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

Organisms that cause the infection refer to the pathogens such as bacteria, viruses, or fungi. In the context of pneumococcal pneumonia, the organism is Streptococcus pneumoniae. The lungs do not serve as the organisms; they are the site of infection.

Choice B rationale

Transmission of the disease involves the spread of pathogens from one individual to another. Pneumococcal pneumonia is transmitted via respiratory droplets, not the lungs serving as the transmission medium.

Choice C rationale

Mode of transfer refers to the mechanisms by which an infection spreads, such as direct contact, airborne, or vector-borne. The lungs are not a mode of transfer; they are the site of infection.

Choice D rationale

Reservoirs are places where pathogens live, grow, and multiply. In the case of pneumococcal pneumonia, the lungs act as a reservoir where the bacteria can grow and cause infection.

A. Gloves. B. Gown. C. Eyewear. D. Mask. E. Mask.

Correct Answer is D

Explanation

Choice A rationale

Gloves are often the most contaminated piece of PPE. They should be removed first to prevent contamination of other PPE or areas.

Choice B rationale

The gown should be removed after gloves because it covers the largest surface area and could spread contaminants if removed earlier.

Choice C rationale

Eyewear should be removed before the mask to avoid potential contamination from airborne particles that could remain on the mask.

Choice D rationale

The mask is typically removed last to prevent inhalation of any contaminants that might still be in the air during the removal process.

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

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

The nurse is aware that the patient most at risk for a health care-associated infection (HAI) would be the:

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?

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A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

A nurse is caring for a client who is in contact isolation. When exiting the client's room, in what order should the nurse take the following steps when removing her personal protective equipment?

The situation in which protective eyewear is required is:

An 84-year-old patient is hospitalized for an infected stasis ulcer on his ankle. The nurse is aware that this patient is at risk for a hospital-acquired infection (HAI) because the:

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: