A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes this disease is caused by a tick bite that infected the patient with:
Coxiella burnetii.
Rickettsia rickettsii.
Aspergillus.
Rickettsia prowazekii.
The Correct Answer is B
Choice A rationale
Coxiella burnetii is the causative agent of Q fever, not Rocky Mountain spotted fever. This bacterium is transmitted through inhalation of contaminated aerosols from infected animals.
Choice B rationale
Rickettsia rickettsii is the causative agent of Rocky Mountain spotted fever. It is transmitted through the bite of infected ticks and causes symptoms like fever, headache, and a characteristic rash.
Choice C rationale
Aspergillus is a genus of fungi that causes aspergillosis, not Rocky Mountain spotted fever. Aspergillosis primarily affects the respiratory system and is not transmitted by tick bites.
Choice D rationale
Rickettsia prowazekii is the causative agent of epidemic typhus, not Rocky Mountain spotted fever. It is transmitted through the bite of infected body lice and causes symptoms like high fever, chills, and rash. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Suctioning a tracheotomy involves contact with respiratory secretions which can be infectious. Protective eyewear is necessary to prevent exposure to potentially infectious fluids.
Choice B rationale
Changing a baby’s diaper involves exposure to feces and urine, but does not usually require protective eyewear as splashing is not common.
Choice C rationale
Applying a dressing on the leg generally does not involve significant risk of splashes or sprays to the eyes, making protective eyewear unnecessary.
Choice D rationale
Gathering linens off a contaminated bed poses some risk of contamination, but typically does not involve splashes or sprays that would necessitate protective eyewear.
Correct Answer is B
Explanation
Choice A rationale
Asking the health care provider if they contaminated their glove and the sterile field is not the most effective response. The provider may not be aware of the contamination, and asking this question does not immediately address the contamination issue. Ensuring the sterile field remains uncontaminated is crucial in preventing infections.
Choice B rationale
Pointing out the possible break in surgical asepsis and providing another set of sterile gloves and a fresh sterile field is the best action. This ensures that the sterile environment is maintained, reducing the risk of infection and promoting patient safety.
Choice C rationale
Not saying anything because it is near the end of the procedure is unsafe. Even if the procedure is almost complete, any contamination can increase the risk of infection. It is essential to address the contamination immediately to ensure patient safety.
Choice D rationale
Reporting the health care provider for violating surgical asepsis and endangering the patient is not an immediate solution. While it is important to report such incidents for future prevention, the priority should be to address the contamination promptly to maintain the sterile field and protect the patient.
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