NU271 Week 8 EAQ Evolve Elsevier Infection
Questions And Answers
Which statement helps the nurse determine that a woman with genital herpes (HSV-2) infection understands
her self-care?
1). "When I have a baby, I don't want a cesarean."
2). "I can have sex as soon as the herpes sores have healed."
3). "When I finish the acyclovir prescription I will be cured.").
4). "I must be careful when I have sex because herpes is a lifelong problem."
4). "I must be careful when I have sex because herpes is a lifelong problem."
HSV-2 infection is characterized by remissions and exacerbations; it cannot be cured and is a lifelong
infection. Some pregnant women with HSV-2 need cesarean deliveries, which are indicated if there is an
outbreak of HSV-2 near the time of birth to prevent their newborns from contracting the disease while passing
through the vagina. Herpes is most contagious when active lesions are present; however, the virus can still be
shed after the lesions have healed. Use of a condom can reduce the risk of transmission. Herpes can be
controlled but not cured.
Which priority nursing action would the nurse implement for an infant recently admitted with a diagnosis of
diarrhea caused by a Salmonella infection?
1). Monitoring oral fluid intake
2). Establishing a play schedule
3). Obtaining a recent food history
4). Establishing a skin care routine
4). Establishing a skin care routine
Enzymes in the stool may irritate the skin; maintaining skin integrity is the priority. Fluid intake is important to
monitor for dehydration, though some infants may receive IV fluids. Establishing a play schedule is not the
priority of care. Physiologic problems, such as altered skin integrity, should be addressed first. Although
obtaining a food history is important, it is not the priority.
Which nursing action is most effective in controlling the spread of infection for an infant with diarrhea?
1). Wearing a gown and gloves during care
2). Allowing only registered nurses to give direct care
3). Restricting visitors to the infant’s immediate family
4). Washing hands before and after contact with the infant
4). Washing hands before and after contact with the infant
The most effective method of preventing the spread of infection is hand washing not only before and after care
but also before and after using gloves. A gown and gloves are not required for contact precautions. The level of
education of the caregiver does not guarantee the correct technique for preventing the spread of infection. The
, risk for spread of infection is not in the number of visitors but in the aseptic technique practiced by these
visitors.
Which would the nurse teach the parent of an infant who is at risk for infections?
1). "You must avoid placing the infant in bright sunlight."
2). "Breast-feeding will provide protection against bacteria."
3). "Use soy-based infant formulas to help prevent infection."
4). "The infant will be less susceptible to infections later in life."
2). "Breast-feeding will provide protection against bacteria."
Breast milk contains immunoglobulin G (IgG) that protects the infant against many bacteria, such
as Escherichia coli. The nurse instructs the parent to avoid placing the infant in bright sunlight for a long
period of time to prevent burns, but not to prevent infections. Soy-based infant formulas are used only if the
infant is allergic to lactose in the breast milk and are not used to prevent the risk for infections. Later,
susceptibility would be dependent on multiple factors, including nutrition and exposure to infections.
Which type of immunity would a 4-year-old child develop during the course of an infection with varicella?
1). Active natural immunity
2). Active artificial immunity
3). Passive natural immunity
4). Passive artificial immunity
1). Active natural immunity
In active natural immunity, the infected child’s immune system responds to the invading organism (varicella)
by producing antibodies specific to the antigen. Passive natural immunity is acquired by the fetus from the
mother. Active artificial immunity is acquired by the injection of antigens; after this, the child develops
antibodies. Passive artificial immunity is acquired through the injection of antibodies.
The nurse in the clinic is assessing a teenager with a tentative diagnosis of primary syphilis. Which is an early
sign of this infection?
1). Rash
2). Genital lesion
3). Genital discharge
4). Multiple gummatous lesions
2). Genital lesion
A chancre is the earliest sign of syphilis; a dark-field examination of a scraping will reveal
the Treponema organism. A rash occurs in the secondary stage of syphilis. A genital discharge is associated
with gonorrhea. Multiple lesions are late manifestations of syphilis.
Questions And Answers
Which statement helps the nurse determine that a woman with genital herpes (HSV-2) infection understands
her self-care?
1). "When I have a baby, I don't want a cesarean."
2). "I can have sex as soon as the herpes sores have healed."
3). "When I finish the acyclovir prescription I will be cured.").
4). "I must be careful when I have sex because herpes is a lifelong problem."
4). "I must be careful when I have sex because herpes is a lifelong problem."
HSV-2 infection is characterized by remissions and exacerbations; it cannot be cured and is a lifelong
infection. Some pregnant women with HSV-2 need cesarean deliveries, which are indicated if there is an
outbreak of HSV-2 near the time of birth to prevent their newborns from contracting the disease while passing
through the vagina. Herpes is most contagious when active lesions are present; however, the virus can still be
shed after the lesions have healed. Use of a condom can reduce the risk of transmission. Herpes can be
controlled but not cured.
Which priority nursing action would the nurse implement for an infant recently admitted with a diagnosis of
diarrhea caused by a Salmonella infection?
1). Monitoring oral fluid intake
2). Establishing a play schedule
3). Obtaining a recent food history
4). Establishing a skin care routine
4). Establishing a skin care routine
Enzymes in the stool may irritate the skin; maintaining skin integrity is the priority. Fluid intake is important to
monitor for dehydration, though some infants may receive IV fluids. Establishing a play schedule is not the
priority of care. Physiologic problems, such as altered skin integrity, should be addressed first. Although
obtaining a food history is important, it is not the priority.
Which nursing action is most effective in controlling the spread of infection for an infant with diarrhea?
1). Wearing a gown and gloves during care
2). Allowing only registered nurses to give direct care
3). Restricting visitors to the infant’s immediate family
4). Washing hands before and after contact with the infant
4). Washing hands before and after contact with the infant
The most effective method of preventing the spread of infection is hand washing not only before and after care
but also before and after using gloves. A gown and gloves are not required for contact precautions. The level of
education of the caregiver does not guarantee the correct technique for preventing the spread of infection. The
, risk for spread of infection is not in the number of visitors but in the aseptic technique practiced by these
visitors.
Which would the nurse teach the parent of an infant who is at risk for infections?
1). "You must avoid placing the infant in bright sunlight."
2). "Breast-feeding will provide protection against bacteria."
3). "Use soy-based infant formulas to help prevent infection."
4). "The infant will be less susceptible to infections later in life."
2). "Breast-feeding will provide protection against bacteria."
Breast milk contains immunoglobulin G (IgG) that protects the infant against many bacteria, such
as Escherichia coli. The nurse instructs the parent to avoid placing the infant in bright sunlight for a long
period of time to prevent burns, but not to prevent infections. Soy-based infant formulas are used only if the
infant is allergic to lactose in the breast milk and are not used to prevent the risk for infections. Later,
susceptibility would be dependent on multiple factors, including nutrition and exposure to infections.
Which type of immunity would a 4-year-old child develop during the course of an infection with varicella?
1). Active natural immunity
2). Active artificial immunity
3). Passive natural immunity
4). Passive artificial immunity
1). Active natural immunity
In active natural immunity, the infected child’s immune system responds to the invading organism (varicella)
by producing antibodies specific to the antigen. Passive natural immunity is acquired by the fetus from the
mother. Active artificial immunity is acquired by the injection of antigens; after this, the child develops
antibodies. Passive artificial immunity is acquired through the injection of antibodies.
The nurse in the clinic is assessing a teenager with a tentative diagnosis of primary syphilis. Which is an early
sign of this infection?
1). Rash
2). Genital lesion
3). Genital discharge
4). Multiple gummatous lesions
2). Genital lesion
A chancre is the earliest sign of syphilis; a dark-field examination of a scraping will reveal
the Treponema organism. A rash occurs in the secondary stage of syphilis. A genital discharge is associated
with gonorrhea. Multiple lesions are late manifestations of syphilis.
