NUR212 LIFE SPAN Quiz B Questions and Answers
Infectious Disease
A patient has an initial positive result for the enzyme-linked immunosorbent assay
... [Show More] (ELISA) test for human immunodeficiency virus (HIV). The patient is upset and begins to cry. Which is the most appropriate response for the RN to make?
"Be glad the disease was detected early." "This test is the best test for HIV diagnosis."
"You do not have symptoms, so the test is not accurate."
"Additional testing is needed before a definitive diagnosis is made."
1) HIV is not diagnosed with a single test.
2) Multiple tests are performed for an accurate diagnosis.
3) Patients do feel well in the early stages, but additional tests are necessary to confirm the diagnosis.
*4) False positive results can occur, so multiple tests must be performed before a definitive diagnosis is made.
Infectious Disease
An RN is educating a new graduate RN on the symptoms of pneumonia in the older population. Which symptom does the RN distinguish as possibly being unique to this population?
Rapid breathing or difficulty breathing Confusion or low alertness
Chest pain
Cough
1) Rapid and difficult breathing are not unique to the older population.
*2) Older adults with pneumococcal pneumonia may experience confusion or low alertness, rather than the expected presenting signs of pneumonia such as rapid breathing, fever and chills, and chest pain.
3) Chest pain is not unique to the older population.
4) A cough is not unique to the older population.
Infectious Disease
Which is the most important personal protective equipment (PPE) an RN should use when obtaining an apical pulse on a patient with tuberculosis (TB)?
N95 respirator Face shield Gloves
Gown
*1) An N95 respirator is a protective mask effective in trapping small, airborne droplets, thereby preventing their inhalation. Health care providers should wear an N95 respirator at all times when in the room with a patient hospitalized with tuberculosis.
2) A face shield protects the wearer against contamination with spatters of infected blood or body fluids.
3) Gloves protect from contact with patient secretions or excretions such as urine, fecal matter, blood, saliva, and drainage.
4) Gowns are worn to protect against contact contamination of clothing with any biologic material.
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