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 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 2 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 3 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 4 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.
Question 5 of 5
During a health education session, a participant asks the nurse how a vaccine can protect from future exposures to diseases against which she is vaccinated. What would be the nurses best response?
Correct Answer: A
Rationale: Vaccines stimulate an antibody response to provide immunity against future exposures. They do not treat active infections or directly attack pathogens.