HESI MODULE #6 SAFETY AND INFECTION CONTROL WITH 100% CORRECT ANSWERS
Which event would require a nurse to complete and file an incident report? a. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump is not working. b. a client has a seizure. c. 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. d. The nurse determines that a client would benefit from the use of a walker to ambulate. c A community health nurse working in a school setting is concerned because parents are not participating in health activities designed to promote child safety. What is the most appropriate initial action for the nurse to take? a. Implementing a child safety program b. Determining the appropriateness of the planned health activity c. Performing an analysis of health problems related to child safety d. Planning a focused child safety program b Brainpower Read More 0:03 / 0:15 A nurse is preparing a chemotherapy infusion to be administered to a client with a diagnosis of Hodgkin's disease. Which precaution should the nurse take while working with this intravenous (IV) infusion? a. Wearing gloves and a mask b. Wearing gloves and a gown c. Wearing gloves, a mask, and a head covering d. Wearing gloves, a mask, and eye protection d 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? a. Wearing an oxygen mask at all times b. Staying secluded in the bedroom c. Disposing of contaminated tissues in a container with a leak-proof bag d. Keeping the house closed up to minimize the spread of disease c A nurse provides instruction to a new nursing assistant regarding the application of a restraint to a client. The nurse watches as the nursing assistant applies the restraint. What observation tells the nurse that the nursing assistant is using correct procedure? a. The assistant secures the restraint in such a way that it is impossible to slip a finger between the restraint and the client's skin. b. The assistant applies a tie knot in the restraint strap. c. The assistant attaches the restraint straps securely to the side rails. d. The assistant applies the restraint so that the strap does not tighten when force is applied against it. d A nurse receives a telephone call from the admissions office and is told that a client scheduled for an internal radiation implant will be admitted to the nursing unit. Which of the following precautions does the nurse include in the client's plan of care? a. Wearing gloves when emptying the client's bedpan b. Placing used linen in double bags and sending a bag to the laundry room every evening c. Allowing the client to ambulate in the hall only once a day d. Placing the client in a semiprivate room at the end of a hallway a A home care nurse is instructing a client in the use of ice packs to treat an eye injury. What does the nurse instruct the client to do? a. Wrap a plastic bag filled with ice in a pillowcase and place it on the eye b. Avoid the use of commercially prepared ice bags c. Place the ice pack directly on the eye d. Keep the ice pack on the eye continuously for 24 hours a A nurse is assisting with disaster relief after a tornado. The nurse's goal with the overall community is to prevent as much injury and death resulting from the uncontrollable event as possible. Finding safe housing for survivors, providing support to families, organizing counseling sessions, and securing physical care when needed are all examples of which level of prevention? a. secondary b. primary c. initial d. tertiary d A staff nurse caring for a client with a head injury notes that the client is restless and pulling at the intravenous (IV) line. The client's primary health care provider does not want to prescribe sedation, and the family has requested that the client not be restrained. Which action by the nurse is best? a. Asking a family member to sit with the client b. Telling the family that the application of wrist restraints is critical in preventing injury to the client c. Asking a nursing assistant to monitor the client d. Staying with the client and consulting with the nurse manager about the situation d An industrial nurse at a large factory provides information to the employees in the mailroom and shipping department about the signs of skin (cutaneous) anthrax. For which early sign of cutaneous anthrax does the nurse tell the employees to check their skin? a. a weeping blister b. a black skin area of skin c. an itchy bump d. an open ulcer c An older client in a long-term care facility is at risk for injury because of confusion. Which of the following devices would be the best choice to help prevent injury while the client is in bed? a. mittens b. bed alarm c. wrist restraints d. belt b A nurse caring for a 9-month-old who has undergone repair of a cleft palate applies elbow restraints to the child. The mother visits her child and asks the nurse to remove the restraints. According to the guidelines for the use of restraints, what should the nurse do in response to the mother's request? a. Remove a restraint from one extremity b. Tell the mother that the restraints may not be removed c. remove both restraints d. Loosen the restraints after telling the mother that they may not be removed a A client with a new diagnosis of tuberculosis (TB) is being admitted to the hospital. During the collection of data from the client, which of the following considerations is most important? a. The name of the person from whom the client contracted TB, so that the person may be reported for follow-up care b. What medications have been prescribed and what the client knows about his or her side effects c. The religious affiliation or church of preference d. The names of close friends and family members d An adolescent client asks the nurse questions about the transmission of the Epstein-Barr virus (infectious mononucleosis). By which route should the nurse tell the client that the disease is transmitted? a. respiratory droplets b. close intimate contact c. airborne particles d. fecal-oral b A sedated client is being transported to the radiology department on a stretcher. Which type of restraint should the nurse suggest applying to help ensure the client's safety? a. wrist b. mitten c. elbow d. belt d A hospitalized client, experiencing confusion, is at risk of falling because she continually tries to climb out of bed. Which of these safety devices that the nurse might suggest is the least restrictive? a. ambularm b. elbow c. belt d. wrist a 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 understands the directions? Select all that apply. a. "I need to keep the oxygen concentrator as close to the wall as possible or put it in a corner." b. "I need to follow the oxygen prescription exactly." c. "I have to tell everyone that they can't smoke or have an open flame within 10 feet (3 meters) of the oxygen concentrator." d. "I can use my electric razor while I'm using oxygen." e. "I have to keep the oxygen concentrator out of direct sunlight." b, c, and e A physician writes a prescription for the application of a heating pad to a client's back. Which of the following actions should the nurse take when implementing this prescription? Select all that apply. a. Assessing the client's medical history and risk factors for burns b. Adjusting the heating pad to the high setting c. Assessing the heating pad periodically for proper electrical function d. Placing the heating pad under the client e. Frequently assessing the client's skin for signs of burns a, c, and e A nurse educator is providing in-service sessions to the nursing staff regarding employee safety and the prevention of occupationally acquired HIV infection. Which of the following precautions does the nurse instruct the nursing staff to take as a means of preventing accidental needle-sticks? Select all that apply a. the use of needleless devices b. disposal of needles in special puncture-resistant containers c. the use of latex gloves d. the use of shielded needles e. the use of recessed needles a, b, d, and e A nurse is preparing to clean up a blood spill on the client's bedside table that occurred when a blood tube containing a specimen from the client broke. What steps should the nurse take to clean up the blood spill? Select all that apply. a. using tongs to collect any broken glass b. placing the pieces of broken glass in a plastic bag c. disinfecting the area of the blood spill with a dilute bleach solution d. blotting up the spill with a face cloth or cloth towel e. wearing gloves for the cleanup procedure a, c, and e A nurse is assigned to care for a client with an infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator that requires frequent suctioning. While gathering the needed supplies before entering the client's room, which necessary protective items does the nurse obtain? Select all that apply a. gown b. face shield c. gloves d. mask e. shoe protectors a, b and c
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hesi module 6 safety and infection control
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