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14. You are caring for a client who has been admitted to the hospital with a leg ulcer that is infected with vancomycin resistant S. aureus (VRSA). Which of these nursing actions can you delegate to the nurse assistant?  *1 pointA. Assess risk for further skin breakdownB. Plan ways to improve the client’s oral protein intakeC. Obtain wound cultures during dressing changesD. Educate the client about home care of the leg ulcer15. You are the pediatric unit charge nurse today and are working with a new RN. Which action by the new RN requires the most immediate action on your part? *1 pointA. The new RN wears goggles to change linens of a client who has diarrhea caused by C. difficile.B. The new RN places a child who has chemotherapy induced neutropenia into a negative-pressure room.C. The new RN admits a new client with respiratory syncytial virus (RSV) infection to a room with another child who has RSV.D. The new RN tells the nursing assistant to use an N95 respirator mask when caring for a child who has pertussis.16. You are a school nurse. Which action will you take to have the most impact on the incidence of infectious disease in the school? *1 pointA. Provide written information about infection control to all patients.B. Ensure that students are immunized according to national guidelines.C. Make soap and water readily available in the classrooms.D. Teach students how to cover their mouths when coughing.17. You are caring for a newly admitted client with increasing dyspnea and dehydration who has possible avian influenza (bird flu). Which of these prescribed actions will you implement first? *1 pointA. Provide oxygen using a non-rebreather maskB. Infuse 5% dextrose in water at 75ml/hrC. Administer the first dose of oseltamivir (Tamiflu)D. Obtain blood and sputum specimens for testing18. A client comes to the outpatient clinic where you work complaining of abdominal pain, diarrhea, shortness of breath and epistaxis. Which of the following actions would you take first? *1 pointA. Screening clients for upper respiratory tract symptomsB. Call an ambulance to take the client immediately to the hospitalC. Ask the client about any recent travel to Asia or the Middle EastD. Determine whether the client has had recommended immunizations19. What is the drug of choice for schistosomiasis?*1 pointA. Chloquine phosphatesB. ErythromycinC. Hetrazan (diethylcarbamazine citrate)D. Praziquantel (biltricide)20. The infective stage of the Schistosoma is called*1 pointA. CercariaB. LyssaC. BilhariasisD. Poecilus21. The polio vaccine containing live attenuated viruses was developed by *1 pointA. SalkB. SabinC. Kock’sD. Saben22. A client who has recently traveled to China comes to the emergency department (ED) with increasing shortness of breath  and is strongly suspected of having a severe acute respiratory  syndrome (SARS). Which of these prescribed actions will you take first? *1 pointA. Obtain blood, urine, and sputum for culturesB. Infuse normal saline at 100ml/hrC. Administer methylprednisolone (Solu-Medrol) 1 gram/IVD. Place the client on contact and airborne precautions23. The vector responsible for the spread of malaria is *1 pointA. Culex mosquitoB. Anopheles mosquitoC. FliesD. Aedes aegypti

Question

  1. You are caring for a client who has been admitted to the hospital with a leg ulcer that is infected with vancomycin resistant S. aureus (VRSA). Which of these nursing actions can you delegate to the nurse assistant?  *1 pointA. Assess risk for further skin breakdownB. Plan ways to improve the client’s oral protein intakeC. Obtain wound cultures during dressing changesD. Educate the client about home care of the leg ulcer15. You are the pediatric unit charge nurse today and are working with a new RN. Which action by the new RN requires the most immediate action on your part? *1 pointA. The new RN wears goggles to change linens of a client who has diarrhea caused by C. difficile.B. The new RN places a child who has chemotherapy induced neutropenia into a negative-pressure room.C. The new RN admits a new client with respiratory syncytial virus (RSV) infection to a room with another child who has RSV.D. The new RN tells the nursing assistant to use an N95 respirator mask when caring for a child who has pertussis.16. You are a school nurse. Which action will you take to have the most impact on the incidence of infectious disease in the school? *1 pointA. Provide written information about infection control to all patients.B. Ensure that students are immunized according to national guidelines.C. Make soap and water readily available in the classrooms.D. Teach students how to cover their mouths when coughing.17. You are caring for a newly admitted client with increasing dyspnea and dehydration who has possible avian influenza (bird flu). Which of these prescribed actions will you implement first? *1 pointA. Provide oxygen using a non-rebreather maskB. Infuse 5% dextrose in water at 75ml/hrC. Administer the first dose of oseltamivir (Tamiflu)D. Obtain blood and sputum specimens for testing18. A client comes to the outpatient clinic where you work complaining of abdominal pain, diarrhea, shortness of breath and epistaxis. Which of the following actions would you take first? *1 pointA. Screening clients for upper respiratory tract symptomsB. Call an ambulance to take the client immediately to the hospitalC. Ask the client about any recent travel to Asia or the Middle EastD. Determine whether the client has had recommended immunizations19. What is the drug of choice for schistosomiasis?1 pointA. Chloquine phosphatesB. ErythromycinC. Hetrazan (diethylcarbamazine citrate)D. Praziquantel (biltricide)20. The infective stage of the Schistosoma is called1 pointA. CercariaB. LyssaC. BilhariasisD. Poecilus21. The polio vaccine containing live attenuated viruses was developed by *1 pointA. SalkB. SabinC. Kock’sD. Saben22. A client who has recently traveled to China comes to the emergency department (ED) with increasing shortness of breath  and is strongly suspected of having a severe acute respiratory  syndrome (SARS). Which of these prescribed actions will you take first? *1 pointA. Obtain blood, urine, and sputum for culturesB. Infuse normal saline at 100ml/hrC. Administer methylprednisolone (Solu-Medrol) 1 gram/IVD. Place the client on contact and airborne precautions23. The vector responsible for the spread of malaria is *1 pointA. Culex mosquitoB. Anopheles mosquitoC. FliesD. Aedes aegypti
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Solution

  1. C. Obtain wound cultures during dressing changes. The nurse assistant can be delegated tasks that do not require nursing judgment, such as obtaining wound cultures.

  2. B. The new RN places a child who has chemotherapy induced neutropenia into a negative-pressure room. This could potentially expose the child to harmful pathogens due to their weakened immune system.

  3. B. Ensure that students are immunized according to national guidelines. Immunization is the most effective way to prevent the spread of infectious diseases.

  4. A. Provide oxygen using a non-rebreather mask. The client's increasing dyspnea indicates that they are having difficulty breathing and need immediate oxygen support.

  5. C. Ask the client about any recent travel to Asia or the Middle East. The client's symptoms could be related to a disease that is prevalent in these regions.

  6. D. Praziquantel (biltricide) is the drug of choice for treating schistosomiasis.

  7. A. Cercaria is the infective stage of the Schistosoma parasite.

  8. B. Sabin developed the oral polio vaccine, which contains live attenuated viruses.

  9. D. Place the client on contact and airborne precautions. This is the first step in preventing the spread of SARS.

  10. B. Anopheles mosquito is the vector responsible for the spread of malaria.

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