Inflammation, Infection, and Antibiotics practice test

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Questions and Answers

A nurse assesses a patient with cellulitis who presents with warm, red, and swollen skin on the lower leg. Which assessment finding indicates the cellulitis may be progressing to a systemic infection?

  • Increased localized pain
  • Purulent drainage at the site
  • Fever of 38.5°C, lethargy, and increased pulse rate (correct)
  • Increased redness and warmth at the site of infection

A patient presents with signs of inflammation after a minor injury. Which phase of the inflammatory response involves the release of histamines, leading to increased vascular permeability?

  • Reparative phase
  • Vascular and cellular response (correct)
  • Exudate formation
  • Phagocytosis phase

Which of the following nutritional components should the nurse prioritize in teaching for a patient with chronic inflammation to support healing and reduce inflammation?

  • High glycemic index foods for energy
  • Saturated fats to provide essential nutrients
  • Omega-3 fatty acids and antioxidants (correct)
  • Processed carbohydrates for immune support

The nurse is educating an older adult with fever on the risks associated with hyperthermia. Which factor makes older adults particularly vulnerable to complications from fever?

<p>Decreased subcutaneous tissue and impaired sweat gland function (C)</p> Signup and view all the answers

A patient diagnosed with cellulitis is prescribed antibiotics. After three days of treatment, which of the following assessments would indicate that the antibiotics are effective?

<p>Reduction in swelling, pain, and localized warmth (B)</p> Signup and view all the answers

A nurse is teaching a patient with a wound about infection prevention. Which of the following instructions is most critical for the patient to prevent wound infection?

<p>Wash hands before touching the wound and follow prescribed wound care. (C)</p> Signup and view all the answers

A nurse is caring for an older adult patient who has difficulty understanding new instructions due to mild cognitive impairment. What is the best approach to enhance communication and understanding?

<p>Sit at eye level, use clear language, and ensure adequate lighting. (C)</p> Signup and view all the answers

A nurse is teaching a group of older adults about maintaining cognitive health. Which of the following statements by a participant reflects a stereotype about older adults?

<p>“Most people my age can’t learn new skills, so I won’t even try.” (B)</p> Signup and view all the answers

An older adult patient is undergoing genetic testing for personalized healthcare. Which of the following best describes the primary goal of this approach?

<p>To enhance health outcomes through targeted interventions. (B)</p> Signup and view all the answers

A nurse observes a colleague educating an older adult patient. Which statement indicates the colleague might hold a bias against older adults?

<p>“I should explain this to your family since you might forget.” (C)</p> Signup and view all the answers

During a health promotion session, an older adult asks the nurse how to stay healthy as they age. Which of the following recommendations is most appropriate?

<p>“Maintain a balanced diet, engage in regular physical activity, and stay socially active.” (C)</p> Signup and view all the answers

A patient receiving vancomycin develops redness on their neck and chest shortly after starting an IV infusion. What is the nurse's priority action?

<p>Discontinue the infusion immediately. (A)</p> Signup and view all the answers

A nurse is educating a patient about tetracyclines. Which statement indicates the patient requires further teaching?

<p>&quot;I will continue taking the medication even if I experience diarrhea.&quot; (C)</p> Signup and view all the answers

Which of the following patients is at highest risk for developing a suprainfection while on antibiotics?

<p>A patient on a broad-spectrum antibiotic for a urinary tract infection. (B)</p> Signup and view all the answers

A patient with a urinary tract infection is prescribed ciprofloxacin (Cipro). What potential side effect should the nurse prioritize when teaching the patient?

<p>Risk of tendon rupture. (C)</p> Signup and view all the answers

A nurse is reviewing the chart of a patient with a history of penicillin allergy. Which antibiotic prescription should the nurse question?

<p>Amoxicillin/clavulanic acid (Augmentin) (A)</p> Signup and view all the answers

A patient is prescribed metronidazole (Flagyl) for C. difficile infection. What is the most important patient teaching point for this medication?

<p>&quot;Avoid consuming alcohol during and for 48 hours after completing the medication.&quot; (C)</p> Signup and view all the answers

A nurse is monitoring a patient receiving aminoglycosides. Which findings should prompt the nurse to notify the healthcare provider?

<p>Hearing loss and elevated BUN levels. (A)</p> Signup and view all the answers

A nurse is administering vancomycin IV to a patient with MRSA. Which nursing action is most important to prevent complications associated with this medication?

<p>Infuse the medication over 60–90 minutes to prevent Red Man Syndrome. (C)</p> Signup and view all the answers

A patient on sulfonamides for a urinary tract infection develops a rash on their hands and mucous membranes. What is the nurse’s priority action?

<p>Discontinue the medication and notify the healthcare provider immediately (C)</p> Signup and view all the answers

A nurse is preparing to administer cephalosporins to a patient with a known history of penicillin allergy. What is the best nursing action?

<p>Confirm the patient’s reaction to penicillin and notify the provider if it was anaphylaxis. (B)</p> Signup and view all the answers

. A patient prescribed tetracycline is receiving education about the medication. Which statement by the patient indicates a need for further teaching?

<p>&quot;I will take an antacid to prevent stomach upset.&quot; (D)</p> Signup and view all the answers

A patient receiving gentamicin is being monitored for adverse effects. Which findings should the nurse report immediately?

<p>Hearing loss and elevated BUN levels. (B)</p> Signup and view all the answers

A nurse is teaching a patient about the use of metronidazole (Flagyl) for a C. difficile infection. Which statement by the patient indicates an understanding of the teaching?

<p>&quot;I need to wash my hands with soap and water after using the bathroom.&quot; (C)</p> Signup and view all the answers

A patient taking ciprofloxacin for a urinary tract infection reports heel pain. What is the nurse’s priority action?

<p>Stop the medication and notify the healthcare provider immediately. (C)</p> Signup and view all the answers

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