VNSG 1400: Chapter 12 (Med-Surg)
Final Exam Questions and Correct
Answers.
A client with a history of candidiasis is being closely monitored for signs of superinfection.
Which signs or symptoms can indicate that superinfection has occurred? Select all that apply. -
Answer diarrhea
inflammation of oral mucous membranes
vaginal discharge
Explanation: Signs of superinfection, also called opportunistic infection, include diarrhea,
vaginal discharge, and inflammation of oral mucous membranes. These occur when
nonpathogenic or remotely pathogenic microorganisms take advantage of favorable situations
and overwhelm the host.
The nurse is caring for a patient with a meningococcus infection. What type of precautions
should be used for this patient? - Answer Droplet
Explanation: Droplet precautions are used for organisms such as influenza or meningococcus
that can be transmitted by close contact with respiratory or pharyngeal secretions.
An older adult client has been diagnosed with Legionella infection. When planning this client's
care, the nurse should prioritize which of the following nursing actions? - Answer Vigilant
monitoring of respiratory status
Explanation: The lungs are the principal organs of Legionella infection. The client develops
increasing pulmonary symptoms, including productive cough, dyspnea, and chest pain.
Consequently, respiratory support is vital. Hemorrhage and skin breakdown are not central
manifestations of the disease. Preservation of the client's airway is a priority over emotional
support, even though this aspect of care is important.
When a hospitalized client requires contact precautions, which responses is necessary? -
Answer The client should be placed in a private room when possible.
Explanation: When possible, the client requiring contact isolation is placed in a private room to
facilitate hand hygiene and decreased environmental contamination. Masks are not needed,
Final Exam Questions and Correct
Answers.
A client with a history of candidiasis is being closely monitored for signs of superinfection.
Which signs or symptoms can indicate that superinfection has occurred? Select all that apply. -
Answer diarrhea
inflammation of oral mucous membranes
vaginal discharge
Explanation: Signs of superinfection, also called opportunistic infection, include diarrhea,
vaginal discharge, and inflammation of oral mucous membranes. These occur when
nonpathogenic or remotely pathogenic microorganisms take advantage of favorable situations
and overwhelm the host.
The nurse is caring for a patient with a meningococcus infection. What type of precautions
should be used for this patient? - Answer Droplet
Explanation: Droplet precautions are used for organisms such as influenza or meningococcus
that can be transmitted by close contact with respiratory or pharyngeal secretions.
An older adult client has been diagnosed with Legionella infection. When planning this client's
care, the nurse should prioritize which of the following nursing actions? - Answer Vigilant
monitoring of respiratory status
Explanation: The lungs are the principal organs of Legionella infection. The client develops
increasing pulmonary symptoms, including productive cough, dyspnea, and chest pain.
Consequently, respiratory support is vital. Hemorrhage and skin breakdown are not central
manifestations of the disease. Preservation of the client's airway is a priority over emotional
support, even though this aspect of care is important.
When a hospitalized client requires contact precautions, which responses is necessary? -
Answer The client should be placed in a private room when possible.
Explanation: When possible, the client requiring contact isolation is placed in a private room to
facilitate hand hygiene and decreased environmental contamination. Masks are not needed,
