Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which classification of medication would make a child most susceptible to an opportunistic infection?

a.	Anticonvulsant
b.	Beta-adrenergic agent
c.	Antibiotic
d.	Corticosteroid

 

 

ANS:  D

Steroids are immunosuppressive drugs that make the child very susceptible to opportunistic infections.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 725        OBJ:   3

TOP:   Effect of Steroids                            KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

2. An 8-year-old asks the nurse how she got the antibodies that kept her from getting whooping cough. What is the nurse’s best explanation?

a.	“You received borrowed antibodies from another person who had whooping cough.”
b.	“You were given a tiny case of whooping cough and then you made your own antibodies.”
c.	“An immunization strengthened antibodies you were born with.”
d.	“You received only temporary borrowed antibodies and you need to have another shot every 5 years.”

 

 

ANS:  B

Vaccines contain live weakened or dead organisms 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: Comprehension     REF:   Page 728, Table 32-1

OBJ:   4                    TOP:   Vaccines        KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. How would the nurse document a rash that has erythematous, circular raised lesions?

a.	Macular
b.	Papular
c.	Vesicular
d.	Pustular

 

 

ANS:  B

A papule is a circular, reddened elevated area on the skin.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 727        OBJ:   2

TOP:   Rashes           KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. Which finding would lead the nurse to delay the administration of DTaP for an infant?

a.	Diarrhea
b.	Temperature of 40.5° C (105° F) from the previous inoculation
c.	Teething
d.	Traveling to Europe in a week

 

 

ANS:  B

A contraindication to giving the DTaP vaccine is a 40.5° C (105° F) temperature following the previous vaccination.

 

DIF:    Cognitive Level: Application           REF:   Page 731        OBJ:   6

TOP:   Immunizations                                 KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

5. What type of precautions are necessary when caring for a toddler with varicella?

a.	Contact
b.	Protective
c.	Airborne infection
d.	Large droplet infection

 

 

ANS:  C

Airborne-infection precautions are used for patients with conditions such as tuberculosis, varicella, and rubella. Small airborne particles caught on floating dust in the room can be inhaled from anywhere in the room.

 

DIF:    Cognitive Level: Application           REF:   Page 722, Health Promotion box

OBJ:   4                    TOP:   Medical Asepsis and Standard Precautions

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control