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 on the medical unit is found to have pulmonary tuberculosis (TB). What is the most appropriate precaution for the staff to take to prevent transmission of this disease?
Correct Answer: D
Rationale: Pulmonary TB requires airborne precautions with standard precautions to prevent droplet transmission. Droplet or contact precautions alone are insufficient.
Question 2 of 5
An adult patient in the ICU has a central venous catheter in place. Over the past 24 hours, the patient has developed signs and symptoms that are suggestive of a central line associated bloodstream infection (CLABSI). What aspect of the patients care may have increased susceptibility to CLABSI?
Correct Answer: A
Rationale: Femoral vein catheter placement increases CLABSI risk due to higher bacterial colonization. Blood cultures, prior VRE treatment, or combined IV fluids do not directly increase risk.
Question 3 of 5
What is the best rationale for health care providers receiving the influenza vaccination on a yearly basis?
Correct Answer: B
Rationale: Annual influenza vaccination reduces transmission to vulnerable patients. It does not prevent healthcare-associated infections, eradicate influenza, or stop drug-resistant strains.
Question 4 of 5
A patient has presented at the ED with copious diarrhea and accompanying signs of dehydration. During the patients health history, the nurse learns that the patient recently ate oysters from the Gulf of Mexico. The nurse should recognize the need to have the patients stool cultured for microorganisms associated with what disease?
Correct Answer: D
Rationale: Cholera is associated with shellfish consumption from the Gulf of Mexico, causing watery diarrhea. Ebola, West Nile, and Legionnaires have different transmission modes.
Question 5 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.