ESSENTIALS OF PEDIATRIC NURSING 4TH EDITION KYLE CARMAN TEST BANK CHAPTER 15 NURSING CARE OF THE CHILD WITH AN INFECTION MULTIPLE CHOICE

ESSENTIALS OF PEDIATRIC NURSING 4TH EDITION KYLE CARMAN TEST BANK CHAPTER 15 NURSING CARE OF THE CHILD WITH AN INFECTION MULTIPLE CHOICE 1. The nurse takes into consideration that the child most susceptible to an opportunistic infection is the one taking: a . Anticonvulsants b . A beta-adrenergic agent c . An antibiotic d . Corticosteroids ANS: D Steroids are immunosuppressive drugs that make the child very susceptible to opportunistic infections. Estudy DIF: Cognitive Level: Analysis REF: Text Reference: 717 OBJ: Objective: N/A TOP: Topic: Host Resistance KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 2. When the 8-year-old asks the nurse how she got the antibodies that kept her from getting whooping cough, the nurse explains that those shots: a . Were borrowed antibodies from another person who had whooping cough b . Gave her a tiny case of whooping cough and then she made her own antibodies c . Strengthened antibodies she was born with d . Are only temporary borrowed antibodies and she needs to have another shot every 5 years ANS: B Vaccines contain live weakened or dead organisms not strong enough to cause disease but they stimulate the body to develop an immune reaction and antibodies. This is active acquired immunity. DIF: Cognitive Level: Knowledge REF: Text Reference: 717 OBJ: Objective: 3 TOP: Topic: Types of Immunity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. The nurse would document a rash that has erythematous circular raised lesions as: a . Macular b . Papular c . Vesicular d . Pustular ANS: B A papule is a circular, reddened elevated area on the skin. DIF: Cognitive Level: Knowledge REF: Text Reference: 718 Estudy OBJ: Objective: 6 TOP: Topic: Rashes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 4. The nurse would delay the administration of DTaP when the mother says that her infant: a . Has diarrhea b . Had a temperature of 105 F from the previous inoculation c . Is teething d . Is traveling with her to Europe in a week ANS: B A contraindication to giving the DTaP vaccine is a 105 F temperature following the previous vaccination. DIF: Cognitive Level: Analysis REF: Text Reference: 721 OBJ: Objective: 4 TOP: Topic: Immunizations KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 5. The type of precaution that is necessary when caring for a toddler with varicella is: a . Contact b . Protective c . Airborne infection d . Large droplet infection ANS: C Estudy Airborne-infection precautions are used for patients with conditions such as tuberculosis, varicella, and rubeola. Small airborne particles caught on floating dust in the room can be inhaled from anywhere in the room. DIF: Cognitive Level: Application REF: Text Reference: 718 OBJ: Objective: 2 TOP: Topic: Medical Asepsis and Standard Precautions KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 6. A parent is concerned because her son was exposed to varicella at preschool. The nurse would tell this parent that the incubation period for varicella is: a . 2 to 10 days b . 4 to 14 days c . 3 to 32 days d . 14 to 21 days ANS: D The incubation period for varicella is 2 to 3 weeks, usually 13 to 17 days. DIF: Cognitive Level: Knowledge REF: Text Reference: 713, Table 31-1 OBJ: Objective: 5 TOP: Topic: Common Childhood Communicable Diseases KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 7. The nurse can be assured that parents understand how long a child who has varicella is contagious when they state: a . My child should stay home from school for 6 days after the pox appear. b . My child can return to school when the rash fades. c . My child must stay away from other children until all of the lesions have healed. Estudy d . My child is contagious as long as he has a fever. ANS: A The child with varicella is contagious for 6 days after the appearance of the rash. DIF: Cognitive Level: Application REF: Text Reference: 713, Table 31-1 OBJ: Objective: 5 TOP: Topic: Common Childhood Communicable Diseases KEY: Nursing Process Step: Evaluation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 8. The statement made by a sexually active adolescent girl indicating an understanding of the prevention of sexually transmitted diseases is: a . I always douche after intercourse. b . I think you can get a vaccination for STDs now. c . I insist that my partner wear a condom. d . I am protected because I take the pill. ANS: C The use of condoms to prevent STDs is not considered 100% effective but is recommended for sexual intercourse. DIF: Cognitive Level: Application REF: Text Reference: 725 OBJ: Objective: 8 TOP: Topic: Sexually Transmitted Diseases KEY: Nursing Process Step: Evaluation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 9. The priority nursing diagnosis for a hospitalized infant who is HIV-positive would be: a . Risk for injury b . Altered nutrition Estudy c . Impaired skin integrity d . Risk for infection ANS: D The infant who is HIV-positive has impaired immunologic functioning and is at high risk for infection. DIF: Cognitive Level: Analysis REF: Text Reference: 725 OBJ: Objective: 7 TOP: Topic: Human Immunodeficiency Virus KEY: Nursing Process Step: Nursing Diagnosis MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 10. A parent of a newborn asked the nurse, When will my baby get the hepatitis B vaccine? The nurse bases a response on the knowledge that the first dose of Comvax should be given to infants born to a hepatitis B-negative mother at: a . 2 months b . 4 months c . 6 months d . 1 year ANS: B The American Academy of Pediatrics recommends that Comvax, the only thimerosal-free hepatitis B vaccine, should be used for infants born to HBsAg-negative mothers beginning at the 2-month well-child visit. DIF: Cognitive Level: Knowledge REF: Text Reference: 722, Figure 31-6 OBJ: Objective: 4 TOP: Topic: Immunization Schedule KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control 11. The nurse would base a response to a parent about how his child got hepatitis A on the information that the child: Estudy a . Came in contact with infected blood b . Came in contact with droplets in the air c . Was bitten by a mosquito or a tick d . Ate shrimp while they were in Mexico ANS: D Hepatitis A results from ingestion of contaminated water or shellfish. DIF: Cognitive Level: Comprehension REF: Text Reference: 714, Table 31-1 OBJ: Objective: 5 TOP: Topic: Common Childhood Communicable Diseases KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control