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
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.
Question 2 of 5
The nurse is caring for a patient with secondary syphilis. What intervention should the nurse institute when caring for this patient?
Correct Answer: D
Rationale: Secondary syphilis lesions are highly infectious, requiring gloves for contact. Private rooms, hydrocortisone, and antiretrovirals are not indicated.
Question 3 of 5
A long-term care facility is the site of an outbreak of infectious diarrhea. The nurse educator has emphasized the importance of hand hygiene to staff members. The use of alcohol-based cleansers may be ineffective if the causative microorganism is identified as what?
Correct Answer: C
Rationale: C. difficile spores resist alcohol-based cleansers, requiring soap and water handwashing. Shigella, E. coli, and Norovirus are susceptible to alcohol-based products.
Question 4 of 5
The nurse is providing care for an older adult patient who has developed signs and symptoms of Calicivirus (Norovirus). What assessment should the nurse prioritize when planning this patients care?
Correct Answer: C
Rationale: Norovirus causes vomiting and diarrhea, risking fluid volume deficit, so fluid balance assessment is critical. Other assessments are less urgent.
Question 5 of 5
The nurse who provides care at a wilderness camp is teaching staff members about measures that reduce campers and workers risks of developing Giardia infections. The nurse should emphasize which of the following practices?
Correct Answer: A
Rationale: Giardia is transmitted through contaminated water, so avoiding unpurified water is key. Berries, ticks, and mosquitoes are not associated with Giardia transmission.