NURS 230 EXAM 1 Questions/Answers
4. Identify patients at risk Correct Answer-The nurse is caring for a group of hospitalized patients. What should the nurse do first to prevent patient infections? 1. Provide small bedside bags to dispose of used tissues 2. Encourage staff to avoid coughing near patients 3. Administer antibiotics as ordered 4. Identify patients at risk
1. Fever Correct Answer-The nurse identifi es that a patient has an infl ammatory response. Which local patient adaptation supports this conclusion? 1. Fever 2. Erythema 3. Bradypnea 4. Tachycardi
3. Normal saline and apply a wet-to-damp dressing." Correct Answer-A patient has a wound that is healing by secondary intention. To best support healing of the wound, the nurse should expect the practitioner's order to state, "Clean wound with: 1. Betadine and apply a dry sterile dressing." 2. Normal saline and cover with a gauze dressing." 3. Normal saline and apply a wet-to-damp dressing." 4. Half peroxide and half normal saline and apply a wet to dry dressing." 3. Puncture of the foot by a nail Correct Answer-The nurse identifi es that the greatest risk for a wound infection exists for a patient with a: 1. Surgical creation of a colostomy 2. First-degree burn on the back 3. Puncture of the foot by a nail 4. Paper cut on the finger
1. Cells of the skin are constantly being replaced, thereby eliminating external pathogens Correct Answer-.The nurse understands that the skin protects the body from infections because the: 1. Cells of the skin are constantly being replaced, thereby eliminating external pathogens 2. Epithelial cells are loosely compacted on skin, providing a barrier against pathogens 3. Moisture on the skin surface prevents colonization of pathogens 4. Alkalinity of the skin limits the growth of pathogens
1. Stool for ova and parasites Correct Answer-The nurse must collect the
following specimens. Which specimen collection does not require the use of surgical aseptic technique? 1. Stool for ova and parasites 2. Specimen for a throat culture 3. Urine from a retention catheter 4. Exudate from a wound for culture and sensitivity 2. Contact Correct Answer-A patient is positive for Clostridium difficile.
The nurse should institute the isolation precaution known as:
1. Droplet 2. Contact 3. Reverse 4. Airborne
1. Hyperthermia Correct Answer-Which patient information collected by
the nurse reflects a systemic adaptation to a wound infection? 1. Hyperthermia 2. Exudate
3. Edema 4. Pain
1. Wash the hands before and after providing care to a patient Correct Answer-To interrupt the transmission link in the chain of infection, the nurse should: 1. Wash the hands before and after providing care to a patient 2. Position a commode next to a patient's bed 3. Provide education about a balanced diet 4. Change a dressing when it is soiled 3. Pneumonia Correct Answer-The nurse is providing for the nutrition needs of several patients. The nurse identifies the need for an increase in
caloric intake above average requirements for the patient who has: 1. Nausea 2. Dysphagia 3. Pneumonia 4. Depression
1. Cuts in the skin from a kitchen knife Correct Answer-The nurse is caring for patients with a variety of wounds. The nurse understands that healing by primary intention most likely occurs with: 1. Cuts in the skin from a kitchen knife 2. Excoriated perianal areas 3. Abrasions of the skin 4. Pressure ulcers
3. Harbor microorganisms Correct Answer-The primary reason why the nurse should avoid glued-on artificial nails is because they: 1. Interfere with dexterity of the fingers 2. Could fall off in a patient's bed 3. Harbor microorganisms 4. Can scratch a patient
3. Older adults Correct Answer-The nurse understands that subclinical infections most commonly occur in:
4. Identify patients at risk Correct Answer-The nurse is caring for a group of hospitalized patients. What should the nurse do first to prevent patient infections? 1. Provide small bedside bags to dispose of used tissues 2. Encourage staff to avoid coughing near patients 3. Administer antibiotics as ordered 4. Identify patients at risk
1. Fever Correct Answer-The nurse identifi es that a patient has an infl ammatory response. Which local patient adaptation supports this conclusion? 1. Fever 2. Erythema 3. Bradypnea 4. Tachycardi
3. Normal saline and apply a wet-to-damp dressing." Correct Answer-A patient has a wound that is healing by secondary intention. To best support healing of the wound, the nurse should expect the practitioner's order to state, "Clean wound with: 1. Betadine and apply a dry sterile dressing." 2. Normal saline and cover with a gauze dressing." 3. Normal saline and apply a wet-to-damp dressing." 4. Half peroxide and half normal saline and apply a wet to dry dressing." 3. Puncture of the foot by a nail Correct Answer-The nurse identifi es that the greatest risk for a wound infection exists for a patient with a: 1. Surgical creation of a colostomy 2. First-degree burn on the back 3. Puncture of the foot by a nail 4. Paper cut on the finger
1. Cells of the skin are constantly being replaced, thereby eliminating external pathogens Correct Answer-.The nurse understands that the skin protects the body from infections because the: 1. Cells of the skin are constantly being replaced, thereby eliminating external pathogens 2. Epithelial cells are loosely compacted on skin, providing a barrier against pathogens 3. Moisture on the skin surface prevents colonization of pathogens 4. Alkalinity of the skin limits the growth of pathogens
1. Stool for ova and parasites Correct Answer-The nurse must collect the
following specimens. Which specimen collection does not require the use of surgical aseptic technique? 1. Stool for ova and parasites 2. Specimen for a throat culture 3. Urine from a retention catheter 4. Exudate from a wound for culture and sensitivity 2. Contact Correct Answer-A patient is positive for Clostridium difficile.
The nurse should institute the isolation precaution known as:
1. Droplet 2. Contact 3. Reverse 4. Airborne
1. Hyperthermia Correct Answer-Which patient information collected by
the nurse reflects a systemic adaptation to a wound infection? 1. Hyperthermia 2. Exudate
3. Edema 4. Pain
1. Wash the hands before and after providing care to a patient Correct Answer-To interrupt the transmission link in the chain of infection, the nurse should: 1. Wash the hands before and after providing care to a patient 2. Position a commode next to a patient's bed 3. Provide education about a balanced diet 4. Change a dressing when it is soiled 3. Pneumonia Correct Answer-The nurse is providing for the nutrition needs of several patients. The nurse identifies the need for an increase in
caloric intake above average requirements for the patient who has: 1. Nausea 2. Dysphagia 3. Pneumonia 4. Depression
1. Cuts in the skin from a kitchen knife Correct Answer-The nurse is caring for patients with a variety of wounds. The nurse understands that healing by primary intention most likely occurs with: 1. Cuts in the skin from a kitchen knife 2. Excoriated perianal areas 3. Abrasions of the skin 4. Pressure ulcers
3. Harbor microorganisms Correct Answer-The primary reason why the nurse should avoid glued-on artificial nails is because they: 1. Interfere with dexterity of the fingers 2. Could fall off in a patient's bed 3. Harbor microorganisms 4. Can scratch a patient
3. Older adults Correct Answer-The nurse understands that subclinical infections most commonly occur in:
