ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
A mother brings her children into the clinic and they are diagnosed with chickenpox. The mother had chickenpox as a child and is not concerned with contracting the disease when caring for her children. what type of immunity does this mother have?
Correct Answer: A
Rationale: The mother in this scenario had chickenpox as a child, which means she was exposed to the virus and developed immunity through her own immune response. This type of immunity acquired as a result of natural exposure to an infectious agent is called active natural immunity. In this case, the mother's immune system "learned" how to recognize and fight off the chickenpox virus when she was previously infected, leading to the development of memory cells that provide long-lasting protection against future infections.
Question 2 of 5
When caring for a patient with AIDS, which of the following nursing actions would be the most appropriate for infection control?
Correct Answer: C
Rationale: The most appropriate nursing action for infection control when caring for a patient with AIDS is to wear gloves for blood/body fluid contact. HIV, the virus that causes AIDS, is primarily spread through exposure to infected blood or body fluids. Therefore, wearing gloves when there is a potential for blood or body fluid contact is crucial in preventing the transmission of the virus. Wearing gloves at all times may not be necessary if there is no direct contact with blood or body fluids, and wearing a gown and mask at all times may not be indicated unless there is a specific need based on the situation. Wearing a mask during patient contact times may also not be necessary unless there is a risk of exposure to respiratory secretions.
Question 3 of 5
The nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Monitoring body temperature is important in clients with systemic lupus erythematosus (SLE) because fever can indicate an infection or a disease flare-up. Clients with SLE are at higher risk of infections due to their compromised immune system, and fever can be a sign of an underlying issue that needs prompt attention. It is essential for the nurse to educate the client about monitoring body temperature regularly and seeking medical advice if there is a sudden increase in temperature.
Question 4 of 5
A client with end-stage acquired immunodeficiency syndrome (AIDS) has profound manifestations of Cryptosporidium infection caused by the protozoa. In planning the client's care, the nurse should focus on his need for:
Correct Answer: C
Rationale: In a client with end-stage acquired immunodeficiency syndrome (AIDS) manifesting with profound Cryptosporidium infection, fluid replacement is crucial for managing the symptoms and complications. Cryptosporidium infection can cause severe diarrhea and dehydration, leading to significant fluid loss. Therefore, the primary focus of care in this situation should be on maintaining adequate hydration through fluid replacement. This is essential for preventing further complications and supporting the client's overall health and well-being. Pain management, antiretroviral therapy, and high-calorie intake may be important aspects of care in other situations but are not the priority in managing a client with severe Cryptosporidium infection and dehydration.
Question 5 of 5
The nurse is observing a client receiving antiplatelet therapy for adverse reactions. Antiplatelet drugs most commonly produce which hypersensitivity reaction?
Correct Answer: C
Rationale: Antiplatelet drugs most commonly produce bronchospasm as a hypersensitivity reaction. This adverse reaction occurs due to the release of bronchoconstrictive mediators, leading to narrowing of the airways and potentially causing respiratory distress. It is important for nurses to closely monitor clients receiving antiplatelet therapy for signs of bronchospasm, such as wheezing, shortness of breath, and chest tightness, and to intervene promptly to prevent further complications. Difficulty hearing, confusion, and agranulocytosis are not typically associated with antiplatelet therapy.