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

CURRENT Medical
CURRENT MedicalDiagnosis
Diagnosisand Treatment
and Treatment g
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20252019
TestTestbank/Studyguide
Bank/Complete Guide
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Chapter 1. Disease Prevention & Health Promotion
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1. Which of the following behaviors indicates the highest potential for spreading infections
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among clients? The nurse:
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1) disinfects dirty hands with antibacterial soap. g g g g g



2) allows alcohol-based rub to dry for 10 seconds.
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3) washes hands only after leaving each room.
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4) uses cold water for medical asepsis.
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2. What is the most frequent cause of the spread of infection among institutionalized
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patients?
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1) Airborne microbes from other patients g g g g



2) Contact with contaminated equipment
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3) Hands of healthcare workers
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4) Exposure from family members g g g



3. Which of the following nursing activities is of highest priority for maintaining medical
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asepsis?
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1) Washing hands g




2) Donning gloves g



3) Applying sterile drapes g g



4) Wearing a gown g g



4. A patient infected with a virus but who does not have any outward sign of the disease is
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considered a:
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1) pathogen.
2) fomite.
3) vector.
4) carrier.
5. A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse
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institute when caring for this patient?
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1) Droplet transmission g




2) Airborne transmission g



3) Direct contact g



4) Indirect contact g

, 6. A patient becomes infected with oral candidiasis (thrush) while receiving intravenous
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antibiotics to treat a systemic infection. Which type of infection has the patient developed?
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1) Endogenous nosocomial g



2) Exogenous nosocomial g



3) Latent
4)Primary
g7. A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2
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days. His condition has stabilized, and his temperature has returned to normal. Which stage of
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infection is the patient most likely experiencing?
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1) Incubation
2) Prodromal
3) Decline
4)
Convalescence
8. The nurse assists a surgeon with central venous catheter insertion. Which action is
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necessary to help maintain sterile technique?
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1) Closing the patients door to limit room traffic while preparing the sterile field
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2) Using clean procedure gloves to handle sterile equipment
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3)Placing the nonsterile syringes containing flush solution on the sterile field
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4)Remaining 6 inches away from the sterile field during the procedure g g g g g g g g g g



9. A patient develops localized heat and erythema over an area on the lower leg. These
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findings are indicative of which secondary defense against infection?
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1) Phagocytosis
2) Complement cascade g



3) Inflammation
4)Immunity
10. The patient suddenly develops hives, shortness of breath, and wheezing after receiving
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an antibiotic. Which antibody is primarily responsible for this patients response?
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1) IgA
2) IgE
3) IgG
4)
IgM
11. What type of immunity is provided by intravenous (IV) administration of
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immunoglobulin G?
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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
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response by the nurse is correct?
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1) The virus mutates too rapidly to develop a vaccine.
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2) Vaccines are developed only for very serious illnesses.
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3) Researchers are focusing efforts on an HIV vaccine. g g g g g g g



4) The virus for the common cold has not been identified.
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1 . A patient who has a temperature of 101F (38.3C) most likely requires:
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1) acetaminophen (Tylenol). g



2) increased fluids. g



3) bedrest.
4) tepid bath. g



14. Why is a lotion without petroleum preferred over a petroleum-based product as a skin
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protectant? It:
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1) Prevents microorganisms from adhering to the skin. g g g g g g



2) Facilitates the absorption of latex proteins through the skin.
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3) Decreases the risk of latex allergies. g g g g g



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



15. For which range of time must a nurse wash her hands before working in the operating
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room?
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1) 1 to 2 minutes
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2) 2 to 4 minutes
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3) 2 to 6 minutes
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4) 6 to 10 minutes
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16. How should the nurse dispose of the breakfast tray of a patient who requires airborne
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isolation?
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1) Place the tray in a specially marked trash can inside the patients room.
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Place the tray in a special isolation bag held by a second healthcare worker at the
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2) patients door.
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Return the tray with a note to dietary services so it can be cleaned and reused for the
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3) next meal.
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Carry the tray to an isolation trash receptacle located in the dirty utility room and
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4) dispose of it there.
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1 . How much liquid soap should the nurse use for effective hand washing? At least:
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1) 2 mLg



2) 3 mLg



3) 6 mLg



4) 7 mLg

, 18. To assure effectiveness, when should the nurse stop rubbing antiseptic hand solution
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over all surfaces of the hands?
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1) When fingers feel sticky g g g



2) After 5 to 10 seconds g g g g



3) When leaving the clients room g g g g



4) Once fingers and hands feel dry g g g g g



19. A patient is admitted to the hospital for chemotherapy and has a low white blood cell
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count. Which precaution should the staff take with this patient?
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1) Contact
2) Protective
3) Droplet
4) Airborne
20. While donning sterile gloves, the nurse notices the edges of the glove package are
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slightly yellow. The yellow area is over 1 inch away from the gloves and only appears to be on
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the outside of the glove package. What is the best action for the nurse to take at this point?
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1) Continue using the gloves inside the package because the package is intact. g g g g g g g g g g g



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




3) Throw all supplies away that were to be used and begin again. g g g g g g g g g g g



4) Use the gloves and make sure the yellow edges of the package do not touch the client.
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21. The nurse is removing personal protective equipment (PPE). Which item should be
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removed first?
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1) Gown
2) Gloves
3) Face shield g



4) Hair covering g



22. A nurse is splashed in the face by body fluid during a procedure. Prioritize the nurses
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actions, listing the most important one first.
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A. Contact employee health g g


B. Complete an incident report g g g


C. Wash the exposed area g g g


D. Report to another nurse that she is leaving the immediate area.
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1) 1, 2, 3, 4 g g g



2) 2, 3, 4, 1
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3) 3, 4, 1, 2
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4) 4, 1, 2, 3 g g g



Multiple Response g


Identify one or more choices that best complete the statement or answer the question.
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1. In which situation would using standard precautions be adequate? Select all that apply.
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