ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 71 : Management of Patients With Infectious Diseases Questions
Question 1 of 5
A patient is alarmed that she has tested positive for MRSA following culture testing during her admission to the hospital. What should the nurse teach the patient about this diagnostic finding?
Correct Answer: B
Rationale: Positive MRSA culture indicates colonization, not necessarily infection. It is not preliminary, nor is it true that most patients test positive or that treatments eliminate concern.
Question 2 of 5
A patients diagnostic testing revealed that he is colonized with vancomycin-resistant enterococcus (VRE). What change in the patients health status could precipitate an infection?
Correct Answer: C
Rationale: A skin break provides a portal for VRE to cause infection from colonization. Antibiotics or prolonged skin contact are less likely to trigger infection.
Question 3 of 5
A clinic nurse is caring for a male patient diagnosed with gonorrhea who has been prescribed ceftriaxone and doxycycline. The patient asks why he is receiving two antibiotics. What is the nurses best response?
Correct Answer: C
Rationale: Dual therapy with ceftriaxone and doxycycline targets common co-infection with chlamydia in gonorrhea patients. It does not primarily address resistance, reinfection, or speed of cure.
Question 4 of 5
A student nurse completing a preceptorship is reviewing the use of standard precautions. Which of the following practices is most consistent with standard precautions?
Correct Answer: B
Rationale: Handwashing after glove removal is a core standard precaution to prevent contamination. Masks, gowns, needle recapping, and double-gloving are not standard practices.
Question 5 of 5
A patient is admitted from the ED diagnosed with Neisseria meningitidis. What type of isolation precautions should the nurse institute?
Correct Answer: B
Rationale: Neisseria meningitidis spreads via large respiratory droplets, requiring droplet precautions. Airborne precautions are for smaller droplets, and observation precautions do not exist.