NCLEX Safety and Infection Control All Answers Correct
10 views 0 purchase
Course
NCLEX Safety and Infection Control
Institution
NCLEX Safety And Infection Control
NCLEX Safety and Infection Control All Answers Correct
The nurse is preparing a client for surgery. Which methods are appropriate for the nurse to use in
removing excessive body hair?
Select all that apply.
1. Shaving the hair with a razor.
2. Removing the hair with clippers.
3. Latheri...
nclex safety and infection control all answers cor
Written for
NCLEX Safety and Infection Control
All documents for this subject (7)
Seller
Follow
CertifiedGrades
Reviews received
Content preview
NCLEX Safety and Infection Control All Answers Correct
The nurse is preparing a client for surgery. Which methods are appropriate for the nurse to use in
removing excessive body hair?
Select all that apply.
1. Shaving the hair with a razor.
2. Removing the hair with clippers.
3. Lathering the skin with soap and water prior to shaving with a razor.
4. Using a depilatory cream.
5. Always use a new, sharp razor. 2. Removing the hair with clippers.
4. Using a depilatory cream.
(2. & 4. Correct: Not removing the hair at all is preferred, but if this is not an option the use of
clippers or a depilatory cream may be used to prevent trauma to the skin before surgery.
1. Incorrect: Using a razor for hair removal is not recommended because it causes micro-abrasions of
the skin. Bacteria multiply in the micro-abrasions, increasing the risk of infection. This is not
appropriate for a client going to surgery.
3. Incorrect: Using a razor for hair removal is not recommended because it causes micro-abrasions of
the skin. Bacteria multiply in the micro-abrasions, increasing the risk of infection. This is not
appropriate for a client going to surgery.
5. Incorrect: Using a razor for hair removal is not recommended because it causes micro-abrasions of
the skin. Bacteria multiply in the micro-abrasions, increasing the risk of infection. This is not
appropriate for a client going to surgery.)
The nurse is planning to teach a group of assisted living residents about tuberculosis (TB) infection.
What should the nurse include?
,Select all that apply.
1. Cover mouth when coughing.
2. Proper handwashing.
3. Obtain a TB skin test.
4. Obtain a yearly chest x-ray.
5. Proper disposal of tissues. 1. Cover mouth when coughing.
2. Proper handwashing.
3. Obtain a TB skin test.
5. Proper disposal of tissues.
(1., 2., 3. & 5. Correct: In an effort to prevent transmission of TB to others, the nurse should carefully
instruct about the importance of hygiene measures, including mouth care, covering the mouth when
coughing and sneezing, proper disposal of tissues, and hand hygiene. A TB skin test is especially
important when living in tight quarters such as an assisted living center.
4. Incorrect: Chest x-rays are not needed yearly, especially without signs and symptoms of TB.)
Which client diagnosis would require the nurse to initiate droplet precaution?
(4. Correct: Droplet isolation precautions are used for diseases or germs that are spread in tiny
droplets caused by coughing and sneezing (examples: pneumonia, influenza, whooping cough,
bacterial meningitis). Healthcare workers should wear a surgical mask while in the room. Mask must
be discarded in trash after leaving the room. Clean hands (hand washing or use hand sanitizer) when
they enter the room and when they leave the room.
1. Incorrect: Contact isolation precautions are used for infections, diseases, or germs that are spread
by touching the client or items in the room {examples: MRSA, VRE, diarrheal illnesses, open wounds,
Respiratory syncytial virus (RSV)}. Healthcare workers should wear a gown and gloves while in the
client's room. Remove the gown and gloves before leaving the room. Clean hands (hand washing or
use hand sanitizer) when entering and leaving the room. Visitors must check with the nurse before
taking anything into or out of the room.
2. Incorrect: Airborne isolation precautions are used for diseases or very small germs that are spread
through the air from one person to another (examples: Tuberculosis (TB), measles, varicella).
Healthcare workers should ensure client is placed in an appropriate negative air pressure room (a
room where the air is gently sucked outside the building) with the door shut. Wear a fit-tested
NIOSH-approved N-95 or higher level respirator while in the room. Clean hands (hand washing or use
hand sanitizer) when they enter the room and when they leave the room. Ensure the client wears a
surgical mask when leaving the room. Instruct visitors to wear a mask while in the room.
3. Incorrect: Contact isolation precautions are used for infections, diseases, or germs that are spread
by touching the client or items in the room (examples: MRSA, VRE, diarrhea
A new mother calls the clinic and tells the nurse, "I don't have any help taking care of my 3 week old
baby. I don't know what to do. I just feel like I can't take care of him anymore. I wish I never had him
sometimes. Maybe then my husband would spend more time at home." What would be the nurse's
best response?
1. "You are experiencing maternity blues, which will go away on its own."
2. "You are just tired. Tell your husband that you need his help."
3. "Come to the clinic now so that we can help you."
, 4. "Have you thought about getting a family member to help with the baby?" 3. "Come to the
clinic now so that we can help you."
(3. Correct: This client is exhibiting signs of postpartum psychosis. Post partum psychosis is
characterized by depressed mood, agitation, indecision, lack of concentration, guilt, and an abnormal
attitude toward bodily functions. There is a lack of interest in or rejection of the baby, or a morbid
fear that the baby may be harmed. Risks of suicide and infanticide should not be overlooked.
1. Incorrect: Maternity blues includes tearfulness, despondency, anxiety and subjectivity with
impaired concentration.
2. Incorrect: This ignores a potentially life-threatening problem. The client is not just tired.
4. Incorrect: This ignores a potentially life-threatening problem. Assume the worse. Think about the
safety of mom and baby.)
The nurse is caring for a client with a perineal burn. The skin is not intact. What signs are suggestive
of infection?
Select all that apply.
1. Color Changes
2. Drainage
3. Odor
4. Fever
5. Bleeding
6. Increased Pain 1. Color Changes
2. Drainage
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller CertifiedGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
