EAQ Unit 3 Immunologic System and Infectious Disease

1. Which organism would the nurse teach immigrants is the cause of small- pox?

1

Variola virus

2

Yersinia pestis

3

Bacillus anthracis

4

Clostridium botulinum:

2. Why is an infection caused by Neisseria gonorrhoeae particularly trouble- some for a female client?

1

The medication is expensive.

2

The infection is difficult to treat with antibiotics.

3

Symptoms are often overlooked.

4

Treatment has many adverse effects.:

3. Which type of immunity is acquired through the transfer of colostrum from the mother to the child?

1

Natural active immunity

2

Artificial active immunity

3

Natural passive immunity

4

Artificial passive immunity:

4. Which autoimmune disease can result in damage to the heart?

1

Uveitis

2

Rheumatic fever

3

Myasthenia gravis

4

Graves disease:

5. Which stage of the human immunodeficiency virus (HIV) would a client with a CD4+ T cell count of 325 cells/mm3 be classified?

1

Stage 1

2

Stage 2

3

Stage 3

4

Stage 4:

6. Which bacteria may cause toxic shock syndrome in female clients?

1

Treponema pallidum

2

Enterococcus faecalis

3

Staphylococcus aureus

4

Neisseria gonorrhoeae:

7. Which identified clinical manifestation is a sign of allergic rhinitis?

1

Presence of high-grade fever

2

Reduced breathing through the mouth

3

Presence of pinkish nasal discharge

4

Reduced transillumination on the skin over the sinuses:

8. Which sexually transmitted infection (STI) is most commonly reported?

1

Syphilis

2

Chlamydia

3

Gonorrhea

4

Human immunodeficiency virus:

 9. Which strategy is most effective for preventing the transmission of infec- tion?

1

Wearing gloves and a gown

2

Applying face mask and a gown

3

Applying a face mask and gloves

4

Wearing gloves and hand hygiene:

10. Which is the causative organism for syphilis?

1

Treponema pallidum

2

Campylobacter jejuni

3

Trichomonas vaginalis

4

Chlamydia trachomatis:

11. Which instruction would the nurse provide a client with leukopenia sec- ondary to chemotherapy?

1

"You should avoid exposure to the sun and use a sunscreen."

2

"You should eat high-fiber foods and increase fluid intake."

3

"You should avoid large crowds and people with infections."

4

"You should consume iron supplements and erythropoietin.":

12. How would the nurse explain the purpose of standard precautions to the nursing assistant on a surgical unit?

1

Decrease the risk of transmitting unidentified pathogens

2

Used by staff when clients are suspected of having a communicable disease

3

Ensure clients perform hygiene practices in a universal way

4

Create categories requiring the client to follow additional precautions:

13. Which sexually transmitted infection is caused by Chlamydia trachomatis?

1

Cervicitis

2

Gonorrhea

3

Genital warts

4

Genital herpes:

14. A client expresses concern regarding the lack of annual flu vaccines because of a supply and demand problem. Which response by the nurse is best?

1

"This is an unfortunate situation, but there was such a limited supply avail- able."

2

"There are many others who were unable to obtain a flu vaccine this month."

3

"The limited supply doesn't really matter because the vaccine is for one particular strain."

4

"There are other things you and your family can do to prevent the flu, such as hand washing.":

15. Which cytokine stimulates the liver to produce fibrinogen and protein C?

1

Interleukin-1

2

Interleukin-6

3

Thrombopoietin

4

Tumor necrosis factor:

16. A client receiving chemotherapy develops a temperature of 102.2°F (39°C). The temperature 6 hours ago was 99.2°F (37.3°C). Which nursing intervention is the priority in this case?

1

Assess the amount and color of urine; obtain a specimen for a urinalysis and culture.

2

Administer the prescribed antipyretic and notify the primary health care

provider of this change.

3

Note the consistency of respiratory secretions and obtain a specimen for culture and sensitivity.

4

Obtain the respirations, pulse, and blood pressure when rechecking the tem- perature in 1 hour:

17. Identify the most important reason why medications used to treat acquired immunodeficiency syndrome (AIDS) become ineffective.

1

Taking the medications 90% of the time

2

Missing doses of the prescribed medications

3

Taking medications from different classifications

4

Developing immune reconstitution inflammatory syndrome (IRIS):

 18. Which infection would the nurse identify as requiring a client to be placed on droplet precautions?

1

Human immunodeficiency virus (HIV)

2

Influenza

3

Tuberculosis (TB)

4

Methicillin-resistant Staphylococcus aureus (MRSA):

19. Which sexually transmitted infection is caused by a virus?

1 syphilis

2 gonorrhea

3 genital warts

4 chlamydial infection: 20. Which intervention is most important in preventing hospital-acquired catheter-associated urinary tract infections (CAUTIs)?

1

Removing the catheter

2

Keeping the drainage bag off of the floor

3

Washing hands before and after assessing the catheter

4

Cleansing the urinary meatus with soap and water daily:

21. Which criteria would the nurse consider when determining if an infection is a health care-associated infection?

 1

Originated primarily from an exogenous source

2

Is associated with a medication-resistant microorganism

3

Occurred in conjunction with treatment for an illness

4

Still has the infection despite completing the prescribed therapy:

22.