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Infections - post test - quiz
Functional Health Patterns Adults I (NSG 301)
Misericordia University
Related Studylists
NUR 276Preview text
Results
Washington Saah
Assessment Statistics
92%
18 out of 20 points
Out of 20 points
Time for this attempt: 11 minutes 33 seconds
11 minutes 33 seconds
11:
Time for this attempt
Your Answers:
Results for item 1.
1
1 / 1 point A nurse is splashed in the face by body fluid during a procedure. Prioritize the nurse’s actions, listing the most important one first.
- Contact employee health
- Complete an incident report
- Wash the exposed area
- Report to another nurse that she is leaving the immediate area.
Correct answer: 3, 4, 1, 2 2, 3, 4, 1 , Not Selected 4, 1, 2, 3 , Not Selected 1, 2, 3, 4 , Not Selected
Feedback
General Feedback
If a nurse becomes exposed to body fluid, she should first wash the area, tell another
nurse she is leaving the area, contact the infection control or employee health nurse immediately, and complete an incident report. It is most important to remove the source of contamination (body fluid) as soon as possible after exposure to help prevent the nurse from becoming infected. The other activities can wait until that is done.
Results for item 2.
2
0 / 1 point
In which situation would use Personal Protective Equipment (PPE) would be used in addition to standard precautions? Select all that apply. Correct answer: While inserting a peripheral intravenous catheter Incorrect answer: While helping a client to perform his own hygiene care Missed Option - Incorrect
Feedback
General Feedback
Standard precautions should be instituted with all clients whenever there is a possibility of coming in contact with blood, body fluids (except sweat), excretions, secretions, mucous membranes, and breaks in the skin (e., while inserting a peripheral IV). When interviewing a client, if the disease is not spread by air or droplets, there is no likelihood of the nurse’s encountering body fluids. If the disease is spread by air or droplets, then droplet or airborne precautions would be needed in addition to standard precautions. If giving a complete bed bath or performing oral hygiene, the nurse would need to use standard precautions (gloves); if merely assisting a client to perform those ADLs, it is not necessary. No exposure to body fluids is likely when helping a client to ambulate after surgery.
Results for item 3.
3
1 / 1 point
The nurse is teaching a nursing student about the antifungal drug amphotericin B. Which statement by the student indicates a need for further teaching? “Patients who take this drug should have potassium and magnesium levels assessed.” , Not Selected “This drug is used for severe systemic infections.” , Not Selected “Patients with renal disease should not take amphotericin B.” , Not Selected Correct answer:
Request an order for a beta-lactamase resistant drug. , Not Selected Administer the amoxicillin and have epinephrine available. , Not Selected
Feedback
General Feedback
Patients who have previously experienced manifestations of allergy to a penicillin should not use penicillins again unless necessary. The nurse should contact the provider to discuss using another antibiotic from a different class. Epinephrine and antihistamines are useful when patients are experiencing allergic reactions, depending on severity.
Results for item 6.
6
1 / 1 point
The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for a urinary tract infection. Which action is most important prior to administering the antibiotic? Having epinephrine available in the event of a severe hypersensitivity reaction , Not Selected Administering a small test dose to determine whether hypersensitivity exists , Not Selected Monitoring baseline vital signs, including temperature and blood pressure , Not Selected Correct answer: Obtaining a specimen for culture and sensitivity
Feedback
General Feedback
To obtain the most accurate culture, the specimen should be obtained before antibiotic therapy begins. It is important to obtain cultures when possible in order to correctly identify the organism and help determine which antibiotic will be most effective. Administering test doses to determine hypersensitivity is sometimes done when there is a strong suspicion of allergy when a particular antibiotic is needed. Epinephrine is kept close at hand when there is a strong suspicion of allergy.
Results for item 7.
7
0 / 1 point
A patient is admitted to the hospital for treatment of pneumonia after complaining of high fever and shortness of breath. The patient was not able to produce sputum for a culture. The nurse will expect the patient’s provider to order: a broad-spectrum antibiotic. , Not Selected the pneumococcal vaccine. , Not Selected Incorrect answer: a narrow-spectrum antibiotic. Correct Answer:a broad-spectrum antibiotic. multiple antibiotics. , Not Selected
Feedback
General Feedback
Broad-spectrum antibiotics are frequently used to treat infections when the offending organism has not been identified by culture and sensitivity (C&S). Narrow-spectrum antibiotics are usually effective against one type of organism and are used when the C&S indicates sensitivity to that antibiotic. The use of multiple antibiotics, unless indicated by C&S, can increase resistance. The pneumococcal vaccine is used to prevent, not treat, an infection.
Results for item 8.
8
1 / 1 point
A patient is receiving high doses of a cephalosporin. Which laboratory values will this patient’s nurse monitor closely? Serum glucose and lipids , Not Selected Serum calcium and magnesium , Not Selected Correct answer: Blood urea nitrogen (BUN), serum creatinine, and liver function tests Complete blood count and electrolytes , Not Selected
Feedback
General Feedback
Cefazolin will produce an increase in the patient’s BUN, creatinine, AST, ALT, ALP, LDH, and bilirubin.
High doses of macrolides, when taken with other, potentially hepatotoxic drugs such as acetaminophen may cause hepatotoxicity, so liver enzymes should be carefully monitored.
Results for item 11.
11
1 / 1 point
The nurse assumes care for a patient who is currently receiving a dose of intravenous vancomycin (Vancocin) infusing at 20 mg/min. The nurse notes red blotches on the patient’s face, neck, and chest and assesses a blood pressure of 80/55 mm Hg. Which action will the nurse take? Stop the infusion and obtain an order for a BUN and serum creatinine. , Not Selected Suspect Stevens-Johnson syndrome and notify the provider immediately. , Not Selected Request an order for IV epinephrine to treat anaphylactic shock. , Not Selected Correct answer: Slow the infusion to 10 mg/min and observe the patient closely.
Feedback
General Feedback
When vancomycin is infused too rapidly, “red man” syndrome may occur; the rate should be 10 mg/min to prevent this. This is a toxic reaction, not an allergic one, so epinephrine is not indicated. Stevens-Johnson syndrome is characterized by a rash and fever. Red man syndrome is not related to renal function.
Results for item 12.
12
1 / 1 point
The nurse is caring for a patient who is receiving a high dose of tetracycline (Sumycin). Which laboratory values will the nurse expect to monitor while caring for this patient? Electrolytes , Not Selected Correct answer: Blood urea nitrogen (BUN) and creatinine levels Complete blood counts , Not Selected Liver enzyme levels , Not Selected
Feedback
General Feedback
High doses of tetracyclines can lead to nephrotoxicity, especially when given along with other nephrotoxic drugs. Renal function tests should be performed to monitor for nephrotoxicity.
Results for item 13.
13
1 / 1 point
A patient who will begin taking trimethoprim-sulfamethoxazole (TMP-SMX) asks the nurse why the combination drug is necessary. The nurse will explain that the combination is used to: improve the taste. , Not Selected broaden the antibacterial spectrum. , Not Selected minimize toxic effects. , Not Selected Correct answer: decrease bacterial resistance.
Feedback
General Feedback
The combination drug is used to decrease bacterial resistance to sulfonamides. It does not broaden the spectrum, improve the taste, or decrease toxicity.
Results for item 14.
14
1 / 1 point
A female patient who is taking trimethoprim-sulfamethoxazole (TMP-SMZ) (Bactrim, Septra) to treat a urinary tract infection reports vaginal itching and discharge. The nurse will perform which action? Reassure the patient that this is a normal side effect. , Not Selected Correct answer: Report a possible superinfection to the provider. Suspect that the patient is having a hematologic reaction. , Not Selected Ask the patient if she might be pregnant.
, Not Selected Request an order for a urinalysis. , Not Selected
Feedback
General Feedback
Reddish-brown urine is a harmless side effect of metronidazole and is not cause for concern.
Results for item 17.
17
1 / 1 point
. A patient who has oral candidiasis will begin using nystatin suspension to treat the infection. What information will the nurse include when teaching this patient? Correct answer: “Swish the liquid in your mouth and then swallow after a few minutes.” “Mix the suspension with 4 ounces of water and then drink it.” , Not Selected “Coat the buccal mucosa with the drug and then rinse your mouth.” , Not Selected “Gargle with the nystatin and then spit it out without swallowing.” , Not Selected
Feedback
General Feedback
Patients should be taught to swish the suspension in the mouth to coat the tongue and buccal mucosa and then swallow the medication. It should not be spit out, diluted with water, or swallowed with water.
Results for item 18.
18
1 / 1 point
A patient is diagnosed with influenza and will begin taking a neuraminidase inhibitor. The nurse knows that this drug is effective when taken within how many hours of onset of flu symptoms? Correct answer: 48 hours 12 hours , Not Selected
24 hours , Not Selected 72 hours , Not Selected
Feedback
General Feedback
Neuraminidase inhibitors, such as zanamivir and oseltamivir, should be taken within 48 hours of onset of symptoms for best effect.
Results for item 19.
19
1 / 1 point
A young adult female who is taking metronidazole (Flagyl) to treat trichomoniasis calls the nurse to report severe headache, flushing, palpitations, cramping, and nausea. What will the nurse do next? Tell her that this signals a worsening of her infection. , Not Selected Reassure her that these are harmless side effects. , Not Selected Tell her to go to the emergency department immediately. , Not Selected Correct answer: Ask about alcohol consumption.
Feedback
General Feedback Patients who are taking metronidazole can experience a disulfiram-like reaction when they drink alcohol. These are not harmless adverse effects or a sign of worsening of her infection.
Results for item 20.
20
1 / 1 point
The nurse caring for a patient who will receive penicillin to treat an infection asks the
Infections - post test - quiz
Course: Functional Health Patterns Adults I (NSG 301)
University: Misericordia University
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