Nội dung text RECALLS 7 - NP1 - SC
32. A hepatitis B screen is performed on a postpartum client, and the results indicate the presence of antigens in the maternal blood. Which intervention would the nurse anticipate to be prescribed to protect the neonate? A. Obtaining serum liver enzymes B. Administering hepatitis vaccine C. Supporting breastfeeding every 5 hours D. Repeating hepatitis B screen in 1 week 33. A nurse is conducting health teaching for a new mother regarding the Hepatitis B immunization schedule for her newborn. Which of the following statements by the mother indicates correct understanding of the vaccination schedule? A. "My baby should receive the first dose at 2 months old." B. "The Hepatitis B vaccine is given in a single dose only." C. "The first dose should be given within 24 hours after birth." D. "My baby will receive the first dose together with the MMR vaccine." 34. Which of the following is the next appropriate schedule for the Hepatitis B vaccine? A. At 3 weeks of age B. At 6 weeks of age C. At 10 weeks of age D. At 14 weeks of age 35. During meals, the pregnant client with Hepatitis B dislodges her IV line and bleeds on the surface of the over-the-bed table. It would be most appropriate for the nurse to instruct a housekeeper to clean the table with: A. Alcohol B. Acetone C. Ammonia D. Bleach Situation: Health Education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Marie, a young mother of 34, has been recently diagnosed with the disease. 36. Nurse Ana is educating Marie about HIV transmission. Which of the following bodily fluids is considered NOT a significant carrier of HIV due to very low concentrations of the virus? A. Urine B. Cerebrospinal fluid C. Semen D. Menstrual blood 37. Marie is aware that there is mother-to-child transmission of HIV. She becomes concerned and asks the nurse when it specifically happens. The nurse answered that it can occur in the following circumstances, EXCEPT _____. A. During breastfeeding B. During casual contact C. At the time of delivery D. In utero Answer: B 38. Marie asks the nurse, “what kind of transmission occurs between a mother who is HIV-positive and her infant?” Nurse Ana answered: A. Vertical transmission B. Diagonal transmission C. Horizontal transmission D. Airborne transmission 39. Marie has CD4 lymphocyte count below 200 cells/mm3. She then asks what that means. The nurse answered: A. That is within normal limits B. She is in Stage 3 or AIDS C. It is slightly below normal, nothing to worry about D. It is worrisome, but immediate attention is not necessary 40. The nurse counsel Marie that the prevention of HIV infection that is not usually realistic is which one of the following? A. HIV testing B. Behavioral interventions to reduce risk C. Total abstinence D. Linkage to a treatment center Situation: Cassandra is suspected of having poliomyelitis after recent travel to an endemic area. 41. Poliomyelitis is known for its specific modes of transmission. Which of the following is the primary mode of transmission for poliomyelitis? A. Direct contact with respiratory droplets B. Airborne particles C. Fecal-oral route D. Vector-borne transmission 42. What is the causative agent of poliomyelitis? A. Bacteria B. Fungus C. Virus D. Parasite 43. To confirm a diagnosis of poliomyelitis, specific diagnostic tests are used to detect the presence of the virus. What is one of the primary diagnostic methods used to identify poliovirus? A. Blood smear B. Urinalysis C. Stool culture D. Chest x-ray 44. The Oral Polio Vaccine (OPV) is given in a specific dosage to ensure its effectiveness. What is the standard dosage for OPV? A. 0.5 mL B. 1 mL C. 2 drops D. 5 drops 45. The nurse is educating a parent about the poliomyelitis vaccination schedule for their child. Which statements about the Oral Polio Vaccine (OPV) and Inactivated Polio Vaccine (IPV) are correct? 1. OPV is administered as 2 drops orally. 2. IPV should be administered intramuscularly in the deltoid muscle for infants. 3. The first dose of IPV is given at 3 1⁄2 months of age. 4. OPV should be administered at 2 months, 4 months, and 6-18 months. 5. IPV is administered intramuscularly in the anterolateral thigh for infants. A. 1,3,4 B. 1,2,5 C. 2,3,5 D. 1,3,5 Situation: As the rainy season begins, Nurse Jenny and her team are on high alert for a rise in Dengue Fever cases. 46. What is the causative agent of dengue fever? A. Fomite B. Vector C. Bacteria D. Virus 47. Which of the following strategies would be effective in reducing the incidence of dengue infection? A. Healthy nutritious food B. Burning of leaves and garbage C. Destruction of breeding place of vectors D. Adequate rest and sleep 48. Bleeding is the most critical complication of dengue infection. When should the patient be monitored for signs of bleeding? A. 4th to 7 days B. At the onset of symptoms C. 2nd to 3rd day D. 1st day 49. What information about dengue fever should the nurse communicate to the community? A. It is always life threatening. B. It could be deadly but preventable. C. It responds well to antibiotics. D. The incubation period is variable. 50. Which diagnostic test can help confirm the diagnosis of dengue fever? A. Rumpell-Leede B. Mantoux C. Elisa 3 | Page