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NURS 642 EXAM

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This concise and powerful quick review guide for NURS 642 Exam 2 covers 100+ expertly solved questions and answers focused on infectious disease management in advanced nursing practice. Aligned with the 2025/2026 academic year at Maryville University, it is ideal for AGNP, FNP, and DNP students preparing for high-stakes exams or clinical rotations involving infectious control, antimicrobial therapy, and hospital-acquired infections. Topics include detailed management of CAUTI, hospital-acquired and ventilator-associated pneumonia (HAP/VAP), central line-associated bloodstream infections (CLABSI), and surgical site infections (SSI). It also provides critical insights into C. difficile diagnosis and treatment, necrotizing fasciitis, and antimicrobial resistance, including CDC-identified urgent threats (e.g., CRE, MRSA, VRE, drug-resistant gonorrhea). Students will gain key strategies for infection control, including contact precautions, chlorhexidine bathing, MRSA decolonization, and guidelines for antimicrobial prophylaxis. The guide explains antibiotic stewardship, distinguishing front-end vs. back-end strategies, stewardship goals, and CDC-prescribed interventions. Each answer is grounded in current clinical recommendations with drug regimens clearly identified (e.g., vancomycin, linezolid, cefepime, imipenem, metronidazole). Best suited for: Adult-Gerontology NP, Family NP, and Acute Care NP students DNP and MSN candidates in Infectious Disease or Critical Care Courses in Infectious Disease, ICU Nursing, or Pathophysiology ANCC, AANP, and clinical board exam preparation Keywords: CAUTI symptoms, catheter infections, vancomycin dosing, ESBL infections, MRSA pneumonia, linezolid vs vancomycin, antibiotic resistance, CDC stewardship, mupirocin decolonization, CLABSI prevention, C. diff treatment, fecal transplant, SSI infection timing, HAP pathogens, VAP management, central line placement, tigecycline use, Pseudomonas coverage, VRE drugs, necrotizing fasciitis signs

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NURS 642 Exam 2 Quick Review:
Infectious Disease. Maryville University
2025/2026 Exam Questions and Answers
| 100% Solved



*CAUTI (catheter associated urinary tract infection) - 🧠 ANSWER ✔✔Catheter in

currently or in the past 48 hours.

S/Sx: fever*, suprapubic/CVA tenderness, catheter obstruction.

*Older adults S/sx: falls, change in functional status, or change in mental status.

CT without contrast to check for calculi, hemorrhage, obstruction, and abscesses.

CT w/ contrast to check renal perfusion.

TX: REMOVE CATHETER IF POSSIBLE.

~ Standard: Ceftriaxone, or Zosyn, or Ciprofloxacin.

~ Complicated w/o MDR: Ceftriaxone or Zosyn

, ~ Complicated w/ MDR: (Merrem, or Imipenem, or Doripenem) + (Vanc, or

Dapto, or Linezolid).


Infection Control Measures in the ICU - 🧠 ANSWER ✔✔Contact precautions


Hand hygiene: Soap or Alcohol.

Decolonization/patient bathing: daily chlorhexidine.

Device-specific strategies: Limit invasive procedures.

Oropharyngeal decontamination: Nasal Mupirocin.

Surveillance


Antimicrobial Stewardship - 🧠 ANSWER ✔✔To reduce MDR infections.


1st goal: Right Drug, right Dose, De-escalation to pathogen-directed therapy, and

right Duration of therapy.

2nd goal: prevent antimicrobial overuse, misuse, and abuse.

3rd goal: minimize the development of resistance.




Front-end approach - restrictive prescriptive authority.

Back-end approach - review orders, give feedback on prescribing patterns.



COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED

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