Deck 22: Infection

Question 1

Which set of assessment data is consistent for a patient with severe infection that could lead to system failure?

A) Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min, urine output 1200 mL in past 24 hours
B) BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
C) BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours
D) BP 152/90, P 52 beats/min, RR 12 breaths/min, urine output 4800 mL in past 24 hours

Answer 1

BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours

Question 2

The nurse is working on a plan of care with her patient which includes turning and positioning and adequate nutrition to help the patient maintain intact skin integrity.The nurse helps the patient to realize that this breaks the chain of infection by eliminating a

A) host.
B) mode of transmission.
C) portal of entry.
D) reservoir.

Answer 2

portal of entry.

Question 3

The nurse is caring for a patient with a diagnosed case of Clostridium difficile.The nurse expects to implement which of the following interventions? (Select all that apply.)

A) Administration of protease inhibitors
B) Use of personal protective equipment
C) Patient teaching on methods to inhibit transmission
D) Preventing visitors from entering the room
E) Administration of intravenous fluids
F) Strict monitoring of intake and output

Answer 3

Use of personal protective equipment
Patient teaching on methods to inhibit transmission
Administration of intravenous fluids
Strict monitoring of intake and output

Question 4

In order to provide the best intervention for a patient,the nurse is often responsible for obtaining a sample of exudate for culture.This test will identify

A) whether a patient has an infection.
B) where an infection is located.
C) what cells are being utilized by the body to attack an infection.
D) what specific type of pathogen is causing an infection.

Question 5

While reviewing the complete blood count (CBC)of a patient on her unit,the nurse notes elevated basophil and eosinophil readings.The nurse realizes that this is most indicative of a _____ infection.

A) bacterial
B) fungal
C) parasitic
D) viral

Question 6

Individuals of low socioeconomic status are at an increased risk for infection because of which of the following? (Select all that apply.)

A) Uninsured or underinsured status
B) Easy access to health screenings
C) High cost of medications
D) Inadequate nutrition

Question 7

A nurse is teaching a group of businesspeople about disease transmission.He knows that he needs to reeducate when one of the participants states which of the following?

A) "When traveling outside of the country, I need to be sure that I receive appropriate vaccinations."
B) "Food and water supplies in foreign countries can contain microorganisms to which my body is not accustomed and has no resistance."
C) "If I don't feel sick, then I don't have to worry about transmitted diseases."
D) "I need to be sure to have good hygiene practices when traveling in crowded planes and trains."