Monahan Phipps Medical Surgical 8th Edition By Monahan -Test Bank

Monahan Phipps Medical Surgical 8th Edition By Monahan -Test Bank

Monahan: Phipps’ Medical-Surgical Nursing: Health and Illness

Perspectives, 8^th Edition

Test Bank

Chapter 6: Infectious Diseases and Bioterrorism

MULTIPLE CHOICE

1.  Which correctly describes the sequence of events leading to an infection?

1.

Causative agent, susceptibility of host, pathogen

2.

Susceptibility of host, pathogen, portal of entry, carrier

3.

Carrier, pathogen, portal of entry, susceptibility of host

4.

Pathogen, reservoir, portal of entry, susceptibility of host

ANS: 4 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity

2.  A patient develops a urinary tract infection while an indwelling urinary catheter is in place. This patient has a:

1.

Nosocomial infection

2.

Passive infection

3.

Latent infection

4.

Super infection

ANS: 1 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Evaluation MSC: Client Needs: Physiological Integrity

3.  A woman becomes ill after eating food served at a party. Which type of pathogenic transmission has occurred?

1.

Droplet

2.

Direct contact

3.

Common vehicle

4.

Vector-borne

ANS: 3 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity

4.  Which agency is responsible for the control of infectious diseases in the United States?

1.

Each individual state

2.

The federal government

3.

Local public health departments

4.

The Centers for Disease Control and Prevention

ANS: 1 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance

5.  Which statement about immunizations is true? They:

1.

Provide artificial antibodies to protect against specific diseases

2.

Cause a mild case of the disease so that permanent immunity results

3.

Elicit immune responses against the antigen from which the vaccine was made

4.

Cause recognition of the antigen, which requires disease exposure before antibodies are synthesized

ANS: 3 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Evaluation MSC: Client Needs: Physiological Integrity

6.  Which is the best protection against infection at home, in the hospital, or in the outpatient setting?

1.

Thorough hand washing

2.

Avoidance of known carriers

3.

Prophylactic use of antibiotics

4.

Use of appropriate isolation procedures

ANS: 1 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment

7.  Which nursing activity reduces the risk for urinary tract infection in the patient with an indwelling urinary catheter?

1.

Irrigating the catheter and bladder with a mild acidic solution at least once daily

2.

Securely anchoring the catheter to prevent movement in and out of the urethra

3.

Administering oral prophylactic urinary antiseptics

4.

Changing the urinary catheter every other day

ANS: 2 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment

8.  Which type of isolation is necessary for a person with active pulmonary tuberculosis?

1.

Contact

2.

Droplet

3.

Airborne

4.

Standard

ANS: 3 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment

9.  Which statement regarding the causes, consequences, or treatment of fever is false?

1.

It is a protective response to pathogens

2.

Shivering results in increased heat production

3.

Increased perspiration may lead to dehydration

4.

Temperature is rapidly reduced to prevent seizures

ANS: 4 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment

10. When reviewing a culture report, the nurse understands that gram-negative rods may indicate an infection such as:

1.

Group A Streptococcus

2.

Proteus or Salmonella

3.

Varicella or herpes

4.

Candida albicans

ANS: 2 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Evaluation MSC: Client Needs: Physiological Integrity

11. Which is the most common nosocomial infection occurring in hospitalized patients?

1.

Wound

2.

Pneumonia

3.

Candidiasis

4.

Urinary tract

ANS: 4 PTS: 1 DIF: Category: Blood and immunity

TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity