CE Test 2.5 Hours: Responding to the Cholera Epidemic in Haiti

Contrada, Emily

AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000446778.22394.2d
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    Responding to the Cholera Epidemic in Haiti

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    To describe a prevention and intervention campaign initiated in response to the cholera epidemic in Haiti following the 2010 earthquake.

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    After reading this article and taking this test, you will be able to

    * identify the incidence and etiology of cholera.

    * recognize essential elements in the implementation of cholera prevention and treatment campaigns.

    1. Which statement about Vibrio cholerae O1 and O139 is accurate?

    a. The bacteria are found in salty waters.

    b. Mice and rats are animal hosts.

    c. The housefly plays a significant role in transmission to humans.

    d. Direct person-to-person transmission is common.

    2. In their work with Samaritan's Purse (SP), the authors successfully managed how many cases of cholera?

    a. about 5,000

    b. nearly 11,000

    c. about 17,000

    d. more than 23,000

    3. How do humans become infected with cholera-causing bacilli?

    a. breathing in contaminated air

    b. having unprotected sexual relations

    c. consuming contaminated water or food

    d. being bitten by an infected mosquito

    4. Worldwide, about how many million cases of cholera occur each year?

    a. 1 to 3

    b. 3 to 5

    c. 5 to 7

    d. 7 to 9

    5. Foreign and Haitian employees of SP initiated a cholera-prevention campaign that incorporated multiple strategies, including

    a. hiring a disc jockey to broadcast via megaphone a cholera-prevention message.

    b. creating a Web site for posting cholera-related information and precautions.

    c. planning a street festival at which to distribute information about cholera.

    d. setting up a booth for distributing cholera information at local sporting events.

    6. The cholera treatment units (CTUs) the authors helped establish

    a. remained open 24 hours a day.

    b. treated severely dehydrated patients.

    c. operated during daylight hours.

    d. typically delivered iv rehydration.

    7. To prevent the spread of cholera, CTU staff

    a. wore shoe covers.

    b. wore hair covers.

    c. adhered to airborne precautions.

    d. disinfected stretchers with alcohol.

    8. Creation of a cholera treatment center required input from several SP sectors, including

    a. power.

    b. utilities.

    c. construction.

    d. technology.

    9. Which sector managed the authors’ inventory and stocked supplies?

    a. health

    b. logistics

    c. materials

    d. security

    10. Which of these items were available locally for purchase?

    a. buckets

    b. gurneys

    c. antibiotics

    d. oral rehydration salts (ORS)

    11. The most essential element of effective treatment of cholera is

    a. correction of hypoglycemia.

    b. antibiotic therapy.

    c. sanitation.

    d. rehydration.

    12. Patients who were rehydrated orally were encouraged to eat which of the following foods when they were slowly reintroduced to food?

    a. apples

    b. brown rice

    c. bananas

    d. crackers

    13. Children who have cholera should receive a 10-day course of replacement of

    a. zinc.

    b. iron.

    c. calcium.

    d. potassium.

    14. The World Health Organization recommends treating cholera with antibiotics

    a. for patients with moderate disease.

    b. only for patients with severe disease.

    c. after patients are fully hydrated.

    d. via iv for patients who are vomiting.

    15. Once patients were able to retain ORS, they were to be observed for at least how many hours before discharge?

    a. 6

    b. 8

    c. 10

    d. 12

    16. To promote mentoring and capacity building, the expatriate nurses

    a. held in-service programs to teach Haitian health care staff how to assess and monitor patients with dehydration.

    b. increased their numbers steadily through international volunteer channels.

    c. took on the responsibility for initiating iv therapy and hanging new bags of fluid for all the patients.

    d. were each assigned two Haitian nurses to mentor in assessing patients with dehydration.

    17. All of these oral suspensions are first-choice antibiotics for children younger than 12 months except

    a. azithromycin.

    b. tetracycline.

    c. erythromycin.

    d. doxycycline.

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