chapter: 30 Client Needs: A2 Cognitive Level: Analysis Difficulty: Difficult Integrated Process: Teaching/learning Objective: 2 Page and Header: 413, Clostridium difficile Infection |
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| 2. | The nurse discusses hand hygiene with the staff specifically regarding Clostridium difficile. Which of the following should the nurse include in teaching plan? | |
| A) | Avoid the use of bleach and bleach cleaners in C. difficile isolation rooms, as the bleach does not kill the spores. | |
| B) | Hand washing is required with running water and soap to remove the spores from the caregivers’ hands. | |
| C) | The spores are transmitted only from direct contact, so wear gloves when touching the patient. | |
| D) | Use of alcohol-based hand cleansers is appropriate for use before and after each patient contact. | |
| Ans: | B | |
| Feedback: | ||
| Alcohol-based hand cleansers do not remove the spores from the hands of caregivers, and running water is required. Caregivers should wear gloves when entering the isolation room (not just when touching the patient). | ||
| Origin: Chapter 30- Infections, 3
Chapter: 30 Client Needs: D4 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 411, Scabies |
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| 3. | The nurse at the assisted living facility inspects the skin of a resident with intense pruritus. Which of the following symptoms would support the need for treatment of scabies? | |
| A) | The itching is worse during the day. | |
| B) | The lesions are concentrated on the abdomen. | |
| C) | The lesions are linear with a vesicle on one end. | |
| D) | The vesicles follow a nerve route. | |
| Ans: | C | |
| Feedback: | ||
| Close examination of the rash can detect the burrow (a linear ridge with a vesicle on one end) where the mite can be found. Intense pruritus worsens at night. On inspection, the skin appears excoriated. The rash typically is present in skin folds. | ||
| Origin: Chapter 30- Infections, 4
Chapter: 30 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/learning Objective: 2 Page and Header: 411, Herpes Zoster |
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| 4. | The nurse instructs an older adult who has developed shingles regarding risk for future occurrences of the disease. Which of the following should then nurse include in this discussion? | |
| A) | “Chronic diarrhea and thrush are symptoms that can develop years after herpes zoster has invaded the body.” | |
| B) | “Herpes zoster is a sexually transmitted disease.” | |
| C) | “You should receive the vaccination to prevent future occurrences.” | |
| D) | “Your family is now at risk for developing shingles.” | |
| Ans: | C | |
| Feedback: | ||
| People who have had shingles can still receive the shingles vaccine to help prevent future occurrences of the disease; generally, people wait until the lesions are gone to get the vaccination. The CDC recommends that people over age 60 be vaccinated against shingles. | ||
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