MODULE 5 (part 2)

Question 1

German Measles

Answer 1

“Rubella, 3-day
measles”
• Acute systemic viral
disease that
produces distinctive
3-day rash and
lympadenopathy

Question 2

German Measles

[Infectious Agent]

Answer 2

Rubella virus

Question 3

German Measles

[S/Sx]

Answer 3

Prodromal Period
-low grade fever; HA, Malaise, Mild coryza,
Conjunctivitis, post-Auricular, Sub-occipital and posterior cervical lympadenopathy

Eruptive Period
-rash of pink maculo-papules on soft palate
(Forchheimer’s spot)

Question 4

German Measles

[Possible Complications]

Answer 4

1. Encephalitis
2. Neuritis
3. Arthritis
4. Teratogenic effect

Question 5

German Measles
[Occurrence]
[Modes of transmission]
[Incubation Period]
[Period of
Communicability]

Answer 5

Occurrence:
World Wide

Modes of transmission

• Direct contact
• Air droplets
• Transplacental

Incubation Period
16-18 days

Period of
Communicability:
Approx. 1 week before
the rash to about 5 days
after the rash began

Question 6

German Measles

[Preventive Methods]

Answer 6

a. Health education
b. Prevent exposure of pregnant women to
infected person

Question 7

German Measles

[Nursing Management]

Answer 7

a. Bed rest
b. Darken the room
c. Irrigate eyes with warm normal saline

Question 8

Rabies

Answer 8

Fatal acute viral
disease of the CNS
that affects all warm
blooded animals and
is usually transmitted
to man by a bite of an
infected domestic and
wild animal

Question 9

Rabies

[Infectious Agent]

Answer 9

Rhabdovirus

Question 10

Rabies

[S/Sx]

Answer 10

• Fever, HA, Pain and paresthesia on the bitten area
• Dilation of the pupils
• Sense of apprehension
• Sore throat
• Increased salivation
• Unusual sensitivity to sound, light and changes in temperature
• Convulsions
• Episodes of irrational excitement alternating with periods of alert
alarm
• Severe and painful throat spasms when patient attempts to swallow
or even view liquid
• Violent spasms of inspiratory muscles
• Death due to cardiac and respiratory failure

Question 11

Rabies
[Mode of
Transmission]
[Incubation Period]
[Period of
Communicability]

Answer 11

Mode of
Transmission:
close contact with saliva from infected animals

Incubation Period
Usually 2-8 weeks
occasionally as short as 5 days or as long as 1 year

Period of
Communicability
3-10 days in dogs and
cats before the onset of clinical signs

Question 12

Rabies

[Prevention]

Answer 12

• Pet vaccination
• Observation of pet for 10days after biting someone
• If the animal dies w/ suspected rabies, bring the intact head for viral
  antigen testing

Question 13

Rabies

[Nursing Care]

Answer 13

• Wash and flush w/ water and soap immediately
• rabies immune globulin (RIG) and/or vaccines as
indicated
• Isolate the client
• Keep the patient as comfortable as possible

Question 14

Tuberculosis

Answer 14

• Reportable, communicable, inflammatory
disease that can occur in any part of the body;
most frequent site-pulmonary

Question 15

Tuberculosis

[Causative agent]

Answer 15

Mycobacterium tuberculosis

Question 16

Tuberculosis

[DRUGS]

Answer 16

Streptomycin
Rifampicin
Ethambutol
Isoniazid (INH)

Question 17

Tuberculosis
[DRUGS:
Isoniazid (INH)]

Answer 17

SE: peripheral neuritis,

hepatotoxicity

Question 18

Tuberculosis

[Client Education]

Answer 18

• TB is infectious
• Droplet transmission
• Cover the mouth and nose when coughing,
sneezing or laughing
• Wash hands after any contact with body
substances
• Wear mask
• Take TB medications regularly