Current Medical Diagnosis and Treatment 2020 59th Edition Papadakis, McPhee Test Bank

CURRENTMedicalDiagnosisandTreatment y. y. y. y.




2019 Testbank/Studyguide y. y.




Chapter 1. Disease Prevention & Health Promotion
y. y. y. y. y. y.




1. Which of the following behaviors indicates the highest potential for spreading infections
y. y. y. y. y. y. y. y. y. y. y. y.




y. among clients? The nurse:
y. y. y.




1) disinfects dirty hands with antibacterial soap. y. y. y. y. y.




2) allows alcohol-based rub to dry for 10 seconds.
y. y. y. y. y. y. y.




3) washes hands onlyafter leaving each room. y. y. y. y. y. y.




4) uses cold water for medical asepsis.
y. y. y. y. y.




2. What is the most frequent cause of the spread of infection among institutionalized
y. y. y. y. y. y. y. y. y. y. y. y. y.




y. patients?
1) Airborne microbes from other patients y. y. y. y.




2) Contact with contaminated equipment y. y. y.




3) Hands of healthcare workers y. y. y.




4) Exposure from familymembers y. y. y.




3. Which of the following nursing activities is of highest priority for maintaining medical
y. y. y. y. y. y. y. y. y. y. y. y. y.




y. asepsis?
1) Washing hands y.




2) Donning gloves y.




3) Applying sterile drapes y. y.




4) Wearing a gown y. y.




4. A patient infected with a virus but who does not have any outward sign of the disease is
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. considered a: y.




1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. institute when caring for this patient?
y. y. y. y. y.




1) Droplet transmission y.




2) Airborne transmission y.




3) Direct contact y.




4) Indirect contact y.

, y . 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
y . y. y. y. y. y. y. y. y. y. y. y.




y. antibiotics to treat a systemic infection. Which type of infection has the patient developed?
y. y. y. y. y. y. y. y. y. y. y. y. y.




1) Endogenous nosocomial y.




2) Exogenous nosocomial y.




3) Latent
4) Primary
y 7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2
. y . y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. days. His condition has stabilized, and his temperature has returned to normal. Which stage of
y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. infection is the patient most likely experiencing?
y. y. y. y. y. y.




1) Incubation
2) Prodromal
3)
Decline
4)
Convalescence
8. The nurse assists a surgeon with central venous catheter insertion. Which action is
y. y. y. y. y. y. y. y. y. y. y. y. y.




y. necessary to help maintain sterile technique? y. y. y. y. y.




1) Closing the patients door to limit room traffic while preparing the sterile field y. y. y. y. y. y. y. y. y. y. y. y.




2) Using clean procedure gloves to handle sterile equipment y. y. y. y. y. y. y.




3)
Placing the nonsterile syringes containing flush solution on the sterile field y. y. y. y. y. y. y. y. y. y.




4)
Remaining 6 inches away from the sterile field during the procedure y. y. y. y. y. y. y. y. y. y.




9. A patient develops localized heat and erythema over an area on the lower leg. These
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. findings are indicative of which secondary defense against infection?
y. y. y. y. y. y. y. y.




1) Phagocytosis
2) Complement cascade y.




3)
Inflammation
4)
Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving an
y. y. y. y. y. y. y. y. y. y. y. y. y.




y. antibiotic. Which antibody is primarily responsible for this patients response?
y. y. y. y. y. y. y. y. y.




1) IgA
2) IgE
IgG3)
IgM4)
11. What type of immunity is provided by intravenous (IV) administration of
y. y. y. y. y. y. y. y. y. y. y.




y. immunoglobulin G? y.




1) Cell-mediated
2) Passive
3) Humoral
4) Active

, 12. A patient asks the nurse why there is no vaccine available for the common cold. Which
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. response by the nurse is correct?
y. y. y. y. y.




1) The virus mutates too rapidly to develop a vaccine.
y. y. y. y. y. y. y. y.




2) Vaccines are developed onlyfor veryserious illnesses. y. y. y. y. y. y. y.




3) Researchers are focusing efforts on anHIV vaccine. y. y. y. y. y. y. y.




4) The virus for the common cold has not been identified.
y. y. y. y. y. y. y. y. y.




1 . A patient who has a temperature of 101F (38.3C) most likelyrequires:
y. y. y. y. y. y. y. y. y. y. y. y.




1) acetaminophen (Tylenol). y.




2) increased fluids. y.




3) bedrest.
4) tepid bath. y.




14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. protectant? It: y.




1) Prevents microorganisms from adhering to the skin. y. y. y. y. y. y.




2) Facilitates the absorption of latex proteins through the skin. y. y. y. y. y. y. y. y.




3) Decreases the risk of latex allergies. y. y. y. y. y.




4) Prevents the skin from drying and chaffing. y. y. y. y. y. y.




15. For which range of time must a nurse wash her hands before working in the operating
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. room?
1) 1 to 2 minutes y. y. y.




2) 2 to 4 minutes
y. y. y.




3) 2 to 6 minutes
y. y. y.




4) 6 to 10 minutesy. y. y.




16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. isolation?
1) Place the tray in a specially marked trash can inside the patients room.
y. y. y. y. y. y. y. y. y. y. y. y.




Place the tray in a special isolation bag held by a second healthcare worker at the patients
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




2) door.
y.




Returnthe traywith a note todietaryservices so it canbe cleaned and reused for the next
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




3) meal.
y.




Carrythe trayto an isolation trash receptacle located in the dirtyutilityroom and dispose of
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




4) it there.y. y.




1 . How much liquid soap should the nurse use for effective hand washing? At least:
y. y. y. y. y. y. y. y. y. y. y. y. y. y.




1) 2 mL y.




2) 3 mL y.




3) 6 mL y.




4) 7 mL y.

, 18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution
y. y. y. y. y. y. y. y. y. y. y. y.




y. over all surfaces of the hands?
y. y. y. y. y.




1) When fingers feel sticky y. y. y.




2) After 5 to 10 seconds y. y. y. y.




3) When leaving the clients room y. y. y. y.




4) Once fingers and hands feel dry y. y. y. y. y.




19. A patient is admitted to the hospital for chemotherapy and has a low white blood cell
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. count. Which precaution should the staff take with this patient?
y. y. y. y. y. y. y. y. y.




1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package are
y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to be on the
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




y. outside of the glove package. What is the best action for the nurse to take at this point?
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




1) Continue using the gloves inside the package because the package is intact. y. y. y. y. y. y. y. y. y. y. y.




2) Remove gloves from sterile field and use a new pair of sterile gloves. y. y. y. y. y. y. y. y. y. y. y. y.




3) Throw all supplies awaythat were to be used and begin again. y. y. y. y. y. y. y. y. y. y. y.




4) Use the gloves and make sure the yellow edges of the package do not touch the client.
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




21. The nurse is removing personal protective equipment (PPE). Which item should be
y. y. y. y. y. y. y. y. y. y. y. y.




y. removed first? y.




1) Gown
2) Gloves
3) Face shield y.




4) Hair covering y.




22. A nurse is splashed in the face by body fluid during a procedure. Prioritize the nurses
y. y. y. y. y. y. y. y. y. y. y. y. y. y. y. y.




actions, listing the most important one first.
y. y. y. y. y. y. y.




A. Contact employee health y. y.




B. Complete an incident report y. y. y.




C. Wash the exposed area y. y. y.




D. Report to another nurse that she is leaving the immediate area.
y. y. y. y. y. y. y. y. y. y.




1) 1, 2, 3, 4 y. y. y.




2) 2, 3, 4, 1 y. y. y.




3) 3, 4, 1, 2 y. y. y.




4) 4, 1, 2, 3 y. y. y.




Multiple Response y.




Identify one or more choices that best complete the statement or answer the question.
y. y. y. y. y. y. y. y. y. y. y. y. y.




1. In which situation would using standard precautions be adequate? Select all that apply.
y. y. y. y. y. y. y. y. y. y. y. y. y.