Hesi Module 6: Safety and Infection
Control Exam 94 Fully answered 100%
correct.
Hesi Module 6: Safety and Infection
Control Exam 94 Fully answered 100%
correct.
Which of the following events would require a nurse to complete and file an incident
report? - ANSWER-When a visitor suddenly becomes weak and dizzy, the nurse checks
the visitor's blood pressure and takes the visitor to the emergency department for
treatment.
A nurse, charting the administration of medications to an assigned client at 9 pm, notes
that atenolol (Tenormin) was prescribed to be administered at 9 am instead of 9 pm.
The nurse checks the client's vital signs, completes an incident report, and calls the
physician to report the error. The physician tells the nurse that an incident report is not
needed but instructs her to monitor the client during the night for hypotension. What
action should the nurse take? - ANSWER-Telling the health care provider that the error
warrants the completion of an incident report.
Contact precautions are initiated for a client with methicillin-resistant Staphylococcus
aureus (MRSA) infection. The nurse, providing instructions to a nursing assistant about
caring for the client, tells the assistant: - ANSWER-To wear gloves and a gown when
changing the client's bed linen.
The mother of a 3-year-old calls a neighbor who is a nurse and reports that her child
just drank some window cleaner that had been stored in a cabinet. The nurse should
instruct the mother to immediately: - ANSWER-Call a poison control center.
A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency
department of an area hospital is advised to prepare for causalities. Which action
should the nurse manager who receives the telephone call regarding this warning take
first? - ANSWER-Activating the agency disaster plan.
A home health nurse has instructed a client about safety measures during the use of an
oxygen concentrator in the home. Which statement by the client indicates to the nurse
that the client has understood the directions? - ANSWER--I need to follow the oxygen
prescription exactly."
-I have to keep the oxygen concentrator out of direct sunlight.
-I have to tell everyone that they can't smoke or have an open flame within 10 feet of the
oxygen concentrator
, Hesi Module 6: Safety and Infection
Control Exam 94 Fully answered 100%
correct.
A nurse is providing instructions to a nursing assistant who will be caring for a client in
hand restraints. The nurse instructs the nursing assistant to release the restraints to
permit muscle exercise: - ANSWER-Every 2 hours.
A community health nurse working in a school setting is concerned because parents are
not participating in health activities designed to promote child safety. In this situation,
the most appropriate initial action is: - ANSWER-Determining the appropriateness of the
planned health activity.
The nurse administers a dose of ramipril (Altace) 2.5 mg to a client at 9 am. While
documenting administration of the medication, the nurse discovers that 1.25 mg, not 2.5
mg, was the prescribed dose. The nurse assesses the client, completes an incident
report, and notifies the physician and nursing supervisor of the error. What statement
does the nurse add to the client's record? - ANSWER-Ramipril (Altace) 2.5 mg was
administered at 9 am.
A home health nurse has been called to the home of an older postoperative
cardiovascular client by the client's son. The son tells the nurse, "We're using a hospital
bed here at home, but my mother has fallen out of bed three times." Which observation
by the nurse reflects an increased risk of this client's falling out of bed? - ANSWER-The
caregiver leaves both side rails down while the client is in bed.
A community health nurse is providing information to local residents about the
transmission of anthrax. Through which body systems does the nurse tell the residents
that anthrax can be contracted? - ANSWER-Lungs
Skin
Gastrointestinal
A nurse is preparing a chemotherapy infusion to be administered to a client with a
diagnosis of Hodgkin's disease. Which of the following precautions should the nurse
take while working with this intravenous (IV) infusion? - ANSWER-Wearing gloves, a
mask, and eye protection.
A nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As
the nurse goes to attach the IV tubing port to the solution bag, the tubing drops, hitting
the top of the medication cart. Which action should the nurse take to maintain asepsis?
- ANSWER-Obtaining new IV tubing.
A home health nurse is visiting a client with tuberculosis (TB). Which action by the client
tells the nurse that the client understands the necessary respiratory precautions to be
taken at home? - ANSWER-Disposing of contaminated tissues in a container with a
leak-proof bag.
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