11 terms edlentz

NCLEX Saunders Chapter

48 Infectious and
Communicable Diseases

FLASHCARDS LEARN WRITE

SPELL TEST MATCH

The nurse is admitting a

child with a a dx. of
mumps. What should
the nurse do to prevent
transmission?

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1/11

Terms in this set (11) Original

The nurse is admitting a child with a a

dx. of mumps. What should the nurse
do to prevent transmission?

*Airborne droplet and contact

precautions
*It is transmitted by droplet by
infected person or direct contact
* Negative pressure room; at least 12
exchanges per hr.
*N95 respirator mask, gown, gloves

The 3 C's

Coryza, cough and conjunctivitis ;

found in rubeola (measles)

The nurse provides home care

instructions to the parents of a child
hospitalized with pertussis who is in
the convalescent stage and is being
prepared for d/c. What statement
made by parent indicates a NEED for
further instruction?
1. We need to encourage our child to
drink fluids
2. Coughing spells may be triggered
by dust or smoke
3. Vomiting may occur when our child
has coughing episodes
4. We need to maintain droplet
precautions and a quiet environment
for at leat 2 weeks

4
* pertussis is transmitted by direct
contact or resp. droplets from
coughing

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An infant receives a a DTaP

immuinization at a well baby clinic.
The parent returns home and calls the
clinic and reports swelling & redness
at the injection site. Which is an
appropriate action?
1. Monitor the infant for a fever
2. Bring the infant back to clinic
3. Apply hot pack
4. Apply cold pack

4
* On occasion tenderness, swelling
and redness appear at the site of a
DTaP injection. Cold packs for the first
24 hrs, followed by cold or warm
compresses if inflammation persist.

A child is scheduled to receive

inactivitated Polio vaccine (IPV) and
the nurse preparing the vaccine
reviews the kids chart. The nurse
should question this if what is in the
kids chart?
1. Recent recovery from cold
2. A history of frequent respiratory
infections
3. A history of an anaphyalactic
reaction to neomycin
4. A local reaction at the site if
injection of a previous IPV

3
*This contains neomycin

A kid is receiving a series of Hep B

vaccines and arrives for a second
dose. Before giving the nurse should
ask the kid and parent about a history
of a severe allergic reaction to what?
1. Eggs
2. PCN
3. Sulfonamides
4. A previous dose of HEP B vaccine
or component

4
* A contraindication is a previous
reaction to a previous dose of HEP B
or a component ( aluminum hydroxide
or yeast protein)

A nurse visits a child with Mono and

provides care instructions to the
parents. Which instruction should the
nurse give the parents?
1. maintain bed rest for 2 weeks
2. maintain Resp. precautions for 1
week
3. Notify HCP if kid develops a fever
4. Notify HCP if child develops ABD
pain Left shoulder pain

4
* Mono is caused by Epstein- Barr
virus. Parents need to report pain in
ABD, especially in LUQ or left
shoulder pain ; this may indicate that
the spleen has ruptured.

A 4 month old comes to clinic for

shots. The child is up to date. What
vaccines should the kid get at this
time?
1. varicella, HEP B
2. DTaP, MMR, IPV
3. MMR, Hib, DTaP
4. DTaP, hib, PCV, RV

4
DTap, hib, PVC and RV are given at 4
months

A nurse prepares to give a MMR to a

5 yr old. What route should this be
given?
1. Sub Q in the gluteal muscle
2. IM in the deltoid
3. subq in the outer aspect of the
upper arm
4. IM in the anterolateral aspect of the
thigh

3
MMR is given subq in the outer aspect
of the upper arm

A kid with rubeola (measles) is being

admitted to hosp. The nurse should
plan for which precaution
1. enteric
2. airborne
3. protective
4. neutropenic

2
* rubeola is transmitted via airborne
particles and dirsct contact with the
infectious drops. People involved with
the kid should wear a mask, private
room, door remains closed,

A nurse is assessing a kid who is

scheduled to receive a live vaccine.
What are the general
contraindications associated with
receiving a live virus vaccine? SELECT
ALL
1. The kid has symptoms of a cold
2. The child has a previous
anaphylactic reaction to the vaccine
3. mother reports the kid is having
intermittent episodes of diarrhea
4. mother reports that the kid has had
no appetite and has been fussy
5. The kid has a severely deficient
immune system
6. Mother reports that the kid has
recently been exposed to infectious
disease

2, 5

The contraindications for for this are a

previous anaphylactic episode,
weakened immune systems, those
with a severe sensitivity to gelatin, or
pregnant women

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