chapter 18 (done) Flashcards
(81 cards)
1
Q
_______ occurs when bacteria flourish and grow in the bloodstream.
A
Septicemia
2
Q
The common causative agent of acute endocarditis is ________.
A
All of the choices are correct.
3
Q
Yersinia pestis ________.
A
is usually transmitted by a flea vector
4
Q
All of the following are associated with bubonic plague except ________.
A
transmitted by human feces
5
Q
Which is not associated with tularemia?
A
A gram-positive bacterium
6
Q
The causative agent of Lyme disease is ________.
A
Borrelia burgdorferi
7
Q
Erythema migrans, a bull’s-eye rash, at the portal of entry is associated with ________
A
Lyme disease
8
Q
Symptoms of infectious mononucleosis include ________.
A
sore throat, fever, cervical lymphadenopathy, and splenomegaly
9
Q
Which of the following requires direct contact with infected body fluids?
A
Lassa fever
10
Q
Which of the following is a hemorrhagic fever?
A
Yellow fever
11
Q
Yellow fever and dengue fever are ________.
A
All of the choices are correct.
12
Q
Which of the following is not true of Ebola and Marburg?
A
Transmitted by mosquitoes
13
Q
Which type of hemorrhagic fever is also known as “breakbone fever” because of the severe pain in bones?
A
Dengue fever
14
Q
The reservoir for Lassa fever is the ________.
A
rat
15
Q
Brucellosis is ________.
A
All of the choices are correct.
16
Q
Pasteurization of milk helps to prevent ________.
A
brucellosis
17
Q
Rocky Mountain spotted fever ________.
A
symptoms include fever, headache, and rash
18
Q
The symptoms that occur in cyclic 48- to 72- hour episodes in a malaria patient are ________.
A
chills, fever, and sweating
19
Q
Malaria may be prevented by ________.
A
All of the choices are correct.
20
Q
Characteristics of Bacillus anthracis include all the following except ________.
A
a one-time vaccine provides lifelong immunity
21
Q
Anthrax is ________.
A
All of the choices are correct.
22
Q
A common cardiovascular/lymph system disease in AIDS patients is ________.
A
Burkitt’s lymphoma
23
Q
Retroviruses have the following characteristics except ________.
A
DNA genome
24
Q
All of the following pertain to patients with AIDS except they ________.
A
have the highest number of cases worldwide in the United States
25
Documented transmission of HIV involves ________.
unprotected sexual intercourse and contact with blood/blood products
26
All of the following pertain to HIV except ________.
ELISA and Western blot tests detect HIV antigens
27
Which drugs interfere with the action of an HIV enzyme needed for final assembly and maturation of the virus?
Protease inhibitors
28
A frequent cancer that is seen in AIDS patients is ________.
Kaposi's sarcoma
29
Nowadays, HIV is more of a chronic disease than the death sentence it was when it first emerged in the 1980s. In addition to lifesaving medications, education and testing has also lowered the number of new cases annually. This means that in general ________
incidence is decreasing and prevalence is increasing
30
In anthrax, Bacillus anthracis gains access to the bloodstream where it multiplies in large numbers resulting in death from an overwhelming _______
septicemia
31
# A nurse is volunteering with a medical team in Southeast Asia. A 35-year
What is the cause of the cyclical nature of the woman’s symptoms?
Her symptoms reflect the synchronous rupture of RBCs.
32
# A nurse is volunteering with a medical team in Southeast Asia. A 35-year
. If the medical team had the ability to perform more thorough blood tests, what would the nurse expect to find?
Hypoglycemia, decreased RBC count
33
# A nurse is volunteering with a medical team in Southeast Asia. A 35-year
Which of the following medications would the nurse expect to be ordered for this patient?
Chloroquine
34
# A nurse is volunteering with a medical team in Southeast Asia. A 35-year
. If pharmacological treatment is not successful, what may be the ultimate cause of death?
Multiorgan failure
35
# A nurse is volunteering with a medical team in Southeast Asia. A 35-year
The nurse provides education to the woman’s family regarding malaria prevention. All of the following are recommended, except ________.
washing all bedding and clothing in hot water
36
# A pregnant 25-year-old woman with known HIV infection presents to an obs
36. The patient asks the nurse what the risk is of her child being HIV-positive. What is the best response by the nurse?
It is possible that HIV will be passed on to your child, but you can decrease the likelihood of transmission by compliance with antiretroviral therapy.
37
# A pregnant 25-year-old woman with known HIV infection presents to an obs
The patient states that she acquired HIV from a previous partner. What are the primary modes of HIV transmission?
Sexual contact and blood
38
# A pregnant 25-year-old woman with known HIV infection presents to an obs
What is the most successful treatment during pregnancy to reduce transmission of HIV from mother to fetus?
Protease inhibitors
39
# A pregnant 25-year-old woman with known HIV infection presents to an obs
When should the patient's newborn baby be tested for HIV, assuming she does not breastfeed?
At birth and 1 month of age
40
# A pregnant 25-year-old woman with known HIV infection presents to an obs
The patient asks the nurse for information about preventing HIV transmission to her sexual partner. What is the best form of prevention for HIV transmission, assuming sexual abstinence is not an option?
Use of barrier-method contraceptive
41
# A 13-year-old girl with cerebral palsy is admitted to the pediatric surg
Which of the following is the most likely cause of the acute change in the patient’s status?
Bacterial septicemia
42
# A 13-year-old girl with cerebral palsy is admitted to the pediatric surg
What is the most likely cause of septicemia?
Gram-positive and gram-negative bacteria
43
# A 13-year-old girl with cerebral palsy is admitted to the pediatric surg
The medical team suspects that the patient has septicemia. Boluses of isotonic fluid are given and vasoactive medications are ordered to increase her blood pressure. Which of the following are the most important next interventions?
Respiratory support, blood cultures, and antibiotics
44
# A 13-year-old girl with cerebral palsy is admitted to the pediatric surg
Preliminary testing on the blood cultures reveals the presence of gram-positive cocci. Although the final organism has not been identified, which of the following organisms is the most likely cause of the patient’s septicemia?
Staphylococcus aureus
45
# A 13-year-old girl with cerebral palsy is admitted to the pediatric surg
When the final results of the blood culture return three days later, the patient is diagnosed with S. aureus septicemia. Empiric antibiotic therapy was initiated with her initial clinical decompensation. What is the next step in the patient’s treatment regimen?
Change antibiotic coverage as indicated by susceptibility testing
46
A state senator’s assistant opens an envelope containing white powder that aerosolizes and she later develops pulmonary edema
Anthrax
47
An IBM employee returns from a June team-building exercise in the mountains of NC, he develops flu-like symptoms followed by a rash on his wrists and ankles.
RMSF
48
A 17-year-old boy develops a high fever, lethargy, sore throat and swollen glands, a blood count shows large atypical lymphocytes.
Infectious mononucleosis
49
A peace corps employee on a mission trip to Rwanda returns home and develops malaise and nausea followed by recurring chills, fever and sweating.
Malaria
50
Brucella abortus
Brucellosis
51
Coxiella burnetii
Q fever
52
Bartonella henselae
Cat Scratch Fever
53
Rickettsia rickettsii
Rocky Mountain Spotted Fever
54
Symptoms include sore throat, high fever, cervical lymphadenopathy, and fatigue.
Infectious mononucleosis
55
Spirochete is transmitted by hard ticks and an early symptom is a lesion that looks like a bull’s eye.
Lyme disease
56
The bacterium is injected by the bite of a flea, enters the lymph, and is trapped in a lymph node where it results in a swollen necrotic lesion called a bubo.
Plague
57
Bites by a vector are the most common source of infection but many cases result when the skin or eyes are inoculated through contact with infected animals such as rabbits.
Tularemia
58
# A 46-year-old male presents to a clinic reporting exposure to HIV two we
Which of the following is the most likely cause of the patient’s rash, based upon her reported history and symptoms?
Lyme disease
59
# A 46-year-old male presents to a clinic reporting exposure to HIV two we
The RN provides education for the patient regarding confirmation of the suspected diagnosis. Which of the following tests is most likely to be ordered?
Antibody titer
60
# A 46-year-old male presents to a clinic reporting exposure to HIV two we
What further symptoms can emerge if this disease is left untreated?
All of these choices are correct.
61
# A 46-year-old male presents to a clinic reporting exposure to HIV two we
Which of the following drug therapies is most effective in early treatment of this disease?
Doxycycline and amoxicillin
62
# A 46-year-old male presents to a clinic reporting exposure to HIV two we
. The patient asks the RN how she may have acquired this disease. Which of the following is the most common vector?
Ticks
63
# A 54-year-old female is admitted to the postsurgical unit following an e
.The RN is suspicious of an infection in the patient’s blood. Which of the following terms is descriptive of an infection of the bloodstream?
Septicemia
64
# A 54-year-old female is admitted to the postsurgical unit following an e
Which of the following is/are the most likely causative organism(s) for this patient’s condition?
Gram-negative bacteria or gram-positive bacteria
65
# A 54-year-old female is admitted to the postsurgical unit following an e
The physician orders blood cultures, antibiotic therapy, oxygen administration, and a fluid bolus for blood pressure support. The RN most appropriately prioritizes these tasks in which order?
Oxygen administration, fluid bolus, blood culture, antibiotic initiation
66
# A 54-year-old female is admitted to the postsurgical unit following an e
Which of the following drug therapies is ordered initially?
Broad-spectrum antibiotic
67
# A 54-year-old female is admitted to the postsurgical unit following an e
Which of the following conditions occurs if the bloodborne bacteria colonize the heart valves, causing impaired cardiac function?
Acute endocarditis
68
What group of viruses does HIV belong to?
Retroviruses
69
HIV, and related viruses such as HTLV, possess which unusual virally-encoded enzyme?
Reverse transcriptase
70
Proteins that project or stick out from the envelope of HIV and attach or adsorb to host cells are called ________.
Spikes
71
HIV attaches to host cells by binding to ________.
receptors
72
If you look inside the core or capsid of HIV, you will find three enzymes: reverse transcriptase, integrase, and ________.
protease
73
In order to bind to a host cell, the spikes of HIV have to attach to ________.
CD4 and a coreceptor
74
In order to make the second strand of DNA when HIV starts replicating inside of a cell ________.
the original HIV RNA is broken down and its DNA copy is the template for a second DNA strand
75
. The HIV proviral DNA inserted into the host cell's DNA is used to make ________.
both viral genome RNA and mRNA
76
. The two viral proteins inserted into the host cell membrane as the virus leaves or buds out of the cell are gp41 and ________.
gp120
77
If you can block the effect of HIV protease, you will ________.
block cleavage of the HIV polyprotein into individual proteins
78
Which cells possess the receptor complex for gp120, resulting in their destruction and the overall loss of immune function seen in acquired immune deficiency syndrome (AIDS)?
Helper T cells and macrophages
79
The term "latent" is used to describe some of the HIV virus inside of infected host cells because ________.
double-stranded viral DNA (provirus) is inserted into the host DNA
80
The drug AZT ___
inhibits the enzyme reverse transcriptase
81
Chemokines appear to inhibit HIV infection by ________.
blocking the CXCR4 and CCR5 coreceptors
