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 public health nurse is teaching a mother about vaccinations prior to obtaining informed consent for her childs vaccination. What should the nurse cite as the most common adverse effect of vaccinations?
Correct Answer: B
Rationale: Allergic reactions to vaccine components are the most common adverse effects. Sun sensitivity, nausea, and joint pain are not typical.
Question 2 of 5
A mother brings her 12 month-old son into the clinic for his measles-mumps-rubella (MMR) vaccination. What would the clinic nurse advise the mother about the MMR vaccine?
Correct Answer: C
Rationale: MMR vaccination may cause fever and hypersensitivity reactions. Photophobia, hives, and hypothermia are not typical, and reactions are well-documented.
Question 3 of 5
An older adult patient tells the nurse that she had chicken pox as a child and is eager to be vaccinated against shingles. What should the nurse teach the patient about this vaccine?
Correct Answer: B
Rationale: Zostavax reduces shingles risk by about 50% in adults over 60. It is a single injection, not contraindicated by age, and effective regardless of prior varicella vaccination.
Question 4 of 5
The nurse educator is discussing emerging diseases with a group of nurses. The educator should cite what causes of emerging diseases? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Emerging diseases are driven by antibiotic resistance, population movements, global travel, and food globalization. Generalized immune weakening is not a primary cause.
Question 5 of 5
An older adult patient has been diagnosed with Legionella infection. When planning this patients care, the nurse should prioritize which of the following nursing actions?
Correct Answer: D
Rationale: Legionella primarily affects the lungs, causing cough, dyspnea, and chest pain, so respiratory monitoring is critical. Skin breakdown, hemorrhage, and emotional support are secondary.