EXIT HESI INFECTION EXAM REVISED QUESTIONS AND 100% CORRECT ANSWERS

EXIT HESI INFECTION EXAM REVISED QUESTIONS AND 100% CORRECT ANSWERS Q.A client who is on monoclonal antibody medication reports rigors, headache, myalgia, and gastrointestinal disturbances. The medical history shows that the client is on muromonab-CD3. Which medications could be beneficial for the reported symptoms? Select all that apply. 1 Sirolimus 2 Cyclosporine 3 Acetaminophen 4 Diphenhydramine 5 Methylprednisolone - ANSWER-3 Acetaminophen 4 Diphenhydramine 5 Methylprednisolone Acetaminophen, diphenhydramine, and methylprednisolone are administered to reduce the adverse effects associated with muromonab-CD3 use. When monoclonal antibodies are administered, a flulike syndrome occurs during the first few days of treatment because of cytokine release. Rigors, headache, myalgia, and gastrointestinal disturbances are the adverse effects of monoclonal antibodies. Sirolimus and cyclosporine are used in combination to reduce the graft loss that occurs in transplant recipients. Q.A primary healthcare provider is treating the red-color wound of a client caused by pressure ulcers. Which dressings are beneficial for wound recovery? Select all that apply. 1 Absorptive dressings 2 Hydrocolloid dressings 3 Transparent film dressings 4 Moist gauze dressings with antibiotics 5 Telfa dressings with antibiotic ointment - ANSWER-2 Hydrocolloid dressings 3 Transparent film dressings 5 Telfa dressings with antibiotic ointment Hydrocolloid dressings, transparent film dressings, and telfa dressings with antibiotic ointment are beneficial for the healing of a red wound caused by pressure ulcers. Absorptive dressings and moist gauze dressings with antibiotics are used to treat yellow wounds, such as wounds with nonviable necrotic tissue. Q.Which microorganism causes maternal mastitis? 1 Escherichia coli 2 Group B streptococcus 3 Staphylococcus aureus 4 Chlamydia trachomatis - ANSWER-3 Staphylococcus aureus Staphylococcus aureus is a resident organism of the skin; it is the causative agent of 95% of the infections that result in maternal mastitis. Escherichia coli is found in the lower intestinal tract; it is not associated with mastitis. Group B streptococcus rarely causes mastitis. Chlamydia trachomatis can cause neonatal pneumonia and conjunctivitis, not mastitis. Frequent hand washing by staff and clients may reduce the risk of infection. Q.A client reports a cold and severe cough lasting for several minutes accompanied by frequent exhaustion. The nurse observes a "whooping" sound at the end of the cough. Which organism may responsible for this condition in the client? 1 Coronaviruses 2 Bacillus anthracis 3 Bordetella pertussis 4 Group A beta-hemolytic Streptococcus - ANSWER-3 Bordetella pertussis Pertussis is a respiratory infection caused by the Bordetella pertussis bacterium. In the paroxysmal stage of pertussis, the client may have a cold and a severe cough that lasts for several minutes accompanied by frequent exhaustion. A distinct "whooping" sound is heard at the end of the cough. Coronaviruses cause severe acute respiratory syndrome. Bacillus anthracis causes inhalation anthrax. Group A beta-hemolytic Streptococcus causes peritonsillar abscess. Q.A client with human immunodeficiency virus reports dyspnea on exertion, increased heart rate, a persistent dry cough, and a persistent low-grade fever. The nurse observes crackles during an auscultation of the breath sounds. Which organism is responsible for this condition in the client? 1 Cryptosporidium 2 Candida albicans 3 Toxoplasma gondii 4 Pneumocystis jiroveci - ANSWER-4 Pneumocystis jiroveci Pneumocystis jiroveci causes pneumonia, which is the most common opportunistic infection in clients infected with the human immunodeficiency virus. Symptoms of Pneumocystis jiroveci pneumonia include dyspnea on exertion, tachypnea, a persistent dry cough, and a persistent low-grade fever. An auscultation of the breath sounds indicates crackles. Cryptosporidium causes diarrhea and weight loss. Candida albicans causes mouth pain and difficulty swallowing. Toxoplasma gondii causes speech and vision difficulty.