ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 71 Questions
Question 1 of 5
A nurse who provides care in a busy ED is in contact with hundreds of patients each year. The nurse has a responsibility to receive what vaccine?
Correct Answer: A
Rationale: Hepatitis B vaccine is essential for healthcare workers due to exposure risk to bloodborne pathogens. HPV is sexually transmitted, and no vaccines exist for C. difficile or S. aureus.
Question 2 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 3 of 5
The nurse receives a phone call from a clinic patient who experienced fever and slight dyspnea several hours after receiving the pneumococcus vaccine. What is the nurses most appropriate action?
Correct Answer: D
Rationale: Fever and dyspnea post-vaccination require reporting via VAERS for monitoring. These are not expected reactions, and NSAIDs or 911 calls are not the first steps.
Question 4 of 5
What is the best rationale for health care providers receiving the influenza vaccination on a yearly basis?
Correct Answer: B
Rationale: Annual influenza vaccination reduces transmission to vulnerable patients. It does not prevent healthcare-associated infections, eradicate influenza, or stop drug-resistant strains.
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.