A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby.

The nurse explains:

The baby should receive immune globulin to protect him from the infection.

The infant is at risk because the baby has not been immunized against the disease.

Both infant and mother are at risk because the mother's immunity was acquired too long ago to be effective.

Neither are at risk, because the mother has naturally acquired immunity, and she passes antibodies to the baby through the breast milk.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While immune globulin can be given to non-immune individuals exposed to chickenpox, the baby already has some protection because the mother has naturally acquired immunity. Hence, giving immune globulin is not necessary in this case.

Choice B rationale

Although the infant has not been immunized against chickenpox, the baby still receives passive immunity through the mother's breast milk. The antibodies transferred via breastfeeding provide some level of protection to the baby.

Choice C rationale

The mother's immunity against chickenpox, acquired from a past infection, remains effective throughout her life. This immunity is transferred to the baby through the placenta during pregnancy and continues through breastfeeding, providing protection to the infant.

Choice D rationale

The mother’s naturally acquired immunity from her childhood infection provides antibodies against chickenpox that she passes on to the baby through the breast milk. This passive immunity helps protect the baby from the infection.

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Correct Answer is D

Explanation

Choice A rationale

Medical asepsis does not kill all organisms; it reduces the number of pathogens to a safe level. Complete sterilization, which kills all organisms, is a characteristic of surgical asepsis.

Choice B rationale

Medical asepsis does not require the use of sterile attire to protect the patient. This is a practice associated with surgical asepsis to maintain a sterile field during surgical procedures.

Choice C rationale

Medical asepsis is not confined to the patient's room. It involves practices that reduce the risk of infection in various healthcare settings, not just in the patient's room.

Choice D rationale

Medical asepsis involves the use of sterile equipment before contact with the patient to reduce the risk of infection. This is a practice aimed at maintaining a clean environment and preventing the spread of pathogens. .

A. Fecal-smelling breath. B. Severe abdominal distention. C. Weakness, weight loss, and anorexia. D. High-pitched tinkling bowel sounds. E. Intense thirst.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Fecal-smelling breath is a symptom of small intestine obstruction due to bacterial fermentation of trapped food, which produces a foul odor that can be detected on the breath.

Choice B rationale

Severe abdominal distention occurs in small intestine obstructions because of the accumulation of gas and fluids proximal to the obstruction site, leading to a noticeable increase in abdominal girth.

Choice C rationale

Weakness, weight loss, and anorexia are more characteristic of chronic gastrointestinal conditions rather than acute small intestine obstruction. These symptoms develop over a longer period and are not acute manifestations.

Choice D rationale

High-pitched tinkling bowel sounds are a typical finding in small intestine obstruction. They occur due to increased peristaltic activity proximal to the obstruction site as the intestines attempt to move the obstructed contents.

Choice E rationale

Intense thirst is not a primary manifestation of small intestine obstruction. While dehydration can occur, it is not specific to small intestine obstruction and can be a result of many other conditions.

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A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby. The nurse explains:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse explains that medical asepsis differs from surgical asepsis in that medical asepsis:

Correct Answer is D

Explanation

A nurse is assessing a client who has an obstruction in the small intestine. Clinical manifestations that the nurse would expect include: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

The nurse explains to the patient who has pneumococcal pneumonia that the lungs serve as the:

The nursing intervention most likely to decrease the chance of health care-associated infections (HAIs) for a 76-year-old patient following bowel resection surgery would be to have the patient:

The nurse is aware that the use of ethylene oxide gas is reserved for the sterilization of:

A nurse is instructing a nursing student about principles of aseptic technique. The nurse would recognize the need for further instruction if the nursing student states, "I must:

A nurse is using personal protective equipment (PPE) before entering the room of a patient with diarrhea and vomiting who is being treated for an intestinal infection. The nurse most likely needs to use which combination of PPE?

The nurse recommends a good agent for disinfecting contaminated areas in the home is:

A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?

When caring for a patient on Droplet Precautions, it is most important for the nurse to:

A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby.

The nurse explains: