Exam (elaborations)
Chapter 41 The Child with an Infectious Disease
- Course
- Nursing
- Institution
- University At Buffalo
Chapter 41 The Child with an Infectious Disease
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Chapter 41: The Child with an Infectious DiseaseTest Bank
MULTIPLE CHOICE
1. Which statement made by an adolescent girl indicates an understanding about the prevention
of sexually transmitted diseases (STDs)?
a. “I know the only way to prevent STDs is to not be sexually active.”
b. “I practice safe sex because I wash myself right after sex.”
c. “I won’t get any kind of STD because I take the pill.”
d. “I only have sex if my boyfriend wears a condom.”
ANS: A
Feedback
A Abstinence is the only foolproof way to prevent an STD.
B STDs are transmitted through body fluids (semen, vaginal fluids, blood).
Perineal hygiene will not prevent an STD.
C Oral contraceptives do not protect women from contracting STDs.
D A condom can reduce but not eliminate an individual’s chance of acquiring an
STD.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 1033
OBJ: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
2. Which STD should the nurse suspect when an adolescent girl comes to the clinic because
she has a vaginal discharge that is white with a fishy smell?
a. Human papillomavirus
b. Bacterial vaginosis
c. Trichomonas
d. Chlamydia
ANS: B
Feedback
A Manifestations of the human papillomavirus are anogenital warts that begin as
small papules and grow into clustered lesions.
B Bacterial vaginosis is characterized by a profuse, white, malodorous (fishy
smelling) vaginal discharge that sticks to the vaginal walls.
C Infections with Trichomonas are frequently asymptomatic. Symptoms in females
may include dysuria, vaginal itching, burning, and a frothy, yellowish-green,
foul-smelling discharge.
D Many people with chlamydial infection have few or no symptoms. Urethritis
with dysuria, urinary frequency, or mucopurulent discharge may indicate
chlamydial infection.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 1035
, OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
3. A child taking oral corticosteroids for asthma is exposed to varicella. The child has not had
the varicella vaccine and has never had the disease. What intervention should be taken to
prevent varicella from developing?
a. No intervention is needed unless varicella develops.
b. Administer the varicella vaccine as soon as possible.
c. The child should begin a course of oral antibiotics.
d. The child should be prescribed acyclovir.
ANS: D
Feedback
A Children taking oral corticosteroids are immunosuppressed and are at high risk
for serious complications. Intervention must be taken to prevent the disease
when exposure occurs.
B The varicella vaccine is a live virus vaccine and is contraindicated for an
immunosuppressed child.
C An antibiotic is not effective in treating varicella zoster, which is a virus.
D For children receiving short-term corticosteroid treatment, acyclovir is often
used in the treatment plan.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 1020
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
4. A nurse is conducting a health education class for a group of school-age children. Which
statement made by the nurse is correct about the body’s first line of defense against infection
in the innate immune system?
a. Nutritional status
b. Skin integrity
c. Immunization status
d. Proper hygiene practices
ANS: B
Feedback
A Nutritional status is an indicator of overall health, but it is not the first line of
defense in the innate immune system.
B The first lines of defense in the innate immune system are the skin and intact
mucous membranes.
C Immunizations provide artificial immunity or resistance to harmful diseases.
D Practicing good hygiene may reduce susceptibility to disease, but it is not a
component of the innate immune system.
PTS: 1 DIF: Cognitive Level: Application REF: p. 1008
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
5. The mother of an infant with multiple anomalies tells the nurse that she had a viral infection in
the beginning of her pregnancy. Which viral infection is associated with fetal anomalies?
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