Benner
POST TEST: COMMUNICABLE DISEASE NURSING
1. A nurse is given a subcutaneous injection to a client with acquired immunodeficiency syndrome (AIDS). The nurse disposes of the used needle and syringe by: a. Recapping the needle and discarding the syringe in the disposal unit b. Placing the uncapped needle and syringe in a labeled, rigid plastic container c. Breaking the needle before discarding it d. Placing the uncapped needle and syringe in a labeled cardboard box Answer – B – universal precautions include specific guidelines for handling of needles. Needles should not be recapped, bent, broken, or cut after use. They should be disposed of in a labeled impermeable container specific for this purpose. Needles should not be discarded in cardboard boxes because they are not impervious. Needles should never be left lying around after use. (SOURCE: Saunders Q & A review for NCLEX-RN 2nd ed. P. 28)
2. A clinic nurse teaches a pregnant client with herpes genitalis about the measures that will be implemented during the pregnancy. Which of the following statements, if made by the client, indicated that the teaching was effective? a. I must continue to take my acyclovir (Zovirax) b. I need to abstain from sexual intercourse during the entire pregnancy c. I need to take sitz bath 4 times a day d. I may need a cesarean section if the lesions are present at the time of labor Answer D – for women with active lesions, either recurrent or primary, at the time of labor, delivery should be cesarean; therefore option D is correct. Acyclovir is used with caution during pregnancy. Clients should be advised to abstain from sexual contact while the lesions are present. If it is an initial infection, they should continue to abstain until they become culture negative because prolonged viral shedding may occur in such cases. Option C – is incorrect. Keeping the genital area clean and dry will promote healing. . (SOURCE:
1. A nurse is given a subcutaneous injection to a client with acquired immunodeficiency syndrome (AIDS). The nurse disposes of the used needle and syringe by: a. Recapping the needle and discarding the syringe in the disposal unit b. Placing the uncapped needle and syringe in a labeled, rigid plastic container c. Breaking the needle before discarding it d. Placing the uncapped needle and syringe in a labeled cardboard box Answer – B – universal precautions include specific guidelines for handling of needles. Needles should not be recapped, bent, broken, or cut after use. They should be disposed of in a labeled impermeable container specific for this purpose. Needles should not be discarded in cardboard boxes because they are not impervious. Needles should never be left lying around after use. (SOURCE: Saunders Q & A review for NCLEX-RN 2nd ed. P. 28)
2. A clinic nurse teaches a pregnant client with herpes genitalis about the measures that will be implemented during the pregnancy. Which of the following statements, if made by the client, indicated that the teaching was effective? a. I must continue to take my acyclovir (Zovirax) b. I need to abstain from sexual intercourse during the entire pregnancy c. I need to take sitz bath 4 times a day d. I may need a cesarean section if the lesions are present at the time of labor Answer D – for women with active lesions, either recurrent or primary, at the time of labor, delivery should be cesarean; therefore option D is correct. Acyclovir is used with caution during pregnancy. Clients should be advised to abstain from sexual contact while the lesions are present. If it is an initial infection, they should continue to abstain until they become culture negative because prolonged viral shedding may occur in such cases. Option C – is incorrect. Keeping the genital area clean and dry will promote healing. . (SOURCE: