Question 1

An older adult client is recovering in the intensive care unit (ICU)from septicemia.Which intervention will help prevent further infection for this client?

Accepted Answer

A)  Foley drainage on the bed at the client's feet 
B)  Oral and skin care 
C)  Turn, cough, and deep breathe q shift. 
D)  Sterile wound care

Question 2

A preadolescent student asks the school nurse to explain why the student keeps getting urinary tract infections.The school nurse determines that the diagnosis of Deficient Knowledge is appropriate based upon the student's response to which question?

Accepted Answer

A)  "When was your last UTI?" 
B)  "How often do you shower?" 
C)  "Do you have a family history of urinary problems?" 
D)  "In what direction do you wipe after a bowel movement?"

Question 3

An older adult client with sepsis has been admitted to the nursing unit.The nurse is planning care and determines that one goal for this client is to maintain normal mental status.Which outcome evaluation implies that the goal has been met?

Accepted Answer

A)  The client is agitated. 
B)  The client has a Glasgow coma score of 4. 
C)  The client responds to questions appropriately. 
D)  The client's pupils are fixed and dilated.

Question 4

The nurse is teaching the parents of an infant who is diagnosed with acute otitis media.Which is the priority teaching point for these parents?

Accepted Answer

A)  Administer a decongestant for nasal congestion. 
B)  Keep the baby in a flat position during sleep. 
C)  Administer acetaminophen to relieve pain and decrease fever. 
D)  Place the baby to sleep with a pacifier.

Question 5

The school nurse is planning a teaching session with the parents of students to reduce the spread of the flu virus throughout the school.What should the nurse include when teaching the parents of a diverse population about infection-control techniques? Select all that apply.

Accepted Answer

A)  "Cover your cough" education 
B)  Appropriate hand hygiene 
C)  Safe food preparation and storage 
D)  Sanitizing high-touch items to kill pathogens 
E)  Withholding immunizations for children with compromised immune systems

Question 6

The nurse walks into an examination room and sees a young child demonstrate a specific behavior.(See image).Which health problem should the nurse suspect the child is experiencing?

Accepted Answer

A)  Sore throat 
B)  Hunger 
C)  Otitis media 
D)  Head cold

Question 7

The nurse is providing discharge instructions to a client recovering from cellulitis.Which client statement indicates that this teaching has been effective?

Accepted Answer

A)  "I will monitor for signs of infection such as fever, chills, malaise, and redness or tenderness at the site." 
B)  "If the lesion looks healed, I will stop taking the antibiotics so that I will not develop resistance to antibiotics." 
C)  "If pustules develop, I will squeeze the lesion to remove the pus." 
D)  "Drainage from the site is an expected finding, and I should not be concerned."

Question 8

A nurse is assessing a client who recently returned from a camping trip.The client is experiencing edema in the right foot.When assessing the foot,the nurse notes a sore and suspects cellulitis.Which further data will the nurse assess to support the suspicion?

Accepted Answer

A)  BUN and creatinine 
B)  Breath sounds 
C)  Blood cultures 
D)  Redness, pain, and drainage at the site

Question 9

A 1-month-old infant is admitted to the hospital with a temperature of 102°F.For which reason will this infant receive a septic work-up?

Accepted Answer

A)  Absence of sweat glands 
B)  Immature immune system 
C)  Inadequate red blood cells 
D)  Poor lung elasticity

Question 10

The nurse is caring for a client who is admitted to the unit with tuberculosis (TB).The client is placed in isolation.To protect the caregivers and other clients on the unit,which type of isolation room is most appropriate?

Accepted Answer

A)  Single-door room with positive air flow (Air flows out of the room.) 
B)  Isolation room with an anteroom and negative air flow (Air flows into the room.) 
C)  Isolation room with an anteroom and normal airflow 
D)  Single-door room with normal airflow

Question 11

The healthcare provider prescribes an indwelling urinary catheter for a client with urinary retention.Which intervention,along with strict aseptic technique,will decrease the risk of infection for this procedure?

Accepted Answer

A)  Irrigating the catheter with sterile saline on a daily basis 
B)  Instructing the client to void around the catheter 
C)  Using an anesthetic lubricating gel during insertion 
D)  Inflating the balloon while the catheter is in the urethra

Question 12

A client receiving intravenous antibiotics for 3 days as treatment for cellulitis is being prepared for discharge.Which discharge order should the nurse anticipate for this client?

Accepted Answer

A)  Low-sodium diet prescribed 
B)  Home healthcare aide for the client 
C)  Oral antibiotics to be continued at home 
D)  Orders for evaluation by physical therapy

Question 13

The nurse has been invited to present a program at the local parent-teacher association (PTA)meeting on recognizing and preventing illness in children.Which symptoms of urinary tract infections in preschool age children should the nurse include? Select all that apply.

Accepted Answer

A)  Urinary urgency 
B)  Elevated blood pressure 
C)  Dysuria 
D)  Fever 
E)  Headache

Question 14

An older adult client is admitted with pneumonia.Which manifestations would the nurse expect to find when assessing this client? Select all that apply.

Accepted Answer

A)  Hemoptysis 
B)  Increased appetite 
C)  Change in level of consciousness 
D)  Respiration of 24 
E)  Lethargy

Question 15

The nurse is providing care to a client with pneumonia is has a fever.Which interventions should the nurse use to attain the goal of normal body temperature? Select all that apply.

Accepted Answer

A)  Increase the temperature of the room environment to prevent shivering. 
B)  Administer antipyretic medications. 
C)  Restrict fluids during periods of hyperthermia because of the risk of electrolyte imbalance. 
D)  Use ice packs and a tepid bath every 2 hours. 
E)  Promote frequent rest periods to increase energy reserve.

Exam 9: Infection

An older adult client is recovering in the intensive care unit (ICU) from septicemia.Which intervention will help prevent further infection for this client?