Wong's Essentials of Pediatric Nursing 11th Edition Test Bank - Infectious Disease

Wong's Essentials of Pediatric Nursing 11th Edition Test Bank - Infectious Disease Related

Review Wong's Essentials of Pediatric Nursing 11th Edition Test Bank - Infectious Disease related questions and content

A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?

  • A. This cannot be prevented.
  • B. Infants do not feel pain as adults do.
  • C. This is not a good reason for refusing immunizations.
  • D. A topical anesthetic can be applied before injections are given.
Correct Answer: D

Rationale: To minimize the discomfort associated with intramuscular injections, a topical anesthetic agent can be used on the injection site. These include EMLA (eutectic mixture of local anesthetic) and vapor coolant sprays. Pain associated with many procedures can be prevented or minimized by using the principles of atraumatic care. Infants have neural pathways that will indicate pain. Numerous research studies have indicated that infants perceive and react to pain in the same manner as do children and adults. The mother should be allowed to discuss her concerns and the alternatives available. This is part of the informed consent process.

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Herpes zoster is caused by the varicella virus and has an affinity for which?

  • A. Sympathetic nerve fibers
  • B. Parasympathetic nerve fibers
  • C. Lateral and dorsal columns of the spinal cord
  • D. Posterior root ganglia and posterior horn of the spinal cord
Correct Answer: D

Rationale: The herpes zoster virus has an affinity for posterior root ganglia, the posterior horn of the spinal cord, and the skin. The zoster virus does not involve the nerve fibers listed.

Treatment for herpes simplex virus (type 1 or 2) includes which?

  • A. Corticosteroids
  • B. Oral griseofulvin
  • C. Oral antiviral agent
  • D. Topical or systemic antibiotic
Correct Answer: C

Rationale: Oral antiviral agents are effective for viral infections such as herpes simplex. Corticosteroids, antibiotics, and griseofulvin (an antifungal agent) are not effective for viral infections.

What often causes cellulitis?

  • A. Herpes zoster
  • B. Candida albicans
  • C. Human papillomavirus
  • D. Streptococci or staphylococci
Correct Answer: D

Rationale: Streptococci, staphylococci, and Haemophilus influenzae are the organisms usually responsible for cellulitis. Herpes zoster is the virus associated with varicella and shingles. C. albicans is associated with candidiasis, or thrush. Human papillomavirus is associated with various types of human warts.

What causes warts?

  • A. A virus
  • B. A fungus
  • C. A parasite
  • D. Bacteria
Correct Answer: A

Rationale: Human warts are caused by the human papillomavirus. Infection with fungus, parasites, or bacteria does not result in warts.

Which is usually the only symptom of pediculosis capitis (head lice)?

  • A. Itching
  • B. Vesicles
  • C. Scalp rash
  • D. Localized inflammatory response
Correct Answer: A

Rationale: Itching is generally the only manifestation of pediculosis capitis (head lice). Diagnosis is made by observation of the white eggs (nits) on the hair shaft. Vesicles, scalp rash, and localized inflammatory response are not symptoms of head lice.

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