Communicable Disease Nursing PDF

COMMUNICABLE DISEASE NURSING 1. When there is already a neurologic damage, the nurse 12. The causative agent of diphtheria is understands that a. Corynebacterium diphtheriae a. Do initial neurologic assessment...

COMMUNICABLE DISEASE NURSING 1. When there is already a neurologic damage, the nurse 12. The causative agent of diphtheria is understands that a. Corynebacterium diphtheriae a. Do initial neurologic assessment b. Colorbacterium diphtheriae b. Tracheotomy may be done c. Cornubacterium diphtheriae c. The client is dying d. Corynabacteriam diptheriae d. The client is now in convalescent stage 13. The pathognomonic sign of diphtheria is 2. The nurse caring to a boy with total paralytic polio should a. Pseudomembrane in the tongue routinely check the client’s bed for what reason? b. Pseudomembrane in the throat a. To avoid pressure ulcer c. Pseudomembrane in the skin b. To check for presence of urine in the bed d. Pseudomembrane under the tongue c. To assess the clients ability to move in the bed d. To avoid complications such as paralytic ileus 14. To prevent spread of disease, the nurse should a. Instill strict isolation CLIENTS WITH MUMPS b. Administer drugs immediately c. It does not need isolation 3. The source of infection for mumps virus is d. There should be a reverse isolation a. Contaminated feces b. Secretion of the mouth and nose 15. The nurse should make sure the availability of the following c. Contaminated water machine to clients with diphtheria d. Direct contact with the skin a. Suction machine b. ECG machine 4. Mumps virus can cause c. nebulizer a. Inflammation of the lymph nodes in the neck d. Pulse oximeter b. Swelling of the throat c. Orchitis CLIENTS WITH PERTUSSIS d. Pharyngitis 16. Whooping cough is usually transmitted with 5. A mother came to the nurse and asked if she could give which A. Inoculation to skin of the following food to her daughter with Mumps? B. Drinking contaminated water a. Virgin Cola, to relieve her thirst C. Inhalation of contaminated droplets b. Cold Choco drink to provide her energy and vitamins D. Direct skin contact c. Her favorite plain cookies to relieve her hunger d. Plain cereal food, just make sure it’s not hot 17. A client suspected pertussis is highly communicable during A. The appearance of first symptom 6. A male client complains of inflammation of his scrotum. The B. During the catarrhal stage nurse can advise the following except? C. During the paroxysmal stage a. Bed rest D. During the convalescent stage b. Use sling to support the scrotum c. Adhesive strips 18. The following are possible complications of whooping cough. d. Supporter CLIENTS WITH MEASLES 7. Hallmark of the disease Koplik's spots may appear a. Bluish gray specks surrounded by a red halo b. Greenish gray speck surrounded by a blue halo c. Whitish gray speck surrounded by a pink halo d. Reddish –violet-gray speck surrounded by a baby blue- pink A. 1 and 2 halo B. 1 and 4 C. 1, 2 and 3 8. A client that will be receiving a vaccine for measles was found to have untreated TB. The nurse should D. 1, 2, 3 and 4 a. Refer the new case to the doctor b. Assess the severity of the TB 19. What findings can clinically confirms a pertussis? A. Signs and symptoms during paroxysmal stage c. Do not give the vaccine d. Give the vaccine and anti TB drugs after B. Swab and sputum exam C. Fluorescent antibody screening 9. To facilitate absorption of the vaccine, the nurse can instruct D. WBC count the mother to a. Massage the site 20. The meal plan for the child should be? b. Not to massage the site A. Soft diet :Cold ice cream as tolerated B. DAT :Favorite cookies c. Apply warm compress d. Apply cold compress C. Therapeutic biscuits with vitamins D. Small frequent feedings 10. Children with measles should be kept from school, for how 21. What machine that must be readily available at the bedside many days? a. 4 days before the rash appear of the patient? A. ECG b. 4 days after the rash appear – 5 days c. 4 days after the Koplik's spots disappear B. EEG C. Suction machine d. 4 days before the incubation period D. Mechanical ventilator CLIENTS WITH DIPHTHERIA 22. The nurse instructed the visitors not to cuddle and let the 11. The reservoir of C. Diphtheriae is child play always. The visitor asked why, the nurse best reply? A. So that you will not be infected too a. Humans b. Cats B. So that the child can rest C. So that the child will not be prone to other infections c. Cows d. Birds D. So that you will not harbor the microorganism when you cuddle him  CLIENTS WITH PNEUMONIA 32. Select all that apply in preventing filariasis. 23. As a nurse, you should bear in mind that pneumonias can be classified according to the following classifications, except? A. Cause B. Location C. Severity D. Type 24. The nurse in the community is assessing a man, suspected A. 1 and 2 for pneumonia. The following are the cardinal signs of B. 2 and 3 pneumonia. Select all that apply. C. 1 , 2 and 3 D. 1, 2, 3 and 4 CLIENTS WITH MALARIA 33. During your rounds in the community. You reminded the community that malaria-infected mosquito usually bite around? A. 9pm to 3 am B. 9am to 3pm C. Day biting only D. No specific time of biting a. 1, 2 and 4 b. 1, 3, 4 and 5 34. What should the nurse ask importantly to a client suspected c. 1, 2, 3, 4 and 5 with malaria? d. 1, 2,3 and 4 a. What did you do last night? b. Where did you sleep last night? 25. Eating has always been a problem to clients with severe c. What were the places you recently visited? pneumonia. As a nurse, you can advise mothers to prepare what d. What were you wearing while you were sleeping? type of food? A. Rich in vitamins only 35. A student asked the public nurse is malaria can be B. High calorie, high protein transmitted through using same injectable needles among drug C. Any foods as long as it can be tolerated addicts. What is the nurse best reply? D. Since it is severe, the client should be in NG tube. a. No, it cannot be transmitted b. Yes, if the client is infected with malaria 26. The nurse who is in care of an elderly in NG tube feeding, c. No, the parasite needs the mosquito in order to survive has always been careful in checking the patency of the NG tube, outside the host this is mainly to prevent what type of pneumonia? d. It has not yet been proved that malaria can be transmitted A. Bacterial pneumonia through injection. B. Protozoan pneumonia C. Viral pneumonia CLIENTS WITH DENGUE FEVER D. Aspiration pneumonia 36. The nurse on duty asked a mother since when the child 27. The most common agent of pneumonia secondary to suspected with dengue to have a sudden fever. The mother immunosuppression such as AIDS is answered 2 days ago. The nurse identifies this as A. Pneumocystis carinii A. The client is on febrile stage B. Klebsiella B. The client is now on toxic stage C. Streptococcus C. The client is on recovery stage D. Chicken pox virus D. The client is on prodromal stage 28. Which of the following symptoms that occurs in pneumonia 37. The nurse on duty in BHC found out that a 16-year-old boy that is considered as the pathognomonic sign? is having fever, profuse vomiting with blood and severe A. Rusty sputum abdominal bleeding. The nurse should be alarmed because? B. Colored urine A. Death may occur at this stage C. Chest pain upon breathing B. The child is having severe abdominal pain D. High Temperature C. The child is entering the invasive stage of dengue fever D. Convalescent stage is now signaled by the vomiting. CLIENTS WITH FILARIASIS 38. A student nurse asked the midwife if immunity against 29. The immunochromatographic test for filariasis can be done dengue virus is possible, the midwife’s best reply is during a. No it is not possible A. The acute stage of infection b. Yes, it is possible B. Chronic stage of infection c. No this virus is different C. Can be done at night time also d. Maybe D. Can be done at day time 39. An admitted client is admitted due to dengue. The initial 30. A client noticed that her urine turns white. This is known as diagnosis is moderate Dengue fever. This means that A. Severe proteinuria – or albuminuria a. The nurse will expect severe hemorrhage B. Chyluria b. The client will experience on and off fever C. Severe presence of parasite in the urine c. The client will manifest lesser hemorrhage D. Presence of lymph tissues in the urine d. The client will have sudden fever followed by a sudden drop of temperature. 31. A client with positive microfilariae in the blood can be given with 40. The mother asked the nurse on who are most susceptible to A. Hetrazan dengue, is it males or females? The nurse can say B. Praziquantel a. Both gender are affected C. Ampicillin b. Males are more affected D. None c. Females are more affected d. Children between 5-9 are more affected. 41. It is noted that since the causative agent of dengue is virus, a student ask if when to administer the vaccine? The nurse will reinforce by saying A. Administer the vaccine immediately upon admission B. Vaccine can be given after the confirmatory test of dengue C. Vaccine shall be given within 72 hours after the initial infection D. We cannot give vaccine. – di me sure kasi wla pa tlgang approved dengue vaccine CLIENTS WITH BACILLARY DYSENTERY 42. When doing your information drive about bacillary dysentery, you should inform the public on which of the following information? EXCEPT a. That is also as Shigellosis b. Transmission occurs by eating contaminated food c. Housefly as the major vector d. It has an incubation period of 1- 4 days. 43. When a mother came to the BHC and told the nurse that his son might be suffering with dysentery, the nurse should ask which of the following question to increase the suspicion of dysentery? a. What is the color of the stool? b. Did he had a recent travel? c. What was his latest food eaten? d. Does he have any mosquito bites? 44. The following are possible pharmacologic treatments that can be given to clients with dysentery, except? a. Antibiotics can be given to manage the infection b. Antidiarrheals to stop the profuse diarrhea causing dehydration c. Iv infusions of NSS to replace lost fluids d. Possible administration of co-trimoxazole 45. As a nurse, you can encourage the S.O of the client with dysentery to do which of the following actions? a. Cut the S.O’s long nails b. Give the stool when he is not busy c. Encourage the client to ambulate around the hospital d. Offer clients all types of food as long as tolerated 46. The client complains of spasms in his rectum. This is known as a. Tenesmus b. Shigellosis c. Diarrhea d. Coryza CLIENTS WITH SOIL TRANSMITTED HELMINTHS 47. The primary treatment to control ascariasis is A. Mebendazole B. Ampicillin C. Dapsone D. Praziquantel 48. A pregnant mother was very worried since she knows that she cannot take anti-helminths. The nurse can inform the client that? a. She has to wait after pregnancy to control the infection b. She should bear the consequences c. She can take other medications d. There is no other way of controlling the infection 49. The most common mode of transmission of hookworm infection is? A. Ingesting contaminated water only B. Direct contact, barefoot C. Airborne, infected droplets D. Vector borne 50. This parasites (hookworms) gain entry in the GI by? a. Swallowing b. Direct invasion in the GI c. Blood circulation d. Direct penetration from the skin