NUR 215 Exam 2 study guide with
complete solution
A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse
knows that health care professional are required to report communicable and infectious
diseases. Which of the following illustrate the rationale for reporting? (select all the apply)
A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common-source outbreaks - ANSA. Planning and evaluating control and
prevention strategies
B. Determining public health priorities
D. Identifying endemic disease
E. Monitoring for common-source outbreaks
A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up
blood. The client has manifestations of which of the following conditions?
A. allergic reaction
B. ringworm
C. systemic lupus erythematosus
D. Tuberculosis - ANSD. Tuberculosis
A nurse is caring for a client who repots a severe throat, pain when swallowing, and swollen
lymph nodes. The client has manifestations of which of the following conditions?
A. prodromal
B. ringworm
C. convalescence
D. Illness - ANSillness
A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a
localized vs a systemic infection. Which of the following are manifestations of a systemic
infection. (select all that apply)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate - ANSA. Fever
, B. Malaise
E. Increase in pulse and respiratory rate
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a
suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of
care? Select all.
A. Place the client in a room that has negative air pressure of at least 6 exchanges/hr
B. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another dept is unavoidable
D. Use sterile gloves when handling soiled linens
E. Wear a gown when preforming care that may result in contamination from secretions -
ANSB. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another dept is unavoidable
E. Wear a gown when preforming care that may result in contamination from secretions
What is an infection? - ANSoccurs when a pathogen is present and leads to a chain of events
What is the best prevention against HAIs? - ANSHand hygiene
iatrogenic infections - ANSresult from diagnostic or therapeutic procedures
Transmission Chain of Infection - ANS1. Causative agent
2. Reservoir
3. Portal of exit
4. Mode of transmission
5. Portal of entry
6. Susceptible host
Transmission chain of infection example of MRSA and the Wrestler - ANS1. Causative agent-
MRSA
2. Reservoir- Athlete
3. Portal of exit- Contact w/ mat
4. Mode of transmission- skin contact w/ gear
5. Portal of entry- nose, skin lesion, mouth
6. Susceptible host- broken skin, compromised, brewed skin
What is the reservoir in the chain of infection? - ANSwhere pathogens can live and multiply,
ex. human, animal, food, or organic matter
what is the portal of exit in the chain of infection? - ANSwhere the pathogen can leave the
reservoir and spread
ex body fluids, respiratory, GI tract, skin, MM
complete solution
A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse
knows that health care professional are required to report communicable and infectious
diseases. Which of the following illustrate the rationale for reporting? (select all the apply)
A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common-source outbreaks - ANSA. Planning and evaluating control and
prevention strategies
B. Determining public health priorities
D. Identifying endemic disease
E. Monitoring for common-source outbreaks
A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up
blood. The client has manifestations of which of the following conditions?
A. allergic reaction
B. ringworm
C. systemic lupus erythematosus
D. Tuberculosis - ANSD. Tuberculosis
A nurse is caring for a client who repots a severe throat, pain when swallowing, and swollen
lymph nodes. The client has manifestations of which of the following conditions?
A. prodromal
B. ringworm
C. convalescence
D. Illness - ANSillness
A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a
localized vs a systemic infection. Which of the following are manifestations of a systemic
infection. (select all that apply)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate - ANSA. Fever
, B. Malaise
E. Increase in pulse and respiratory rate
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a
suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of
care? Select all.
A. Place the client in a room that has negative air pressure of at least 6 exchanges/hr
B. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another dept is unavoidable
D. Use sterile gloves when handling soiled linens
E. Wear a gown when preforming care that may result in contamination from secretions -
ANSB. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another dept is unavoidable
E. Wear a gown when preforming care that may result in contamination from secretions
What is an infection? - ANSoccurs when a pathogen is present and leads to a chain of events
What is the best prevention against HAIs? - ANSHand hygiene
iatrogenic infections - ANSresult from diagnostic or therapeutic procedures
Transmission Chain of Infection - ANS1. Causative agent
2. Reservoir
3. Portal of exit
4. Mode of transmission
5. Portal of entry
6. Susceptible host
Transmission chain of infection example of MRSA and the Wrestler - ANS1. Causative agent-
MRSA
2. Reservoir- Athlete
3. Portal of exit- Contact w/ mat
4. Mode of transmission- skin contact w/ gear
5. Portal of entry- nose, skin lesion, mouth
6. Susceptible host- broken skin, compromised, brewed skin
What is the reservoir in the chain of infection? - ANSwhere pathogens can live and multiply,
ex. human, animal, food, or organic matter
what is the portal of exit in the chain of infection? - ANSwhere the pathogen can leave the
reservoir and spread
ex body fluids, respiratory, GI tract, skin, MM
