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Exam 18: Infectious Diseases Affecting the Cardiovascular and Lymphatic Systems

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Question 21

Multiple Choice

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Pasteurization of milk helps to prevent

A) tularemia.
B) plague.
C) endocarditis.
D) brucellosis.
E) mononucleosis.

F) All of the above
G) C) and D)

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Question 22

Multiple Choice

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Epstein-Barr virus has the following characteristics except it

A) is more commonly found in adults.
B) is transmitted by direct oral contact and saliva.
C) produces sudden leukocytosis.
D) has a 30- to 50- day incubation.
E) can be transmitted by contaminated blood transfusions and organ transplants.

F) All of the above
G) A) and B)

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Question 23

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Jennifer is a 13-year-old girl with cerebral palsy, who came to your children’s hospital for a posterior spinal fusion, where her spine was straightened with rods that were surgically implanted. She tolerated the procedure well, but now 24 hours after the lengthy operation, her blood pressure is 70/25, with a heart rate of 150, fever of 104 degrees, and breathing deeply and rapidly. Whereas several hours ago her vital signs were stable and she was talking to you, she now seems to show no interest in interacting with anybody. Of note, her incision site down her back is swollen, red, and oozing a cloudy white substance. You call the attending physician, who rushes to the bedside. -The doctors decide that Jennifer is septic,and administer several boluses of normal saline while having you place her on vasoactive drugs to increase her blood pressure.What are the important next steps?

Lyme disease involves

The highest numbers of cases of Rocky Mountain spotted fever occur along the eastern seaboard.

Which of the following requires direct contact with infected body fluids?

The white-footed mouse,deer,and deer ticks are important to maintaining the transmission cycle associated with

Anthrax is

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Jennifer is a 13-year-old girl with cerebral palsy, who came to your children’s hospital for a posterior spinal fusion, where her spine was straightened with rods that were surgically implanted. She tolerated the procedure well, but now 24 hours after the lengthy operation, her blood pressure is 70/25, with a heart rate of 150, fever of 104 degrees, and breathing deeply and rapidly. Whereas several hours ago her vital signs were stable and she was talking to you, she now seems to show no interest in interacting with anybody. Of note, her incision site down her back is swollen, red, and oozing a cloudy white substance. You call the attending physician, who rushes to the bedside. -What is the likelihood that this presentation is fungal in nature?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. You are an adult medical-surgical nurse on a medical trip with your hospital to Indonesia. While there, you meet a woman named Nani, a 35-year-old woman who was previously healthy, although she looks like she has aged well into her 50s. She has come to you because her village doctors have told her she has malaria. She is breathing heavily, very sweaty with a high fever, achy, and shaking. Her eyes are slightly yellow in color, but you are unsure if this is related or unrelated to her current illness. She has been sick for a little over a week, and has gone through several cycles of feeling better for a couple days before the fever, sweating, and chills broke out again. She tells you that the village doctors tried to treat her with a combination of a mosquito paste with a root you have never heard of, but they were apparently unsuccessful. You have a portable serological testing kit, and you confirm the diagnosis with a drop of blood from Nani’s finger. -You approach the physician you are reporting to at the moment with Nani's clinical diagnosis and findings.However,before you even approach him,you are well aware of what treatment he is going to order.In this case,what is the first line treatment?

Symptoms of infectious mononucleosis include

The leading cause of morbidity and mortality in AIDS patients is Pneumocystis pneumonia.

Which is incorrect about Yersinia pestis?

Which is not associated with tularemia?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. Suzanne is a pregnant 25-year-old woman with a known HIV infection. This is her first child. She comes into your community clinic for a 20-week checkup. Her HIV was first diagnosed by a screening tool at a clinic when she was 18 years old, and has remained largely asymptomatic. Per her report, she has been very compliant with her antiretroviral therapies. In fact, the father of her child is not HIV positive. She comes in today with lots of questions and concerns about her unborn child. -Suzanne knows that she acquired HIV from a previous sexual partner.What is the primary mode of transmission of HIV?

Which type of hemorrhagic fever is also known as "breakbone fever" because of the severe pain in bones?

Which drugs interfere with the action of an HIV enzyme needed for final assembly and maturation of the virus?

Under normal healthy circumstances the lymphatic system filters any microorganisms present.

Which of the following is mismatched?

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format. You are an adult medical-surgical nurse on a medical trip with your hospital to Indonesia. While there, you meet a woman named Nani, a 35-year-old woman who was previously healthy, although she looks like she has aged well into her 50s. She has come to you because her village doctors have told her she has malaria. She is breathing heavily, very sweaty with a high fever, achy, and shaking. Her eyes are slightly yellow in color, but you are unsure if this is related or unrelated to her current illness. She has been sick for a little over a week, and has gone through several cycles of feeling better for a couple days before the fever, sweating, and chills broke out again. She tells you that the village doctors tried to treat her with a combination of a mosquito paste with a root you have never heard of, but they were apparently unsuccessful. You have a portable serological testing kit, and you confirm the diagnosis with a drop of blood from Nani’s finger. -If Nani refuses treatment,or treatment is not successful,what may be the ultimate cause of death?