Nokea
The nurse is caring for a patient with secondary syphilis. What intervention should the nurse institute when caring for this patient?
- A. Ensure that the patient is housed in a private room.
- B. Administer hydrocortisone ointment to the lesions as ordered.
- C. Administer combination therapy with antiretrovirals as ordered.
- D. Wear gloves if contact with lesions is possible.
Correct Answer: D
Rationale: Secondary syphilis lesions are highly infectious, requiring gloves for contact. Private rooms, hydrocortisone, and antiretrovirals are not indicated.
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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 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.
The nurse who provides care at a wilderness camp is teaching staff members about measures that reduce campers and workers risks of developing Giardia infections. The nurse should emphasize which of the following practices?
- A. Making sure not to drink water that has not been purified
- B. Avoiding the consumption of wild berries
- C. Removing ticks safely and promptly
- D. Using mosquito repellant consistently
Correct Answer: A
Rationale: Giardia is transmitted through contaminated water, so avoiding unpurified water is key. Berries, ticks, and mosquitoes are not associated with Giardia transmission.
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 the medical unit is found to have pulmonary tuberculosis (TB). What is the most appropriate precaution for the staff to take to prevent transmission of this disease?
- A. Standard precautions only
- B. Droplet precautions
- C. Standard and contact precautions
- D. Standard and airborne precautions
Correct Answer: D
Rationale: Pulmonary TB requires airborne precautions with standard precautions to prevent droplet transmission. Droplet or contact precautions alone are insufficient.