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 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 2 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 3 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 4 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 5 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.