Contact precautions are initiated for a client with a health-care associated (nosocomial)
infection caused by MRSA. The nurse prepares to provide colostomy care and should obtain
which protective items to perform this procedure? (Chapter 13)
a. gloves and gown
b. gloves and goggles
c. gloves, gown, and shoe protectors
d. gloves, gown, goggles, and a mask or face shield
d. gloves, gown, goggles, and a mask or face shield
Splashes of body secretions can occur when providing colostomy care. Goggles and a mask or
face shield are worn to protect the face and mucous membranes of the eyes during
interventions that may produce splashes of blood, body fluids, secreations, or excretions.
The nurse enters a client's room and finds that the wastebasket is on fire. The nurse
immediately assists the client out of the room. What is the next nursing action? (Chapter 13)
a. call for help
b. extinguish the fire
c. activate the fire alarm
d. confine the fire by closing the room door
c. activate the fire alarm
,RACE = rescue, alarm, confine, extinguish
A mother calls a neighbor who is a nurse and tells the nurse the her 3-year-old child has just
ingested liquid furniture polish. The nurse would direct the mother to take which immediate
action? (Chapter 13)
a. induce vomiting
b. call an ambulance
c. call the Poison Control Center
d. bring the child to the emergency department
c. call the Poison Control Center
Vomiting should not be induced if victim is unconscious or if substance ingested is a strong
corrosive or petroleum product.
Bringing to the ED or calling ambulance would not be initial action because this would delay
treatment.
If Poison Control Center advises mother to take child to ED, then ambulance should be called.
The ED nurse receives a telephone call and is informed that a tornado has hit a local residential
area and that numerous casualties have occurred. The victims will be brought to the ED. The
nurse should take which initial action? (Chapter 13)
a. prepare the triage rooms
b. activate the emergency response plan specific to the facility
c. obtain additional supplies from the central supply department
, d. obrain additional nursing staff to assist in treating the casualties
b. activate the emergency response plan specific to the facility
Once the emergency response plan is activated, the actions in the other options will occur.
The nurse is caring for a client with meningitis and implements which transmission-based
precautions for this client? (Chapter 13)
a. private room or cohort client
b. personal respiratory protection device
c. private room with negative airflow pressure
d. mask worn by staff when the client needs to leave their room
a. private room or cohort client
Meningitis is transmitted by droplet infection. Precautions for this disease include a private
room or cohort client and use of a standard precaution mask.
The nurse working in the ED is assessing a client who recently returned from Nigeria and
presented complaining of a fever at home, fatigue, muscle pain, and abdominal pain. Which
action should the nurse take next? (Chapter 13)
a. check the client's temperature
b. isolate the client in a private room
c. check a complete set of vital signs
d. contact the primary health care provider