Fundamentals Of Nursing Quiz 2 PDF related to the subject of sputum sensitivity testing, autoclave, contaminated gloves, homogenization, and self-injection.
To properly implement isolation precautions, the nurse must first understand the situation.
A. Organism’s mode of transmission
B. Organism’s Gram-staining characteristics
C. Organism’s susceptibility to antibiotics
D. Patient’s susceptibility to the organism
Rationale: A. The nurse must first ascertain the organism’s mode of transmission before initiating isolation precautions. For example, an organism spread through nasal secretions necessitates respiratory isolation, which entails putting the patient in a single room with the door shut and wearing a mask, gown, and gloves while in direct contact with the patient. The Gram-straining features of an organism disclose whether it is gram-negative or gram-positive, which is a significant factor in the physician’s drug therapy selection and the nurse’s construction of an appropriate care plan. The nurse also has to know whether the organism is antibiotic-resistant, but this could take several days to determine; if she waits for the results before implementing isolation precautions, the organism could be spread in the meanwhile. The susceptibility of the patient to the organism has previously been determined. A non-infected patient would not be subjected to isolation precautions by the nurse.
#1. Which of the following skin lesions has been linked to Lyme disease?
Lyme disease causes a distinctive annular or circular rash, which is sometimes referred to as a “bull’s eye” rash. Answers B, C, and D are incorrect because they do not correspond to symptoms of Lyme disease.
#2. Which of the following snacks would be appropriate for a child suffering from gluten-induced enteropathy?
Gluten-induced enteropathy manifests symptoms after consuming foods containing wheat, oats, barley, or rye. In the diet, corn or millet are substituted. Answers A, C, and D are incorrect because they include foods that aggravate the client’s condition.
#3. A client with schizophrenia is taking 400mg of chlorpromazine (Thorazine) twice a day. One of the medication's negative side effects is
The neuroleptic malignant syndrome is an adverse reaction characterized by extreme temperature elevations. Answers A and C are incorrect because they are side effects that are to be expected. Elevated blood pressure is associated with reactions between tyramine-containing foods and MAOI; thus, answer D is incorrect.
#4. What information should be provided to a client who is taking phenytoin (Dilantin)?
Phenytoin can cause gingival hyperplasia. The client will require more dental visits. Answers A, B, and D are incorrect because they do not apply to the medication.
#5. Following an esophagoscopy, a client has returned to his room. Prior to administering fluids, the nurse should first assess the clients
Before having an EGD, the client’s gag reflex is suppressed. Before giving the client oral fluids, the nurse should prioritize checking for the return of the gag reflex. Because conscious sedation is used, answer A is incorrect. Answers C and D are incorrect because the procedure has no effect on them.
#6. Which instructions should be included in the client's discharge instruction for cataract surgery?
To avoid accidental trauma to the operative eye, the eye shield should be worn at night or while napping. Because the client is given prescription eye drops rather than over-the-counter eyedrops, Answer A is incorrect. Because the client may or may not require glasses after cataract surgery, answer C is incorrect. Answer D is incorrect because cataract surgery is completely painless.
#7. An 8-year-old with drooling, muffled phonation, and a temperature of 102°F is admitted. Because the child's symptoms are suggestive of, the nurse should immediately notify the doctor.
The symptoms of the child are consistent with epiglottitis, an infection of the upper airway that can cause total airway obstruction. Because the symptoms of strep throat, laryngotracheobronchitis, and bronchiolitis differ from those described by the client, answers A, C, and D are incorrect.
#8. A newborn with physiologic jaundice is prescribed phototherapy. The nurse who is caring for the infant should do the following
Providing more fluids will assist the newborn in eliminating excess bilirubin in the stool and urine. Answer B is incorrect because phototherapy should not be combined with oils or lotions. Answers C and D are incorrect because physiologic jaundice is not associated with infection.
#9. A teen suffering from anorexia nervosa is now allowed to leave her room and eat in the dining room. Which of the nursing interventions listed below should be included in the client's care plan?
Having a staff member stay with the client for 1 hour after meals can help prevent self-inflicted vomiting. Answer A is incorrect because the client will gain weight after eating, which can jeopardize treatment. Answer C is incorrect because the client will require a balanced diet and excessive protein may be difficult to tolerate at first. Answer D is incorrect because it treats the client as a child rather than as an adult.
#10. The developmental task associated with middle childhood, according to Erickson's stage of growth and development, is
The developmental task of middle childhood, according to Erikson’s Psychosocial Developmental Theory, is industry versus inferiority. Answer A is incorrect because it is an infancy developmental task. Answer B is incorrect because it is a school-age child’s developmental task. Answer C is incorrect because it does not correspond to one of Erikson’s developmental stages.