Nokea
A clinic nurse is caring for a male patient diagnosed with gonorrhea who has been prescribed ceftriaxone and doxycycline. The patient asks why he is receiving two antibiotics. What is the nurses best response?
- A. There are many drug-resistant strains of gonorrhea, so more than one antibiotic may be required for successful treatment.
- B. The combination of these two antibiotics reduces the later risk of reinfection.
- C. Many people infected with gonorrhea are infected with chlamydia as well.
- D. This combination of medications will eradicate the infection twice as fast than a single antibiotic.
Correct Answer: C
Rationale: Dual therapy with ceftriaxone and doxycycline targets common co-infection with chlamydia in gonorrhea patients. It does not primarily address resistance, reinfection, or speed of cure.
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What is the best rationale for health care providers receiving the influenza vaccination on a yearly basis?
- A. To decreased nurses susceptibility to health care-associated infections
- B. To decrease risk of transmission to vulnerable patients
- C. To eventually eradicate the influenza virus in the United States
- D. To prevent the emergence of drug-resistant strains of the influenza virus
Correct Answer: B
Rationale: Annual influenza vaccination reduces transmission to vulnerable patients. It does not prevent healthcare-associated infections, eradicate influenza, or stop drug-resistant strains.
A nurse is participating in a vaccination clinic at the local public health clinic. The nurse is describing the public health benefits of vaccinations to participants. Vaccine programs addressing which of the following diseases have been deemed successful? Select all that apply.
- A. Polio
- B. Diphtheria
- C. Hepatitis
- D. Tuberculosis
- E. Pertussis
Correct Answer: A,B,E
Rationale: Vaccination programs for polio, diphtheria, and pertussis are highly successful. No tuberculosis vaccine exists, and hepatitis vaccination success is less pronounced.
A patient is admitted from the ED diagnosed with Neisseria meningitidis. What type of isolation precautions should the nurse institute?
- A. Contact precautions
- B. Droplet precautions
- C. Airborne precautions
- D. Observation precautions
Correct Answer: B
Rationale: Neisseria meningitidis spreads via large respiratory droplets, requiring droplet precautions. Airborne precautions are for smaller droplets, and observation precautions do not exist.
A patient on Airborne Precautions asks the nurse to leave his door open. What is the nurses best reply?
- A. I have to keep your door shut at all times. Ill open the curtains so that you dont feel so closed in.
- B. Ill keep the door open for you, but please try to avoid moving around the room too much.
- C. I can open your door if you wear this mask.
- D. I can open your door, but Ill have to come back and close it in a few minutes.
Correct Answer: A
Rationale: Airborne precautions require closed doors to prevent pathogen spread. Opening curtains helps reduce isolation feelings without compromising safety.
A patient has presented at the ED with copious diarrhea and accompanying signs of dehydration. During the patients health history, the nurse learns that the patient recently ate oysters from the Gulf of Mexico. The nurse should recognize the need to have the patients stool cultured for microorganisms associated with what disease?
- A. Ebola
- B. West Nile virus
- C. Legionnaires disease
- D. Cholera
Correct Answer: D
Rationale: Cholera is associated with shellfish consumption from the Gulf of Mexico, causing watery diarrhea. Ebola, West Nile, and Legionnaires have different transmission modes.