Fundamentals of Nursing Midterm PPSH 100% questions and varified answers

Fundamentals of Nursing Midterm PPSH The client has a 6 inch laceration on his right forearm. The arm develops an infection. Which of the following is a sing of an acute inflammatory process? a. A blanching of the skin b. A decrease in temperature at the site c. A decrease in the number of white blood cells d. A release of histamine that adds to the pain response d. A release of histamine that adds to the pain response A female client has been undergoing diagnostic testing since admission to the medical unit in the hospital. The results of blood testing are sent back to the unit. Upon reviewing the results, the nurse will report which of the following findings to the physician, which is abnormal? a. Erythrocyte sedimentation rate (ESR) 35mm/hr b. White blood cell (WBC) count 8000/mm3 c. Neutrophils 65% d. Iron 75g/100mL a. Erythrocyte sedimentation rate (ESR) 35mm/hr The nurse is observing the new staff member work with the client. Of the following activities, which one has the greatest possibility of contributing to a nosocomial infection and requires correction? a. Washing hands before applying dressing b. Taping a plastic bag to the bed rail for tissue disposal c. Placing a Foley catheter bag on the bed when transferring a client d. Using alcohol to cleanse the sink before starting and intravenous line c. Placing a Foley catheter bag on the bed when transferring a client Droplet precautions will be instituted for the client admitted to the infectious disease unit with: a. Streptococcal pharyngitis b. Herpes simplex c. Pertussis d. Measles a. Streptococcal pharyngitis In a small rural hospital they work with a wide variety of clients. Of this afternoon clients admitted, the nurse acknowledges the client with the highest susceptibility to infection is the individual with: a. Burns b. Diabetes c. Pulmonary emphysema d. Peripheral vascular disease a. Burns A nurse must display understanding of the mental implications of a client on isolation precautions when planning care to control the risk of: a. Denial b. Aggression c. Regression d. Isolation d. Isolation Surgical aseptic techniques are employed by a nurse when: a. Inserting an intravenous catheter b. Placing soiled linen in a moisture-resistant bag c. Disposing of syringes in puncture-proof containers d. Washing hands before changing a dressing a. Inserting an intravenous catheter A nurse is changing the dressing and accidentally drops the packing onto the clients abdomen. The client has a large, deep abdominal incision that is packed with sterile half-inch packing and covered with a dry 4x4 gauze. The nurse should: a. Add alcohol to the packaging and insert it into the incision b. Throw the packaging away, and prepare a new one c. Picking up the packaging with sterile forceps, and gently place it into the incision d. Rinse the packaging with sterile water, and put the packaging into the incision with sterile gloves b. Throw the packaging away, and prepare a new one A client has a viral infection. Which of the following is typical of the illness stage of the course of her infection? a. There are no longer any acute symptoms b. An oral temperature reveals a febrile state c. The client was first exposed to the infection 2 days ago but has no symptoms d. The client feels sick but is able to continue her normal activities b. An oral temperature reveals a febrile state The nurse recognizes that special care must be taken in the handling of which of the following to prevent the transmission of hepatitis A? a. Blood b. Feces c. Saliva d. Vaginal secretions b. Feces The parent of a preschool child asks the nurse how chickenpox (varicella zoster) is transmitted. The nurse identifies that the virus is: a. Carried by a vector organism b. Carried through the air in droplets after sneezing or coughing c. Transmitted through person-to-person contact d. Acquired through contact with contaminated objects b. Carried through the air in droplets after sneezing or coughing While working with clients in the postoperative period, the nurse is very alert to the results of laboratory tests. Which one of the following results is indicative of an infectious process? a. Iron 80g/100mL b. Neutrophils 65% c. White blood cells (WBC) 18,000/mm3 d. Erythrocyte sedimentation rate (ESR) 15mm/hr c. White blood cells (WBC) 18,000/mm3 Which of the following is an example of a nursing intervention that is implemented to reduce a reservoir of infection for a client? a. Covering the mouth and nose when sneezing b. Wearing disposable gloves c. Isolating client articles d. Changing soiled dressings d. Changing soiled dressings In preventing and controlling the transmission of infections, the single most important technique is: a. Hand hygiene b. The use of disposable gloves c. The use of isolation precautions d. Sterilization of equipment a. Hand hygiene A client with active tuberculosis is admitted to the medical center. The nurse recognizes that admission of this client to the unit will require the implementation by the staff of: a. Airborne precautions b. Droplet precautions c. Contact precautions d. Reverse isolation a. Airborne precautions The nurse recognizes the appropriate procedures for sterile asepsis. Of the following, which action is consistent with sterile asepsis? a. Clean forceps may be used to move items on the sterile field b. Sterile fields may be prepared well in advance of the procedures c. The first small amount of sterile solution should be poured and discarded d. Wrapped sterile packages should be opened starting with the flap closest to the nurse c. The first small amount of sterile solution should be poured and discarded Older adult clients may react differently to infectious processes and a nurse suspects that her older adult client may be experiencing hypostatic pneumonia. The nurse must be alert to atypical signs and symptoms, such as: a. Hypotension b. Confusion c. Erythema d. Chills b. Confusion What is the correct order for a nursing assistant for putting on the protective equipment when caring for a client in isolation? a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply gloves b. Apply the mask and eyewear, put on the gown, wash her hands, and then apply gloves c. Wash her hands, put on the gown, apply the mask and eyewear, and then apply the gloves d. Put on the gown, apply the mask and eyewear, wash her hands, and then apply gloves a. Wash her hands, apply the mask and eyewear, put on the gown, and then apply gloves A client has requires a mid-abdominal surgical incision which necessitates a sterile dressing. An appropriate intervention for the nurse to implement in maintaining sterile asepsis is to: a. Put sterile gloves on before opening sterile packages b. Discard packages that may have been in contact with the area below waist level c. Place the cap of the sterile solution well within the sterile field d. Place sterile items on the very edge of the sterile drape b. Discard packages that may have been in contact with the area below waist level The nurse is preparing to assist with a sterile procedure in the surgical suite. An appropriate technique that the nurse includes in the surgical scrub is to: a. Keep the hands below the elbows throughout the scrub b. Use the brush on the palms and dorsal surfaces of the hands c. Maintain the scrub for at least 2 to 5 minutes d. wash well around all jewelry c. Maintain the scrub for at least 2 to 5 minutes An appropriate isolation procedure for the nurse to implement when working with a client who is found to have methicillin-resistant Staphylococcus aureus (MRSA) is to: a. Leave all linen in the client room b. Place the specimen containers in plastic bags for transport c. Wipe the stethoscope off before removing it form the room d. Remove the mask and goggles first when leaving the clients room b. Place the specimen containers in plastic bags for transport A client is found to have a bacterial infection of Escherichia coli. The nurse, recognizing the effects of this bacterium, anticipates that the client will demonstrate: a. Diarrhea b. Coughing c. Cold sores around the mouth d. Discharge from the eyes a. Diarrhea Which of the following clients is at greatest risk for acquiring an infection? a. A 56-year-old with a urinary catheter 2 days after prostatectomy b. A 27-year-old diagnosed with human immunodeficiency virus (HIV) c. A 43-year-old who is 3 days post appendectomy and is currently afebrile d. A 16-year-old with a compound fractured femur as a result of a bike accident d. A 16-year-old with a compound fractured femur as a result of a bike accident A nurse is caring for a client who has colonized methicillin-resistant Staphylococcus aureus (MRSA). Which of the following statements reflects the best understanding of the clients condition? a. This client has the bacteria present but it hasn't become infected. b. This makes the clients MRSA very infectious and so a danger to others. c. Just be sure to follow standard precautions and there wont be a problem. d. The client needs to be watched closely for a conversion to active MRSA. a. This client has the bacteria present but it hasn't become infected. The greatest drawback to the routine use of antibacterial hand soaps and gels is that they: a. Are expensiv