Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
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Chapter 71 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13e Edition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A male patient comes to the clinic and is diagnosed with gonorrhea. Which symptom most likely prompted him to seek medical attention? | |
| A) | Rashes on the palms of the hands and soles of the feet | |
| B) | Cauliflower-like warts on the penis | |
| C) | Painful, red papules on the shaft of the penis | |
| D) | Foul-smelling discharge from the penis | |
| Ans: | D | |
| Feedback: | ||
| Signs and symptoms of gonorrhea in men include purulent, foul-smelling drainage from the penis and painful urination. Rashes on the palms of the hands and soles of the feet are a sign of the secondary stage of syphilis. Cauliflower-like warts on the penis are a sign of human papillomavirus. Painful red papules on the shaft of the penis may be a sign of the first stage of genital herpes. | ||
| 2. | A nurse is caring for a child who was admitted to the pediatric unit with infectious diarrhea. The nurse should be alert to what assessment finding as an indicator of dehydration? | |
| A) | Labile BP | |
| B) | Weak pulse | |
| C) | Fever | |
| D) | Diaphoresis | |
| Ans: | B | |
| Feedback: | ||
| Assessment of dehydration includes evaluation of thirst, oral mucous membrane dryness, sunken eyes, a weakened pulse, and loss of skin turgor. Diaphoresis, labile BP, and fever are not characteristic signs and symptoms of dehydration. | ||
| 3. | A nursing home patient has been diagnosed with Clostridium difficile. What type of precautions should the nurse implement to prevent the spread of this infectious disease to other residents? | |
| A) | Contact | |
| B) | Droplet | |
| C) | Airborne | |
| D) | Positive pressure isolation | |
| Ans: | A | |
| Feedback: | ||
| Contact precautions are used for organisms that are spread by skin-to-skin contact, such as antibiotic-resistant organisms or Clostridium difficile. Droplet precautions are used for organisms that can be transmitted by close, face-to-face contact, such as influenza or meningococcal meningitis. Airborne precautions are required for patients with presumed or proven pulmonary TB or chickenpox. Positive pressure isolation is unnecessary and ineffective. | ||
| 4. | A nurse who provides care in a busy ED is in contact with hundreds of patients each year. The nurse has a responsibility to receive what vaccine? | |
| A) | Hepatitis B vaccine | |
| B) | Human papillomavirus (HPV) vaccine | |
| C) | Clostridium difficile vaccine | |
| D) | Staphylococcus aureus vaccine | |
| Ans: | A | |
| Feedback: | ||
| Nurses should recognize their personal responsibility to receive the hepatitis B vaccine and an annual influenza vaccine to reduce potential transmission to themselves and vulnerable patient groups. HPV is not a threat because it is sexually transmitted. No vaccines are available against C. difficile and S. aureus. | ||
| 5. | When a disease infects a host a portal of entry is needed for an organism to gain access. What has been identified as the portal of entry for tuberculosis? | |
| A) | Integumentary system | |
| B) | Urinary system | |
| C) | Respiratory system | |
| D) | Gastrointestinal system | |
| Ans: | C | |
| Feedback: | ||
| The portal of entry for M. tuberculosis is through the respiratory tract. | ||
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