Test Bank Answers Child With A Communicable Disease Ch.37 2e - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 37: Child With a Communicable Disease
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. When evaluating a pediatric patient’s laboratory data, the nurse knows which blood cell component seeks out and destroys organisms that might cause disease?
1) | Antibodies |
2) | T lymphocytes |
3) | Antigens |
4) | Neutrophils |
____ 2. A child presents to the pediatric clinic with a “slapped cheek” facial rash. The nurse understands that this typical rash is associated with which virus?
1) | Varicella |
2) | Epstein-Barr |
3) | Fifth disease |
4) | Roseola |
____ 3. A nurse is educating parents on the yearly occurring viral infection, influenza. Which statement by the parent needs further education?
1) | “Dehydration is a major complication of the illness.” |
2) | “Muscle aches and pains are common.” |
3) | “The incubation period is 4 to 6 days.” |
4) | “School-aged children have the highest infection rate.” |
____ 4. A 4-month-old infant is brought to the clinic to have a second diphtheria, tetanus, and pertussis (DTaP) vaccine. The infant’s mother states that the infant has had a runny nose for the last 2 days but no fever. Prior to administering the infant’s immunization, which question from the nurse to the mother is the most appropriate?
1) | “Weren’t you aware that your baby can’t get immunizations when experiencing a runny nose?” |
2) | “Did your baby have any reaction following the first DTaP?” |
3) | “Did you bring your baby’s immunization record with you today?” |
4) | “Did you remember to premedicate your infant with steroids?” |
____ 5. A nurse is providing room/bed assignments for a child placed on neutropenic precautions. What type of room should the nurse assign this patient?
1) | Private room |
2) | Positive-pressure room |
3) | Room with same age patient |
4) | Room with same diagnosis patient |
____ 6. A nurse is discussing immunity and how it refers to the body’s ability to develop antibodies against specific bacteria, viruses, and toxins. What statement by the parent requires further instruction?
1) | “Vaccines prevent future illnesses.” |
2) | “Some vaccines can provide lifelong immunity.” |
3) | “The flu vaccine provides lifelong immunity.” |
4) | “Vaccines often require multiple doses.” |
____ 7. A nurse is providing care within 3 feet of a pediatric patient who is placed on droplet precautions. Which personal protective equipment (PPE) should the nurse don?
1) | Face shield |
2) | Gloves |
3) | Mask |
4) | Eye shield |
____ 8. The nurse is teaching parents how to prevent the spread of infectious disease. Which priority health-promotion strategy should the nurse recommend for all age groups of children?
1) | Decreasing environmental exposure to pathogens |
2) | Performing hand hygiene |
3) | Ensuring that all toys are clean and free from germs |
4) | Keeping children away from sick adults |
____ 9. A 12-year-old child presents 1 hour after stepping on a rusty nail. What is the nurse’s immediate intervention?
1) | Administer tetanus. |
2) | Evaluate previous immunizations. |
3) | Evaluate for lockjaw. |
4) | Cleanse the wound. |
____ 10. A parent asks the nurse how severe childhood immunization reactions are reported. What is the nurse’s best response?
1) | “Severe reactions are reported to the local health department.” |
2) | “Severe reactions are reported to the Centers for Disease Control and Prevention (CDC).” |
3) | “Severe reactions are reported to the Food and Drug Administration (FDA).” |
4) | “Severe reactions are reported to the Vaccine Adverse Event Reporting System (VAERS).” |
____ 11. A mother refuses to have her child immunized with the measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. Which is an appropriate response by the nurse?
1) | Telling the mother that by not immunizing the child, she may be exposing pregnant women to the virus, which could cause fetal harm |
2) | Honoring the mother’s request because she is the parent |
3) | Telling the mother that she is wrong and should have her child immunized |
4) | Explaining the potential complications of measles, mumps, and rubella infections |
____ 12. A 4-month-old child presents for a routine well-child checkup with vaccinations. The mother expresses concern that her child was exposed to influenza. Which is the appropriate action for the nurse to take?
1) | Withhold all vaccines. |
2) | Give the vaccines as scheduled. |
3) | Give the influenza vaccine with the routine scheduled vaccines. |
4) | Place the child on a catch-up vaccine schedule. |
____ 13. A parent reports that her 5-year-old child, who has had all the recommended immunizations, had a mild fever 1 week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms. Which diagnosis does the nurse anticipate based on the current data?
1) | Rubeola (measles) |
2) | German measles (rubella) |
3) | Chicken pox (varicella) |
4) | Fifth disease (erythema infectiosum) |
____ 14. The nurse is providing care to a child who is diagnosed with Lyme disease. The mother wants to know how to protect her other children from contracting this disease from the infected child. Which should the nurse include in the teaching session regarding the transmission of this disease process?
1) | Person to person |
2) | Animal to person |
3) | Adult to child |
4) | Person to insects |
____ 15. Which is the priority nursing action when it is suspected that an infectious agent has been used as a weapon by terrorists?
1) | Separating patients according to age |
2) | Initiating airborne and contact precautions |
3) | Separating patients according to level of development |
4) | Disposing of blood-contaminated needles in a lead-lined container |
____ 16. Which nursing action is most appropriate to decrease the risk of transmitting viral infections by patients and family members at a local clinic?
1) | Sanitizing toys, telephones, and doorknobs to kill pathogens |
2) | Teaching parents safe food preparation and storage |
3) | Withholding immunizations for children with compromised immune systems |
4) | Allowing all children to congregate in the same waiting room |
____ 17. A nurse is educating parents about the importance of preventing the spread of influenza and recommends the annual influenza vaccine for their 9-month-old infant. Which statement by the parents needs further education?
1) | “It takes about 2 weeks to produce antibodies after getting the vaccine.” |
2) | “Some people get aches and pains after the injection.” |
3) | “I am afraid my baby will get the flu from the vaccine.” |
4) | “If someone has an egg allergy, that person may experience a reaction.” |
____ 18. A nurse is educating parents about varicella infections. What statement by the parent needs further education?
1) | “Severe complications are rare in healthy people.” |
2) | “Once someone gets primary varicella, he or she has immunity for life.” |
3) | “I can give my child aspirin for the discomfort of the varicella infection.” |
4) | “I can give my child Tylenol for the discomfort of the varicella infection.” |
____ 19. A child presents with drooling, dysphagia, and in a tripod position in an effort to maximize respirations. What action by the nurse needs further intervention?
1) | Airway support |
2) | Rapid antibiotics |
3) | Throat assessment |
4) | Vital sign assessment |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 20. A child presents in the emergency department (ED) after experiencing flu-like symptoms for 24 hours. The health-care provider diagnoses the child with swine influenza. Which assessment data collected by the nurse support this diagnosis? (Select all that apply.)
1) | Fever |
2) | Skin lesions |
3) | Malaise |
4) | Red rash on the face |
5) | Rhinorrhea |
____ 21. The mother of an immunocompromised child expresses concern that her child will “catch” a disease from the scheduled vaccination. Which vaccines can be administered to this child because she carries no risk for acquiring the infection? (Select all that apply.)
1) | Toxoid |
2) | Killed virus vaccine |
3) | Live virus vaccine |
4) | Attenuated vaccine |
5) | Immunoglobulins |
____ 22. An adolescent patient has been diagnosed with Epstein-Barr virus. Which of the following should the nurse include as appropriate teachings pertaining to this virus? (Select all that apply.)
1) | Rest |
2) | Fluids |
3) | Avoid contact sports |
4) | Oral care |
5) | Personal hygiene |
____ 23. A nurse is providing education on noncommunicable preventable vector-borne diseases. Which of the following topics should the nurse include in the teaching? (Select all that apply.)
1) | Whooping cough |
2) | Rocky Mountain spotted fever |
3) | Lyme disease |
4) | STARI |
5) | HPV |
____ 24. A parent of a hospitalized child with a communicable illness expresses concern that the child is behind on immunizations due to the illness. What is the nurse’s best response? (Select all that apply.)
1) | “We can provide information about each immunization that your child will need.” |
2) | “We can schedule a follow-up appointment after discharge so you can discuss with your pediatrician the vaccines needed.” |
3) | “The pediatrician will implement a catch-up schedule.” |
4) | “There is no need to worry about the vaccines that your child missed.” |
5) | “There is no need to get further vaccines after a communicable illness.” |
____ 25. Which of the following communicable diseases are considered mandatory to report? (Select all that apply.)
1) | Lyme disease |
2) | Gonorrhea |
3) | Epstein-Barr virus |
4) | Roseola |
5) | Tetanus |
Chapter 37: Child With a Communicable Disease
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer