Infection HESI Exam Questions And Answers Verified 100% Correct

Infection HESI Exam Questions And Answers Verified 100% Correct A client is being discharged to home after 2 weeks with a diagnosis of tuberculosis and is worried about the possibility of infecting family members and others. How should the nurse respond to provide reassurance? - ANSWER The family will be treated prophylactically, and the client will not be contagious after 2 to 3 consecutive weeks of medication therapy. A client with active tuberculosis demonstrates less-than-expected interest in learning about the prescribed medication therapy. The nurse assesses that this client may ultimately need which intervention as a last resort? - ANSWER Directly observed therapy Which action by the parent of an infant with respiratory syncytial virus infection who is receiving ribavirin would indicate a need for further instruction regarding the management of the disease process? - ANSWER Telling the infant's aunt, who is pregnant, that it is acceptable to visit the infant A client is seen in the health care clinic, and a diagnosis of acute sinusitis is made. The nurse provides home care instructions to the client regarding measures that will promote sinus drainage and comfort. Which statement by the client indicates a need for further instruction? - ANSWER "I should use a hot mist vaporizer to liquefy secretions." *use a humidifier instead* A client has been receiving a series of medications as part of intravenous antineoplastic therapy. The nurse should implement neutropenic precautions after noting which laboratory result for this client? - ANSWER White blood cell (WBC) count of 2000 mm3 (2 × 109/L) The normal WBC count is 5000 to 10,000 mm3 An unlicensed assistive personnel (UAP) is caring for a client who has an indwelling urinary catheter. Which action by the UAP would indicate the need for further instruction in the care of the client? - ANSWER Allowed the drainage tubing to rest under the leg A client who is admitted for an unrelated medical problem is diagnosed with urethritis caused by chlamydial infection. The unlicensed assistive personnel (UAP) assigned to the client asks the nurse what measures are necessary to prevent contraction of the infection during care. What should the nurse tell the UAP? - ANSWER Standard precautions are sufficient because the disease is transmitted sexually. The nurse is conducting a community surveillance study for the purpose of communicable disease control. The nurse knows that performing an active surveillance method of assessment is best for what reason? - ANSWER Results in detection of a more accurate number of cases A registered nurse (RN) is providing instructions to an unlicensed assistive personnel (UAP) assigned to give a bed bath to a client who is on contact precautions. The RN instructs the UAP to use which protective item when giving the bed bath? - ANSWER A gown and gloves The nurse is preparing a plan of care for a client with a diagnosis of agranulocytosis who is being admitted to the hospital. The nurse determines that which is the priority when formulating the client's plan of care? - ANSWER Potential for infection The nurse in the health care clinic is preparing to obtain a throat swab for culture in a client suspected of having a beta-hemolytic streptococcal infection. Which actions are appropriate in collecting this specimen? Select all that apply. - ANSWER -Instruct the client to tilt the head back. -Swab the tonsillar pillars and the posterior pharynx wall. -Tell the client that the test will help to identify microorganisms. -Place a tongue depressor on the client's tongue before swabbing the throat. A hospitalized client who has been placed on contact precautions has been prescribed to have a chest radiograph in the radiology department. The nurse should plan to take which action on receipt of this prescription? - ANSWER Question the health care provider about whether a portable chest radiograph may be obtained. The ambulatory care nurse is working with a 22-year-old female client who has been diagnosed with pelvic inflammatory disease (PID). The nurse incorporates which item in a teaching plan for this client? - ANSWER Avoid frequent douching. The nurse is planning to teach a group of adolescents about the use of condoms as part of a risk reduction program for sexually transmitted infections (STIs). The nurse should plan to include which recommendation in the teaching plan? - ANSWER Always apply the condom before inserting the penis into the vagina. The ambulatory care nurse is seeing a client for a follow-up visit after treatment for toxic shock syndrome (TSS). To assess the client's recovery from TSS, the nurse should ask whether which signs and symptoms have resolved? - ANSWER High fever, abdominal pain, vomiting, and diarrhea A female client seen in the ambulatory care clinic has a history of syphilis infection. The nurse assessing the client for reinfection would expect to observe a lesion on the labia that has which characteristic? - ANSWER Is painless and indurated The home care nurse visits a child recently discharged from the hospital with a diagnosis of hepatitis A virus (HAV) infection. The mother asks the nurse when the child can return to school. The nurse should make which response to the mother? - ANSWER "One week after the onset of jaundice." A hospitalized client has a diagnosis of pelvic inflammatory disease (PID). The nurse should encourage the client to assume which therapeutic position when in bed? - ANSWER Supine in semi Fowler's The nurse participating in a health fair is setting up a booth on prevention of human immunodeficiency virus (HIV) transmission. A poster is planned that will list sexual behaviors in 1 of 2 columns, "safe" and "not safe." Which behavior should the nurse place in the "not safe" column? - ANSWER Use of natural skin condoms A 7-year-old child is diagnosed with viral conjunctivitis. Antibiotic eye drops are prescribed for the child. When the mother asks the nurse when the child can return to school, what should the appropriate response be? - ANSWER "The child should be kept home until the antibiotic eye drops have been administered for 24 hours." The home health nurse is watching the caregiver change the sternotomy dressing on the postoperative client. Which action by the caregiver identifies correct principles of infection control? - ANSWER The caregiver washes her hands before removal of the soiled dressing and again before applying the clean dressing. The nurse places a hospitalized client with active tuberculosis in a private, wellventilated isolation room. In addition, which action should the nurse take before entering the client's room? - ANSWER Wash hands and place a high-efficiency particulate air (HEPA) respirator mask over the nose and mouth. A man is admitted to the hospital with the diagnosis of urethritis secondary to chlamydial infection. What precaution should the nurse implement for this client? - ANSWER Standard. Chlamydial infection is a sexually transmitted The nurse is observing a second nurse perform hemodialysis on a client. The second nurse is drinking coffee and eating a doughnut next to the hemodialysis machine, while talking with the client about the events of his week. What is the nurse's most appropriate action regarding this observation? - ANSWER Ask the nurse to refrain from eating and drinking in that area.