NUR 211 Exam 4 Questions With Complete Solutions
. The nurse is caring for a patient that has a diagnosis of
methicillin-resistant Staphylococcus aureus (MRSA). Which of
the following infection-control practices should the nurse
implement? (Select all that apply.)
a. Wear a protective gown when entering the patient's room.
b. Don a particulate respirator mask when administering
medication to the patient.
c. Ensure that all staff serving the patient's meal trays don gloves
prior to delivering of tray.
d. Instruct all visitors to wear a surgical mask when entering the
patient's room.
e. Use sterile gloves when performing dressing changes.
f. Use a face shield before irrigating the patient's wounds.
Correct Answers A C F
Wearing a gown, wearing gloves when delivering trays, and
using a face mask will ensure staff, patient, and visitor safety
and will protect the individual from transmitting the infection
from the patient to him or herself or others. Use of a particulate
respirator mask is necessary when encountering someone on
airborne precautions, and this organism is not transmitted via
air. The use of sterile gloves is not necessary with this type of
infection.
A 15 yo female gymnast is hospitalized with the diagnosis of
bulimia nervosa. Which data would the nurse anticipate finding
in the patient's admission history and physical assessment?
a. Excessive intake of food, self-induced vomiting, and use of
laxatives
,b. Refusal to eat, body image disturbance, constipation, and
amenorrhea
c. Excessive exercise, refusal to eat, poor muscle tone, and
social isolation
d. Hair loss, BMI of 27, occasional use of diuretics, calorie
intake 2200/day Correct Answers A
Bulimia involves the obsession with binging (the intake of
excessive amounts of food), with consumption of as much as
2000 to 3000 calories at one time, followed by purging
(vomiting). In an effort not to gain weight from the excessive
amount of food eaten, the affected person may use self-induced
vomiting or excessive exercise. It also may involve the abuse of
laxatives or diuretics. A refusal to eat, excessive exercise, body
image disturbance, poor muscle tone, hair loss, amenorrhea,
social isolation are relevant to anorexia nervosa. Intake of 2200
calories/day and BMI of 27 are indications of excessive dietary
intake and borderline obesity in a 15-year-old female.
A 5YO boy with early flu symptoms is at school working with
some math blocks. He sneezes into his hands and then continues
to working with his blocks. An unvaccinated teacher's helper
cleans up the blocks when the child leaves them on the table.
After touching the blocks, she rubs her nose with her hand.
Which represents the most likely mode of transmission?
A. the 5YO boy
B. the unvaccinated teacher's helper
C The hand to nose contact
D the unwashed math blocks Correct Answers D
The boy has the flu and sneezes into his hand while at school.
When he works with the math blocks, he leaves the flu virus on
the toys. The teacher's helper picks up the virus with the blocks.
, When the parent touches her nose with her hand, the virus enters
the susceptible host. The blocks act as the mode of transmission.
The boy carries the pathogen, and his sneeze is the portal of exit.
The teacher's helper is the susceptible host. The hand-to-nose
contact is the portal of entry.
A female Muslim patient is admitted to the hospital and informs
the nurse that it is the month of Ramadan. Which action by the
nurse is most appropriate in caring for this patient?
a. Provide a vegetarian diet for the patient on Friday throughout
her hospitalization.
b. Ask the dietitian to visit the patient to ensure that fruit and
cheese are not combined.
c. Check on the potential effect fasting until sundown will have
on the patient's condition.
d. Document that milk and milk products cannot be prepared
with meat or meat products. Correct Answers C
Persons of the Islamic faith fast until sundown during the month
of Ramadan. Fruit is not restricted in the patient's culture or
religion. No meat on Fridays is commonly followed in the
Catholic faith. Kosher diets restrict the preparation of meat and
milk products together.
A Jewish patient who adheres to a kosher diet is diagnosed with
Type 1 diabetes. What would be the best response of the nurse
when the patient refuses to take insulin, stating, "Insulin
contains pork and I do not eat pork"?
a. "There is only a tiny amount of pork by-product in insulin."
b. "All of the insulin used today is made synthetically."
c. "I will notify your physician to change the insulin order."
. The nurse is caring for a patient that has a diagnosis of
methicillin-resistant Staphylococcus aureus (MRSA). Which of
the following infection-control practices should the nurse
implement? (Select all that apply.)
a. Wear a protective gown when entering the patient's room.
b. Don a particulate respirator mask when administering
medication to the patient.
c. Ensure that all staff serving the patient's meal trays don gloves
prior to delivering of tray.
d. Instruct all visitors to wear a surgical mask when entering the
patient's room.
e. Use sterile gloves when performing dressing changes.
f. Use a face shield before irrigating the patient's wounds.
Correct Answers A C F
Wearing a gown, wearing gloves when delivering trays, and
using a face mask will ensure staff, patient, and visitor safety
and will protect the individual from transmitting the infection
from the patient to him or herself or others. Use of a particulate
respirator mask is necessary when encountering someone on
airborne precautions, and this organism is not transmitted via
air. The use of sterile gloves is not necessary with this type of
infection.
A 15 yo female gymnast is hospitalized with the diagnosis of
bulimia nervosa. Which data would the nurse anticipate finding
in the patient's admission history and physical assessment?
a. Excessive intake of food, self-induced vomiting, and use of
laxatives
,b. Refusal to eat, body image disturbance, constipation, and
amenorrhea
c. Excessive exercise, refusal to eat, poor muscle tone, and
social isolation
d. Hair loss, BMI of 27, occasional use of diuretics, calorie
intake 2200/day Correct Answers A
Bulimia involves the obsession with binging (the intake of
excessive amounts of food), with consumption of as much as
2000 to 3000 calories at one time, followed by purging
(vomiting). In an effort not to gain weight from the excessive
amount of food eaten, the affected person may use self-induced
vomiting or excessive exercise. It also may involve the abuse of
laxatives or diuretics. A refusal to eat, excessive exercise, body
image disturbance, poor muscle tone, hair loss, amenorrhea,
social isolation are relevant to anorexia nervosa. Intake of 2200
calories/day and BMI of 27 are indications of excessive dietary
intake and borderline obesity in a 15-year-old female.
A 5YO boy with early flu symptoms is at school working with
some math blocks. He sneezes into his hands and then continues
to working with his blocks. An unvaccinated teacher's helper
cleans up the blocks when the child leaves them on the table.
After touching the blocks, she rubs her nose with her hand.
Which represents the most likely mode of transmission?
A. the 5YO boy
B. the unvaccinated teacher's helper
C The hand to nose contact
D the unwashed math blocks Correct Answers D
The boy has the flu and sneezes into his hand while at school.
When he works with the math blocks, he leaves the flu virus on
the toys. The teacher's helper picks up the virus with the blocks.
, When the parent touches her nose with her hand, the virus enters
the susceptible host. The blocks act as the mode of transmission.
The boy carries the pathogen, and his sneeze is the portal of exit.
The teacher's helper is the susceptible host. The hand-to-nose
contact is the portal of entry.
A female Muslim patient is admitted to the hospital and informs
the nurse that it is the month of Ramadan. Which action by the
nurse is most appropriate in caring for this patient?
a. Provide a vegetarian diet for the patient on Friday throughout
her hospitalization.
b. Ask the dietitian to visit the patient to ensure that fruit and
cheese are not combined.
c. Check on the potential effect fasting until sundown will have
on the patient's condition.
d. Document that milk and milk products cannot be prepared
with meat or meat products. Correct Answers C
Persons of the Islamic faith fast until sundown during the month
of Ramadan. Fruit is not restricted in the patient's culture or
religion. No meat on Fridays is commonly followed in the
Catholic faith. Kosher diets restrict the preparation of meat and
milk products together.
A Jewish patient who adheres to a kosher diet is diagnosed with
Type 1 diabetes. What would be the best response of the nurse
when the patient refuses to take insulin, stating, "Insulin
contains pork and I do not eat pork"?
a. "There is only a tiny amount of pork by-product in insulin."
b. "All of the insulin used today is made synthetically."
c. "I will notify your physician to change the insulin order."
