COMMUNICABLE DISEASES COMPREHENSIVE

Nonpharmacologic intervention that helps manage the patient's photophobia and headache, with meningitis.

Quiet, dark environment.

Who should the nurse prioritize first?
a. 30 years old with meningitis and pain scale of 6/10
b. 19 years old with meningitis that is difficult to arouse

19 years old with meningitis that is difficult to arouse
Rationale: A patient who is difficult to arouse indicates a decrease in level of consciousness (LOC

A nurse is educating a student nurse about an infectious process in which stage a patient is contagious even if there are no symptoms?

Incubation phase

A pt is recovering from typhoid fever and regained appetite strength. What stage are they in?
a. incubation
b. convalescent
c. illness
d. prodromal

b. convalescent

A nurse is teaching a flooded community on leptospirosis prevention. What is the best intervention?

Wear boots while wading on the flood

A patient with dengue, becomes restless, has clammy skin and fever, nurse immediate action?
a.) notify the physician
b.) Encourage fluid intake
c.) Apply warm compress

a.) notify the physician
Rationale: The symptoms of restlessness, clammy skin, and a persistent fever in a patient with dengue indicate potential progression to Dengue Shock Syndrome (DSS) or severe dengue. These are signs of circulatory failure and impending hypovolemic shock, which is a life-threatening emergency

Severe bacillary dysentery: what is the priority nursing diagnosis?

Deficient Fluid Volume
Rationale: Severe bacillary dysentery (Shigellosis) causes frequent, bloody diarrhea and often vomiting. This rapid, massive fluid loss leads to life-threatening dehydration and hypovolemic shock.

A Grandmother with shingles taking care of a 6 month old infant/baby
A. Give baby antibiotics
D. Take away baby until lesions are dry & crusted

D. Take away baby until lesions are dry & crusted
Rationale: Once the lesions have dried and crusted over, the virus can no longer be transmitted through the air or contact, making the patient non-contagious. This is the essential safety measure.

A 67 Pt with severe influenza, nursing immediate action
a. persistent cough sputum production
b. crackles both heard lung base
c. mid (coastal?) achuchu (pain)
d. pain, fatigue, fever -37.8

b. crackles both heard lung base
Rationale: Crackles (rales) are a sound indicating the presence of fluid in the lower airways and alveoli. In a 67-year-old patient with severe influenza, this is a strong sign of pneumonia or acute respiratory distress

Diphtheria confirmatory diagnostic procedure

throat swab

most concerning sign?
c. Dyspnea
d. Muscle twitching

Dyspnea
Rationale: Dyspnea (difficulty breathing) is the most concerning sign because it indicates spasm of the respiratory muscles (larynx, diaphragm, or chest wall) due to the uncontrolled muscle contractions caused by the tetanus neurotoxin.

Which statement indicates the mother’s understanding in prevention of umbilical stump in newborns?
a. “2 dose of TT is enough immunization”
b. “ i will ensure the use of sterile scissors in cutting”
c. “tight cover around the stump”

b. “ i will ensure the use of sterile scissors in cutting”
Rationale: This demonstrates an understanding of the need for aseptic technique to prevent microbial contamination of the open wound at the time of delivery

Which vital sign trend in a patient with dengue indicates the need to immediate physician notification?
A) HR 88 -> 100 -> 120; narrow pulse pressure
B) BP 110/70 -> 100/70 -> 90/70; oxygen saturation 95%
C) RR 20 -> 22 -> 24; petechial rash over body
D) Temp 39.5 -> 38.5 -> 37.8; abdominal pain

A) HR 88 -> 100 -> 120; narrow pulse pressure
Rationale: A signals compensated shock (Dengue Shock Syndrome), as narrowing pulse pressure is the critical sign of ongoing, life-threatening plasma leakage.

The farmer was bitten by a dog on the face. The wound has abrasions but does not have bleeding. What is the correct rabies category and intervention?
A. Category I - No intervention
B. Category II - Rabies Immunoglobulin (RIG)
C. CATEGORY II - Vaccine
D. Category III - RIG and Vaccine

D. Category III - RIG and Vaccine

A client suspected with leprosy presents with skin hypopigmentation and loss of sensation. What is the priority nursing intervention?
a. refer to dermatology
b. Prepare for skin biopsy
c. Implement contact precaution
d. Assess for nerve thickening and

Assess for nerve thickening and assess for nerve thickening and associated muscle weakness

What is the best medicine for HSV?

Acyclovir (Zovirax

A child with mumps is irritable and refusing to eat. What is the most appropriate nursing intervention?
a. Provide ice chips and soft bland foods
b. Administer Paracetamol Suppository
c. Encourage Carbonated drinks
d. Offer salty chips

a. Provide ice chips and soft bland foods

A nurse gives the vaccine to community members. Which link in the chain infection is being interpreted?
a. Mode of transportation
b. Portal of entry
c. Susceptible host
d. Infectious agent

c. Susceptible host