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Exam 18: Infectious Diseases Affecting the Cardiovascular and Lymphatic Systems

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Question 1

Multiple Choice

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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. 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. -What preventive measures should you recommend to Nani's family who has accompanied her?

A) move to a new home
B) avoid stagnant water sites
C) use of bed nets
D) prophylactic antimalarials

E) B) and C)
F) None of the above

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Question 2

Multiple Choice

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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. 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. -What is the cause of the cyclical nature of Nani's symptoms?

A) Just as she begins to recover,a new vector reinfects her.
B) The village doctor's treatments must be working intermittently.
C) It is secondary to the synchronous rupture of RBCs.
D) Nani's liver is failing in stages,and the symptoms coincide.

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

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Question 3

Multiple Choice

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Which of the following is a hemorrhagic fever?

Each of the following may be used in the treatment of anthrax except

Rocky Mountain spotted fever

Brucellosis is

Documented transmission of HIV involves

The causative organism of malaria is a

The cardiovascular and lymphatic systems have no normal biota.

The reservoir for Lassa fever is the

Which new class of drugs will interfere with docking onto host cells?

Rabbits and other rodents are the reservoirs of the causative agent of

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. -When should Suzanne's newborn baby be tested for HIV,assuming she does not breast-feed?

Bubonic plague is transmitted by

The fibrous sac that encloses the heart is the

Control of rodent populations is important for preventing

All of the following are associated with subacute endocarditis except

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 you had the ability to perform more thorough blood tests on Nani,what would you expect to find?

A frequent cancer that is seen in AIDS patients is

The symptoms that occur in cyclic 48- to 72- hour episodes in a malaria patient are