SAFETY INFECTION CONTROL QUESTION AND ANSWERS ( LATEST UPDATE )

SAFETY INFECTION CONTROL QUESTION AND ANSWERS To prepare the community for the possible threat of anthrax, a nurse must teach that: A client with moderate Alzheimer's-related dementia is being prepared for discharge. What statement by the caregiver demonstrates that discharge teaching about client safety has been effective? While ambulating, a client who had an open cholecystectomy complains of feeling dizzy and then falls to the floor. After attending to the client, a nurse completes an incident report. Which action by the nurse should the charge nurse correct? A nurse is teaching a client with a long leg cast how to use crutches properly while descending a staircase. The nurse should tell the client to transfer body weight to the unaffected leg, and then: A client is in Buck's traction after fracturing his right hip. The nurse should include which action in the care plan? 2. Maintaining the bed in the knee-Gatch position 3. Keeping the client in semi-Fowler's position The nurse-manager of a 20-bed coronary care unit is off duty when a staff nurse makes a serious medication error. The client, who received an overdose of medication, nearly dies. Which statement accurately reflects the nurse-manager's accountability? A client with myasthenia gravis is receiving continuous mechanical ventilation. When the high-pressure alarm on the ventilator sounds, what should the nurse do? A nurse places a client in full leather restraints. How often must the nurse check the client's circulation? A nurse uses Nitrazine paper to determine whether a pregnant client's membranes have ruptured. If the membranes have ruptured, the paper will turn which color? A client in the manic phase of bipolar disorder arrives at the outpatient psychiatric clinic. To help the client manage a manic episode, the nurse should suggest that she: A nurse realizes she is 1 hour late in administering a dose of medication for a 4-year-old child. She gives the medication immediately, and assesses the child. The child isn't harmed by the delay. Which action should the nurse take next? A client who is disoriented and restless after sustaining a concussion during a car accident is admitted to the hospital. Which nursing diagnosis takes the highest priority in this client's care plan? A nurse prepares to measure a client's blood pressure. What is the correct procedure for measuring blood pressure? An assessment of a client's orientation is best obtained by: When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis? When caring for a client with severe impetigo, the nurse should include which intervention in the care plan? A physician orders meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size? A nurse is to collect a sputum specimen from a client. The best time to collect this specimen is: 4. before bedtime. An infant requires cardiorespiratory monitoring. A nurse must locate and clean the necessary equipment, move it into the infant's room, and secure it to the bedside wall- mounting device. Which principles should a nurse use to complete this task safely? performing a postoperative assessment on a client who has undergone surgery to manage increased intracranial pressure (ICP), a nurse notes an ICP reading of 0 mm Hg. Which action should the nurse perform first? A client received chemotherapy 24 hours ago. Which precautions are necessary when When caring for the client? An 11-year-old child contracted severe acute respiratory syndrome (SARS) when traveling abroad with her parents. The nurse knows she must put on personal protective equipment to protect herself while providing care. Based on the mode of SARS transmission, which personal protective equipment should the nurse wear? 4. Gown, gloves, mask, and eye goggles or eye shield A physician orders chest physiotherapy for a client with pulmonary congestion. When should the nurse plan to perform chest physiotherapy? A nurse is preparing to help a client with weakness in his right leg move from his bed to a chair. Where should the nurse place the chair? A client is in the bathroom when a nurse enters to give him a prescribed medication. What should the nurse do? During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement? A parent of a 9-year-old-child scheduled to have surgery expresses concern about the potential for postoperative infection. A nurse provides the parent with information about the measures taken to maintain surgical asepsis. Typical surgical asepsis involves: 2. preoperative cleansing of jewelry worn by the surgical team. 3. applying bandages to cover any wounds surgical team members have. 4. performing a preoperative surgical scrub for at least 3 to 5 minutes. An elderly client is diagnosed with pulmonary tuberculosis. Upset and tearful, he asks the nurse how long he must be separated from his family. Which nursing diagnosis is most appropriate for this client? A nurse preceptor is observing a new graduate during care of a client in contact isolation. Which action by the new graduate indicates a need for further teaching about handling infectious materials? A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. The nurse reports that according to documentation, no drainage has been recorded. When the nurse finishes on the telephone, she goes to assess the client. Which assessment finding explains the absence of drainage? A client with hyperthyroidism is about to receive radioactive iodine as an outpatient. What safety measures should the nurse teach the client to protect his family while he undergoes treatment? 2. How to isolate himself in one room of the house 3. Use of disposable eating utensils 4. Not worrying about precautions After having several Stokes-Adams attacks within 4 months, a client reluctantly agrees to implantation of a permanent pacemaker. Before discharge, the nurse reviews pacemaker care and safety guidelines with the client and his spouse. Which safety precaution is appropriate for a client who has a pacemaker? A client has a wound with a drain. When cleaning around the drain, the nurse should wipe in which direction? Nurses teach infant care and safety classes to assist parents in appropriately preparing to take their neonates home. Which statement about automobile restraints for infants is correct? A client with bipolar disorder has been taking lithium carbonate (Lithonate), as prescribed, for the past 3 years. Family members have brought this client to the hospital. The client hasn't slept, bathed, or changed clothes for 4 days; has lost 10 lb (4.5 kg) in the past month; and woke the entire family at 4 a.m. with plans to fly them to Hawaii for a vacation. Based on this information, the nurse understands that: 1. the family isn't supportive of the client. 2. the client has stopped taking his medication. 3. the client hasn't accepted his diagnosis of bipolar disorder. When preparing a client with acquired immunodeficiency syndrome (AIDS) for discharge to home, the nurse should be sure to include which instruction? As an adolescent is receiving care, he's inadvertently injured with a warm compress. The nurse completes an incident report, knowing the report's goal is to: Nurses were identified by the Centers for Disease Control and Prevention (CDC) as the people most likely to care for clients infected after the intentional release of the smallpox virus. Based on CDC guidelines, which group should volunteer to receive the smallpox vaccine? A nurse is teaching a client how to rotate insulin injection sites. What is the purpose of rotating injection sites? 2. To prevent medication leakage from tissue or muscle 3. To prevent erratic drug distribution 4. To prevent formation of hard nodules After administering an I.M. injection, a nurse should: A staff member says she's really busy and asks the charge nurse to double-check a dose of insulin she has drawn up. The nurse holds up a bottle of Lente insulin, but the charge nurse notices a bottle of Lantus insulin on the medication cart. This nurse has made multiple medication errors and the charge nurse is concerned that she isn't safe. What should the charge nurse do? A 22-month-old infant is to have moderate sedation for an outpatient procedure. The nurse knows that: A client tells the nurse that she thinks her amniotic membranes broke 2 hours ago. The nurse's priority is to: