The nurse is repairing to preform a dressing change for a client who has an open surgical wound on the abdomen. What is the most appropriate action by the nurse on finding that the seal on the sterile 4X4 dressing package is broken? - correct answer Discard them...
The nurse is repairing to preform a dressing change for a client who has an open surgical wound on the
abdomen. What is the most appropriate action by the nurse on finding that the seal on the sterile 4X4
dressing package is broken? - correct answer Discard them and obtain a new
package
The client is infected with fungus in the tines captious. What observation would the nurse note related
to this diagnosis? - correct answer Lesions on the scalp
A client has been prescribed antibiotics for a bacterial infection. What information is important for the
nurse to tell the client? - correct answer Be sure to complete the entire course of
treatment, even if symptoms are better
A hospitalized client has been taking antibiotics for several days and develops C. diff. What symptom of
this infection should the nurse be prepare to provide care for? - correct answer
Diarrhea
A client is suspected of having a UTI. What specimen does the nurse obtain to determine what bacteria
is present as well as what antibiotic to use? - correct answer Urine for culture and
sensitivity
The nurse is preparing to irrigate a draining wound, and notes risk of splashing. What PPE should be
donned?
-gown
-mask
-particulate filter mask
-shoe protectors
-face Shiel/goggles - correct answer -gown
-mask
,-face shield/goggles
What observation made by the charge nurse requires that the LPN receive further education? - correct
answer The LPN recaps a needle after injecting a client
The nurse is providing care tp a client when the client's IV becomes dislodged and blood splatters in the
nurse's eye. After using the eyewash, what is the next appropriate action? - correct answer
Report the incident to the supervisor
What action by the CNA providing care to a client would require that the nurse intervene? - correct
answer The CNA tales soiled linens from the bed and lets them fall on the floor
The nurse is providing care to a group of clients. What priority action by the nurse will most help in
preventing the spread of infection among this client group? - correct answer wash
hands when entering and leaving client rooms
Which of these clients needs to be placed in protective isolation? - correct answer -
a client with severe burns that cover 50% of the body
-a client about to receive a bone marrow transplant
-a client receiving large doses of corticosteroids
A client is suspected to be infected with MRSA in a sacral wound. What precautions should the nurse be
sure are followed during care? - correct answer contact
The nurse is preparing to administer medication to a client who is in isolation. What is an appropriate
action for the nurse to take? - correct answer Unwrap all medications, and take
them to their unit dose package in the room
A client is placed on neutropenic precautions. What observation made by the nurse requires immediate
intervention? - correct answer A volunteer puts on a gown, shoe and hair covers
become bringing a vase of fresh flowers into the client's room
, Which patient requires a negative pressure room? - correct answer A client with
pulmonary tuberculosis
Given the tenets of Florence Nightingale's Natural Healing Theory, which nursing activity would be
priority? - correct answer Making sure that a patient would be served a balanced
diet
Which of the following contributed to the low status of nursing in England in the early 19th century? -
correct answer -often done by prostitutes
-often done by felons
-originally tied to the Catholic Church
Having to pay a nurse indicated lack of close family
Careful use of hand sanitizer may be substitute for hand washing in all of the following instances except
- correct answer -there os no visible soil one the hands
-when there has been skin contact with blood or body fluids
According to "Miasmal" theory of disease causation, infectious diseases were caused by what? - correct
answer bad air (bad smells)
A "portal of entry" for an infection could include any of the following except - correct answer
A bad dream
The nurse is preforming a dressing change on a client with a large abdominal wound and notes that the
wrapper of the pack of sterile 4X4 gauze appears to have gotten wet, although is dry now. What should
the nurse do? - correct answer discard the entire package
Which is the following behaviors contribute to the development of antibiotic resistance in bacteria? -
correct answer -using antibiotics for vital infections
-saving "leftover" antibiotics in case an infection occurs
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