Chap40 Immune problems and infectious diseases

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Q1:姓名

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Q2:1.An infant has been found to be human immunodeficiency virus positive. When teaching condition-specific care, which action would the nurse instruct the mother to take to minimize the infants risk for condition-related injury?

A.Check the anterior fontanel for bulging and the sutures for widening each day.
B.Feed the infant in an upright position with the head and chest tilted slightly back to avoid aspiration.
C.Feed the infant with a special nipple and burp the infant frequently to decrease the tendency to swallow air.
D.Provide meticulous skin care to the infant and change the infant's diaper after each voiding or stool.

Q3:2.The nurse is monitoring a child with mumps for complications. Which manifestation is a sign of the most common complication of this disease?

A.Pain
B.Nuchal rigidity
C.Impaired hearing
D.A red swollen testicle

Q4:3.An adolescent is hospitalized with a diagnosis of Rocky Mountain spotted fever . The nurse anticipates that which medication will be prescribed?

A.Ganciclovir
B.Amantadine
C.Doxycycline
D.Amphotericin B

Q5:4.The nurse provides home care instructions to the mother of a child with a diagnosis of chickenpox about preventing the transmission of the virus. Which is the best statement for the nurse to include in the instructions?

A.Isolate the child until the skin vesicles have dried and crusted.
B.Ensure that the child uses a separate bath room for elimination.
C.Bring all household members to the clinic for a varicella vaccine.
D.Request a prescription for antibiotics for all household members.

Q6:5.When a hospitalized child develops a rash that covers the trunk and extremities, the nurse notes in the history that the child was exposed to varicella 2 weeks ago. Which nursing intervention has priority?

A.Immediately reassign the child's roommate.
B.Place the child in a private room on strict isolation
C.Confirm the exposure occurred with thechild's parent
D.Assess the progression of the rash and report it to the primary health care provider.

Q7:6.A child exposed to the human immunodeficiency virus is seen in the health care clinic and tested for the virus. Which home care instruction would the nurse provide to the parents of the child?

A.Avoid sharing toothbrushes.
B.Avoid all immunizations until the diagnosis is established.
C.Wipe up any blood spills with a rag, and allow them to air-dry.
D.Wash your hands with half-strength bleach if they come in contact with the child's blood.

Q8:7.The nurse employed in a well-baby clinic is preparing to administer the scheduled recommended immunizations to a 2-month-old infant. After consultation with the pediatrician the nurse would prepare to administer which vaccines at this time? Select all that apply.

A.Rotavirus (RV)
B.Pneumococcal (PCV)
C.Inactivated poliovirus (IPV)
D.Varicella; measles, mumps, and rubella (MMR)
E.Haemophilus influenzae type b conjugate (Hib)
F.Diphtheria and tetanus toxoids and acellular pertussis (DTaP)

Q9:8.The home care nurse visits a child diagnosed with scarlet fever who is being treated with penicillin G potassium. The mother tells the nurse that the child has only voided a small amount of tea-colored urine since the previous day. The mother also reports that the childs appetite has decreased and that the childs face was swollen this morning. How would the nurse interpret these new signs/symptoms?

A.Nothing to be concerned about
B.Signs/symptoms of acute glomerulonephritis. 
C.Signs/symptoms of the normal progression of scarlet fever
D.Symptoms of an allergic reaction to penicillin G potassium

Q10:9.The nursing student is providing care to a preschooler diagnosed with an immunocompromised condition. The nursing instructor is reviewing with the nursing student a list of potential immunizations to be administered The nursing instructor determines that the student understands the immunization schedule if the student identifies which as safe to administer to this child? Select all that apply.

A.OPV
B.MMR
C.DTaP
D.Varicella
E.Influenza
F.Meningococcal

Q11:10.The nurse is performing an assessment on a 3-year-old child with chickenpox. The childs mother tells the nurse that the child keeps scratching at night, and the nurse teaches the mother about measures that will prevent an alteration in skin integrity. Which statement by the mother indicates that teaching was effective?

A."I need to place white gloves on my child's hands at night."
B."I will apply generous amounts of a cortisone cream to prevent itching"
C."I will give my child a glass of warm milk at bedtime to help my child sleep."
D."I need to keep my child in a warm room at night so that the covers will not cause my child to scratch.

Chap40 Immune problems and infectious diseases

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