1. A mother of a child with mumps calls the Lymphocytes transform themselves into plasma
health care clinic to tell the nurse * that the cells that manufacture antibodies. The natural
child has been lethargic and vomiting. What immune response system is rapid, non specific
instruction should the nurse give to the immunity present at birth.
mother?
A. To continue to monitor the child MUMPS
B. That lethargy and vomiting are normal with -A.k.a Epidemic Parotitis, Infectious Parotitis
mumps - swelling of one or both of the parotid glands
C. To bring the child to the clinic to be seen by CAUSATIVE AGENT: PARAMYXOVIRUS
the pediatrician MODE OF TRANSMISSION: droplet infection,
D. That, as long as there is no fever, there is indirect contact with the articles freshly
nothing to be concerned about soiled with secretions from the nasopharynx
SIGNS AND SYMPTOMS: Parotid edema, pain,
Mumps generally affects the salivary glands, but Dysphagia, headache, fever, malaise
it can also affect multiple organs. The most PREVENTION AND CONTROL: proper disposal of
common complication is septic meningitis with the discharges, respiratory isolation
virus being identified in the cerebrospinal fluid.
Common signs include nuchal rigidity, lethargy 3. The nurse caring for a child diagnosed
and vomiting. The child should be seen by the with rubeola (measles) notes that the
pediatrician pediatrician has documented the presence
of Koplik’s spots. On the basis of this
2. During a mumps outbreak at a local documentation, which observation is
school, a patient, who is a school * expected?
teacher, is exposed. She has previously A. Pinpoint petechiae noted on both legs
been immunized for mumps. What B. Whitish vesicles located across the chest
type of immunity does she possess? C. Petechiae spots that are reddish and
A. Acquired immunity pinpoint on the soft palate
B. Natural immunity D. Small, blue-white spots with a red base
C. Phagocytic immunity found on the buccal mucosa
D. Humoral immunity
In rubeola (measles), Koplik’s spots appear
Acquired immunity usually develops a a result approximately 2 days before the appearance of
of prior exposure to an antigen, often the rash. These are small, blue-white spots with
through immunization. When the body is a red base that are found on the buccal mucosa.
attacked by bacteria, viruses, and other The spots last approximately 3 days, after which
pathogens, it has three means of defense. time they slough off. Based on this information,
The first line of defense, the phagocytic the remaining options are all incorrect.
immune response, involves the WBCs that
have the ability to ingest foreign particles. A 4. A mother brings her 12 month-old son into
second protective response is the humoral the clinic for his measles- * mumps-rubella
immune response, which begins when the B (MMR) vaccination. What would the clinic nurse
COMMUNICABLE DISEASES
, advise the mother about the MMR vaccine? 6. The nurse knows that she would be
A. Photophobia and hives might occur. required to use airborne precautions for which
B. There are no documented reactions to an of the following clients? SELECT ALL THAT
MMR. APPLY
C. Fever and hypersensitivity reaction might A. A young adult with possible tuberculosis who
occur. is also HIV positive
D. Hypothermia might occur. B. A middle-aged adult with herpes simplex
C. A teenager with chickenpox and a sore throat
Patients should be advised that fever, transient D. A college student with possible rubella
lymphadenopathy, or a hypersensitivity reaction A- tuberculosis is carried in small airborne
might occur following an MMR vaccination. droplets over 3 feet and requires airborne
Reactions to an MMR do not include precautions.
photophobia or hypothermia. C- chickenpox is spread by small airborne
droplets so airborne precautions are
5. A MMR vaccine is administered to a client appropriate.
who delivered a healthy * newborn 2 days D- rubella is an airborne pathogen requiring
ago. The nurse provides instructions to the airborne precautions until a diagnosis is
client regarding the potential risks confirmed.
associated with this vaccination. Which
statement by the client indicates an MEASLES
understanding of the medication? CAUSATIVE AGENT: MEASLES VIRUS
A. “I need to stay out of the sunlight for 3 - A.K.A. Rubeola, Little Red Disease, Morbilli,
days.” Seven-Day Measles
B. “The injection site may itch, but I can scratch - highly infectious viral disease characterized
it if I need to.” by fever and Koplik’s spots
C. “I need to avoid sexual intercourse for 2 to 3
months after the vaccination.” MODE OF TRANSMISSION: Airborne by
D. “I need to prevent becoming pregnant for 2 droplet spread, direct contact with nasal and
to 3 months after the vaccination.” throat secretions of infected persons.
SIGNS AND SYMPTOMS: Fever, runny nose,
MMR vaccine is a live attenuated virus that cough, rash all over the body, red watery
evokes an antibody response and provides eyes, malaise, koplik’s spots
immunity for approximately 15 years. Because
MMR is a live vaccine, it will act as the virus MANAGEMENT:
and is potentially teratogenic in the - ANTIVIRAL
organogenesis phase of the fetal development. - ANTIPYRETIC
The client needs to be informed about the - ANTIBIOTICS (IF WITH COMPLICATION)
potential effects this vaccine may have and - PROVISION OF COMFORT
the need to avoid becoming pregnant for a PREVENTION AND CONTROL:
period of 2 to 3 months afterward. - MEASLES VACCINE
- RESPIRATORY ISOLATION
COMMUNICABLE DISEASES
health care clinic to tell the nurse * that the cells that manufacture antibodies. The natural
child has been lethargic and vomiting. What immune response system is rapid, non specific
instruction should the nurse give to the immunity present at birth.
mother?
A. To continue to monitor the child MUMPS
B. That lethargy and vomiting are normal with -A.k.a Epidemic Parotitis, Infectious Parotitis
mumps - swelling of one or both of the parotid glands
C. To bring the child to the clinic to be seen by CAUSATIVE AGENT: PARAMYXOVIRUS
the pediatrician MODE OF TRANSMISSION: droplet infection,
D. That, as long as there is no fever, there is indirect contact with the articles freshly
nothing to be concerned about soiled with secretions from the nasopharynx
SIGNS AND SYMPTOMS: Parotid edema, pain,
Mumps generally affects the salivary glands, but Dysphagia, headache, fever, malaise
it can also affect multiple organs. The most PREVENTION AND CONTROL: proper disposal of
common complication is septic meningitis with the discharges, respiratory isolation
virus being identified in the cerebrospinal fluid.
Common signs include nuchal rigidity, lethargy 3. The nurse caring for a child diagnosed
and vomiting. The child should be seen by the with rubeola (measles) notes that the
pediatrician pediatrician has documented the presence
of Koplik’s spots. On the basis of this
2. During a mumps outbreak at a local documentation, which observation is
school, a patient, who is a school * expected?
teacher, is exposed. She has previously A. Pinpoint petechiae noted on both legs
been immunized for mumps. What B. Whitish vesicles located across the chest
type of immunity does she possess? C. Petechiae spots that are reddish and
A. Acquired immunity pinpoint on the soft palate
B. Natural immunity D. Small, blue-white spots with a red base
C. Phagocytic immunity found on the buccal mucosa
D. Humoral immunity
In rubeola (measles), Koplik’s spots appear
Acquired immunity usually develops a a result approximately 2 days before the appearance of
of prior exposure to an antigen, often the rash. These are small, blue-white spots with
through immunization. When the body is a red base that are found on the buccal mucosa.
attacked by bacteria, viruses, and other The spots last approximately 3 days, after which
pathogens, it has three means of defense. time they slough off. Based on this information,
The first line of defense, the phagocytic the remaining options are all incorrect.
immune response, involves the WBCs that
have the ability to ingest foreign particles. A 4. A mother brings her 12 month-old son into
second protective response is the humoral the clinic for his measles- * mumps-rubella
immune response, which begins when the B (MMR) vaccination. What would the clinic nurse
COMMUNICABLE DISEASES
, advise the mother about the MMR vaccine? 6. The nurse knows that she would be
A. Photophobia and hives might occur. required to use airborne precautions for which
B. There are no documented reactions to an of the following clients? SELECT ALL THAT
MMR. APPLY
C. Fever and hypersensitivity reaction might A. A young adult with possible tuberculosis who
occur. is also HIV positive
D. Hypothermia might occur. B. A middle-aged adult with herpes simplex
C. A teenager with chickenpox and a sore throat
Patients should be advised that fever, transient D. A college student with possible rubella
lymphadenopathy, or a hypersensitivity reaction A- tuberculosis is carried in small airborne
might occur following an MMR vaccination. droplets over 3 feet and requires airborne
Reactions to an MMR do not include precautions.
photophobia or hypothermia. C- chickenpox is spread by small airborne
droplets so airborne precautions are
5. A MMR vaccine is administered to a client appropriate.
who delivered a healthy * newborn 2 days D- rubella is an airborne pathogen requiring
ago. The nurse provides instructions to the airborne precautions until a diagnosis is
client regarding the potential risks confirmed.
associated with this vaccination. Which
statement by the client indicates an MEASLES
understanding of the medication? CAUSATIVE AGENT: MEASLES VIRUS
A. “I need to stay out of the sunlight for 3 - A.K.A. Rubeola, Little Red Disease, Morbilli,
days.” Seven-Day Measles
B. “The injection site may itch, but I can scratch - highly infectious viral disease characterized
it if I need to.” by fever and Koplik’s spots
C. “I need to avoid sexual intercourse for 2 to 3
months after the vaccination.” MODE OF TRANSMISSION: Airborne by
D. “I need to prevent becoming pregnant for 2 droplet spread, direct contact with nasal and
to 3 months after the vaccination.” throat secretions of infected persons.
SIGNS AND SYMPTOMS: Fever, runny nose,
MMR vaccine is a live attenuated virus that cough, rash all over the body, red watery
evokes an antibody response and provides eyes, malaise, koplik’s spots
immunity for approximately 15 years. Because
MMR is a live vaccine, it will act as the virus MANAGEMENT:
and is potentially teratogenic in the - ANTIVIRAL
organogenesis phase of the fetal development. - ANTIPYRETIC
The client needs to be informed about the - ANTIBIOTICS (IF WITH COMPLICATION)
potential effects this vaccine may have and - PROVISION OF COMFORT
the need to avoid becoming pregnant for a PREVENTION AND CONTROL:
period of 2 to 3 months afterward. - MEASLES VACCINE
- RESPIRATORY ISOLATION
COMMUNICABLE DISEASES
