Test Bank-Understanding Medical-Surgical Nursing 6 Edition.

Test Bank-Understanding Medical-Surgical Nursing 6 Edition. Chapter 08. Nursing Care of Patients With Infections Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A patient says to the nurse, what is a culture? What would be the best response by the nurse? a. A culture measures the level of an antibiotic. b. A culture identifies an antibiotics effect on a pathogen. c. A culture determines the appropriate medication dosage to be used. d. A culture identifies the presence of disease-causing microorganisms. ____ 2. The nurse reviews the method of transmission of Rocky Mountain spotted fever with a patient being treated for the disease. On which mode of transmission for the disease should the nurse focus with the patient? a. Droplet b. Airborne c. Vector-borne d. Vehicle-borne ____ 3. There are limited amounts of influenza vaccine currently available in the clinic. Which individual should the nurse identify as having the highest priority to receive vaccination at this time? a. A 15-year-old who plays ice hockey b. A 26-year-old with three young children c. A 49-year-old who works in food services d. An 88-year-old who lives in an apartment for senior citizens ____ 4. The nurse is discharging a patient who has been treated for conjunctivitis. Which patient statement indicates that teaching was effective? a. I will have to wear a mask for 2 weeks. b. I will not share towels with others in the house. c. I will need to have a special air filter running at all times. d. I must stay 3 feet away from people when talking to them. ____ 5. The nurse is reviewing patient care needs with a nursing assistant. Which intervention should the nurse explain as being the most important means of preventing the spread of infection? a. Gloving b. Gowning c. Hand washing Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 93 NURSINGTB.COM UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK NURSINGTB.COM d. Wearing a mask ____ 6. The nurse wants to ensure that a hospitalized patient with a healthy immune system does not contract an infectious disease. What nursing action should the nurse identify to reduce this patients susceptibility to an infection? a. Planning adequate nutrition b. Daily bathing with soap and water c. Assessing vital signs every 4 hours d. Admitting the patient to a private room ____ 7. The nurse is caring for a patient with influenza. For which reason should the nurse encourage the patient to increase fluids? a. Decrease metabolism b. Liquefies pulmonary secretions c. Dilute bacterial serum concentration d. Dilute bacterial urinary concentration ____ 8. During data collection, a patient is experiencing warmth, redness, swelling, and minimal drainage of the right great toe. Which health problem should the nurse recognize is occurring with the patient? a. Local infection b. Systemic infection c. Generalized infection d. Bacterial colonization ____ 9. A patient develops a hospital-acquired surgical wound infection. Which organism should the nurse recognize as being the most likely cause of this infection? a. Shigella b. Salmonella c. Campylobacter d. Staphylococcus aureus ____ 10. During data collection, the nurse suspects a patient is experiencing a urinary tract infection. Which manifestation did the nurse use to come to this conclusion? a. Diarrhea b. Vomiting c. Voiding frequency d. Abdominal distention Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 94 NURSINGTB.COM UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK NURSINGTB.COM ____ 11. The nurse is providing care to a patient with a fractured femur who is in traction. Which nursing intervention is the highest priority for the nurse to implement? a. Increase daily fluid intake. b. Weigh patient each morning. c. Teach patient to cough and deep breathe. d. Teach patient to cover mouth when coughing. ____ 12. The nurse is caring for a patient with tuberculosis (TB). What action should the nurse take before entering this patients room? a. Wear a surgical mask with elastic straps. b. Wear a clear plastic shield over the face. c. Wear protective plastic goggles over the eyes. d. Wear a fitted high-efficiency particulate air respirator. ____ 13. The nurse is assisting with the reorganization of the clean utility room. Which item should the nurse consider as being surgically aseptic? a. An unsealed package in a cupboard b. Instruments on a sterile field that is moist c. Sterile items untouched by nonsterile items d. Sterile pack opened out of sight line of the nurse ____ 14. The nurse is preparing to give a newly prescribed antibiotic to a patient with an infected surgical incision. Which action is essential for the nurse to do before giving the antibiotic? a. Perform ordered cultures. b. Check the patients temperature. c. Give the patient something to eat. d. Document the wounds appearance. ____ 15. The nurse is collecting data from a patient with a systemic infection. Which finding should the nurse expect in this patient? a. Warm skin b. Skin redness c. General malaise d. Purulent drainage ____ 16. The nurse is participating in planning care for a patient with mononucleosis. Which action should the nurse recommend to promote recovery? Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 95 NURSINGTB.COM UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION WILLIAMS TEST BANK NURSINGTB.COM a. Exercise b. Rest periods c. Full liquid diet d. Fluid restriction ____ 17. The nurse is reinforcing teaching provided to a patient about gastrointestinal infections. Which symptom should the patient state which indicates that teaching has been effective? a. Vomiting b. Flank pain c. Constipation d. Cloudy urine ____ 18. The nurse is obtaining a health history from a patient who has a respiratory system infection. Which finding should the nurse identify as being the most significant? a. Flank pain b. Wheezing c. Cramping d. Anorexia ____ 19. The nurse is preparing to provide patient care. Which item is the most important for the nurse to wear if the possibility of handling body secretions exists? a. Mask b. Gown c. Gloves d. Goggles.