Chapter 71: Management of Patients With Infectious Diseases - Nurselytic

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Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)

Chapter 71 : Management of Patients With Infectious Diseases Questions

Question 1 of 5

When a disease infects a host a portal of entry is needed for an organism to gain access. What has been identified as the portal of entry for tuberculosis?

Correct Answer: C

Rationale: Tuberculosis is transmitted via inhalation of airborne droplets, making the respiratory system the primary portal of entry.

Question 2 of 5

A patient has a concentration of S. aureus located on his skin. The patient is not showing signs of increased temperature, redness, or pain at the site. The nurse is aware that this is a sign of a microorganism at which of the following stages?

Correct Answer: B

Rationale: Colonization indicates the presence of microorganisms without host symptoms or immune response. Infection, disease, and bacteremia involve symptomatic host interactions.

Question 3 of 5

An infectious outbreak of unknown origin has occurred in a long-term care facility. The nurse who oversees care at the facility should report the outbreak to what organization?

Correct Answer: A

Rationale: The CDC is responsible for disease prevention and control, making it the appropriate agency for reporting outbreaks. AMA, EPA, and ANA do not handle outbreak reporting.

Question 4 of 5

The infectious control nurse is presenting a program on West Nile virus for a local community group. To reduce the incidence of this disease, the nurse should recommend what action?

Correct Answer: C

Rationale: West Nile virus is transmitted by mosquitoes, so repellants are the most effective prevention. No vaccine exists, and handwashing or wound covering are less specific.

Question 5 of 5

An immunosuppressed patient is receiving chemotherapy treatment at home. What infection-control measure should the nurse recommend to the family?

Correct Answer: C

Rationale: A clean but non-sterile home environment is sufficient for immunosuppressed patients, as intrinsic bacteria pose greater risks than environmental ones. Avoiding vaccinations or contact is unnecessary, and daily bleach cleaning is excessive.

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