Infection

The patient being treated for a skin wound and cellulitis is in a semi-private room with another patient; the hospital is near capacity. The culture of the wound has grown methicillin-resistant staphylococcus aureus. Which action is most appropriate? 

The patient is being discharged from hospital on total parenteral nutrition (TPN). Which information does the nurse include in discharge teaching?

Which statements are true regarding the care of the 2-year-old with whooping cough? Select all that apply.

The nurse learns the patient's blood drawn on admission was positive for human immunodeficiency virus (HIV). Which action by the nurse is appropriate?

The patient with seizures has been prescribed carbamazepine (Tegretol). Which medication, if found on the patient's current medication list, prompts the nurse to hold the medication and contact the provider for clarification?

Patients with which characteristics are at increased risk for infective endocarditis? Select all that apply.

Which patient with dyspnea is seen first in the emergency department?

Which terms are used to describe Clostridium difficile colitis? Select all that apply.

Which is the inclusive diagnostic term for benign skin lesions caused by the human papillomavirus (HPV) that infect mucous membranes and the stratified epithelium of the skin?

The patient developed toxic epidermal necrolysis after receiving phenytoin for seizures. The nurse prioritizes nursing interventions to address which life-threatening comorbidities? Select all that apply.

The patient presents to the primary care clinic complaining of painful itching between his toes. Examination reveals scaling skin, areas of maceration between the toes, and some fissure formation. The nurse plans care to provide education about which diagnosis?

The nurse is vigilant for Candida albicans infections in patients with which conditions? Select all that apply.

The patient presents to the women’s health clinic with complaints of itching and burning on urination with a white, curd-like vaginal discharge. The provider reports the cervix appears normal on exam. The nurse prints patient information for which medication course?

The nurse is exiting the room after providing care for the patient diagnosed with tuberculosis. In which order does the nurse remove the personal protective equipment?

The nurse intervenes if the provider attempts to remove which article of personal protective equipment first after contact with the patient with active tuberculosis?

In which order does the nurse don personal protective equipment prior to caring for the pediatric patient suspected of having the chickenpox?

The nurse is supervising the care of the patient who suffered an embolic stroke of the right middle cerebral artery after a clot formed on the patient’s prosthetic mitral valve. Which instruction does the nurse provide to the unlicensed assistive personnel that will be most important to prevent bacterial endocarditis?

Which circumstances are an indication for surgical management of a stone in the urinary tract? Select all that apply.

Which statement by the woman in her third trimester of pregnancy is most concerning to the nurse?

The nurse is providing safety teaching to the woman who has just tested positive for human chorionic gonadotropin. Which statement by the woman indicates the teaching was successful?

The resident of a large, long-term care facility has reactivated tuberculosis and is infectious. Which action does the nurse take?

Which is indicated by a positive urea breath test?

Which term does the nurse use to document the pinpoint, non-blanchable rash in the child who has invasive meningococcal disease (IMD) caused by Neisseria meningitidis? 

Which medications are antibiotics used to treat urinary tract infections? Select all that apply. 

The nurse is vigilant for which symptoms of a life-threatening complication of the woman's precipitous vaginal delivery?

During the initial examination of the full-term baby, the nurse notes an irregular red reflex. The nurse reports the finding to the provider and reviews the mother’s chart for which information?

The patient with a sore throat has tested positive for group A beta-hemolytic Streptococcus pyogenes. The nurse educates the patient to complete the entire course of antibiotics in order to prevent which complications? Select all that apply.

The fetuses of mothers with which infections during pregnancy are at an increased risk for hearing loss? Select all that apply.

The nurse is providing discharge education to the patient with acute laryngitis. Which information does the nurse include?

Which instruction does the nurse provide to the patient with recurrent otitis externa infections?

The nurse is providing medication teaching to the mother of a 4-year-old patient with recurrent otitis media infections who requires daily instillation of antibiotic drops into the ear. Which action indicates effective teaching?

The school nurse is creating a health pamphlet to send home with the students prior to summer break on how to prevent otitis externa. Which information does the nurse include on the cause of otitis externa?

The nurse is educating the 2-year-old patient’s parents on how to instill ear drops to treat acute otitis media. Which statement indicates a need for further teaching?

Following an infection with rhinovirus, the patient reports initial improvement followed by significant congestion and upper teeth pain. The nurse anticipates which diagnosis?

The patient has been diagnosed with ethmoid sinusitis. The nurse anticipates the patient to complain of tenderness upon percussion of which area?

Which radiologic finding indicates frontal sinusitis?

The patient presents to the emergency department (ED) with green sputum and severe pain over the top teeth, cheeks, and forehead following a respiratory viral infection. The provider requests the nurse use the transilluminator to assess for sinusitis. Which assessment indicates maxillary sinusitis?

The patient has been prescribed amoxicillin for the treatment of sinusitis. The patient states, “I thought I just had a cold. I don’t want to take antibiotics for a cold.” Which response by the nurse is most appropriate?

The nurse assesses the patient with acute ethmoid sinusitis for which symptom that indicates the patient is experiencing a severe complication of the condition?

The nurse notes these heart sounds on auscultation of a 65-year-old man: The nurse reviews the patient’s medical record for history of which conditions associated with these heart sounds? Select all that apply.

The student nurse is preparing to perform an irrigation of the patient’s indwelling urethral catheter. Which action by the student nurse prompts the supervising nurse to intervene immediately?

The patient has a peritoneal dialysis catheter. The nurse notes the dressing is saturated and prepares to change it. Upon removing the dressing, the nurse notes a foul odor and purulent drainage around the site, which is red. Which action does the nurse take next?

The pediatric patient has simple otitis externa (swimmer’s ear) and is afebrile. The nurse prepares educational materials for which treatment?

The woman with human immunodeficiency virus (HIV) who has a high CD4 count is concerned her fetus may be infected with the virus. Which statement by the nurse is appropriate?

The elderly patient with moderate Alzheimer’s disease was brought to the emergency department (ED) for rapidly worsening mental status, fever, and anorexia over the last 24 hours. Portable chest x-ray shows a consolidation in the left lower lobe.Which diagnosis is most accurate?

Which actions does the nurse take to obtain a sample for culture from the third degree burn wound that appears to be infected? Select all that apply.

The parents of an 18-month-old with cystic fibrosis (CF) are in the office for a well-child visit and ask the nurse about immunization against influenza. Which response from the nurse is correct?

Which statement describes the term “viral load” as it relates to human immunodeficiency virus (HIV)?

The 58-year-old patient with chronic obstructive pulmonary disorder (COPD) presents to the clinic requesting the pneumococcal vaccine. Which response by the nurse is appropriate?

The nurse is creating a bladder retraining program for the 74-year-old female patient who is incontinent of urine. Which aspect of the training program is most important?