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
Family members are caring for a patient with HIV in the patients home. What should the nurse encourage family members to do to reduce the risk of infection transmission?
Correct Answer: A
Rationale: Caution during shaving prevents exposure to HIV via blood. Separate dishes, linens, or disinfection are unnecessary unless blood contamination occurs.
Question 2 of 5
A nurse is preparing to administer a patients scheduled dose of subcutaneous heparin. To reduce the risk of needlestick injury, the nurse should perform what action?
Correct Answer: C
Rationale: Avoiding needle recapping prevents needlestick injuries. Used needles should be placed directly into puncture-resistant containers. Gloves do not prevent needlesticks.
Question 3 of 5
A 16-year-old male patient comes to the free clinic and is subsequently diagnosed with primary syphilis. What health problem most likely prompted the patient to seek care?
Correct Answer: A
Rationale: Primary syphilis presents with a painless chancre at the infection site. Painful urination, systemic symptoms, or testicular swelling are not typical.
Question 4 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 5 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.