Nurs 221 Test 1: Study Questions with
answers
A patient complains of pain during a dressing change. What would be the most
effective intervention the nurse could initiate at the next dressing change in order
to reduce the patient's pain? - ANSWER>>Premedicate the patient with a
prescribed analgesic 30 minutes before the intervention.
Which action reduces the nurse's risk for infection when changing the dressing of
an infected abdominal wound? - ANSWER>>Use appropriate personal protective
equipment (PPE).
What is the nurse's best response when additional bloody drainage appears on
the initial abdominal dressing of a patient who had surgery 7 hours ago? -
ANSWER>>Further assess the patient and the wound.
When changing a patient's surgical dressing 24 hours postoperatively, when
would the nurse apply sterile gloves? - ANSWER>>After removing the original
dressing materials and performing hand hygiene a second time
Which action would minimize the risk for cross-contamination while cleansing an
infected abdominal surgical wound? - ANSWER>>Using a new gauze pad for each
stroke while cleansing the wound
Which personal protective equipment (PPE) will the nurse wear if there is a risk of
a blood splash when caring for a patient? - ANSWER>>Gown, gloves, mask, and
eye protection
What will the nurse do first when preparing to apply personal protective
equipment (PPE) before caring for a patient in isolation? - ANSWER>>Perform
hand hygiene
, The nurse is discussing the guidelines for proper use of PPE by nursing assistive
personnel (NAP). Which statement made by the NAP requires follow-up by the
nurse? - ANSWER>>"I really dislike wearing a mask, so it's the first thing I take
off."
When removing a gown worn as personal protective equipment (PPE) while
caring for a patient in isolation, why does the nurse avoid touching the outside of
the gown? - ANSWER>>To prevent touching contaminated material with
unprotected hands
When delegating patient care that requires nursing assistive personnel (NAP) to
use personal protective equipment (PPE), it is necessary for the nurse to do what
first? - ANSWER>>Review the patient's need for a specific isolation precaution
When irrigating a wound, how would the nurse know the right amount of
pressure to apply? - ANSWER>>Follow the general rule of keeping the pressure
between 4 and 15 psi.
Which action should the nurse avoid before irrigating a patient's foot wound? -
ANSWER>>Warm the irrigant to body temperature in the microwave.
Which device is used for wound irrigation? - ANSWER>>19-gauge needle attached
to a 35-mL syringe
Which imaging study or diagnostic test would the nurse review to determine if
the pressure ulcer on a patient's left heel is infected? - ANSWER>>Culture and
sensitivity test
A nurse is irrigating a patient's abdominal wound 2 days postoperatively. Which
finding would need to be reported to the health care provider? -
ANSWER>>Drainage that was not present previously
answers
A patient complains of pain during a dressing change. What would be the most
effective intervention the nurse could initiate at the next dressing change in order
to reduce the patient's pain? - ANSWER>>Premedicate the patient with a
prescribed analgesic 30 minutes before the intervention.
Which action reduces the nurse's risk for infection when changing the dressing of
an infected abdominal wound? - ANSWER>>Use appropriate personal protective
equipment (PPE).
What is the nurse's best response when additional bloody drainage appears on
the initial abdominal dressing of a patient who had surgery 7 hours ago? -
ANSWER>>Further assess the patient and the wound.
When changing a patient's surgical dressing 24 hours postoperatively, when
would the nurse apply sterile gloves? - ANSWER>>After removing the original
dressing materials and performing hand hygiene a second time
Which action would minimize the risk for cross-contamination while cleansing an
infected abdominal surgical wound? - ANSWER>>Using a new gauze pad for each
stroke while cleansing the wound
Which personal protective equipment (PPE) will the nurse wear if there is a risk of
a blood splash when caring for a patient? - ANSWER>>Gown, gloves, mask, and
eye protection
What will the nurse do first when preparing to apply personal protective
equipment (PPE) before caring for a patient in isolation? - ANSWER>>Perform
hand hygiene
, The nurse is discussing the guidelines for proper use of PPE by nursing assistive
personnel (NAP). Which statement made by the NAP requires follow-up by the
nurse? - ANSWER>>"I really dislike wearing a mask, so it's the first thing I take
off."
When removing a gown worn as personal protective equipment (PPE) while
caring for a patient in isolation, why does the nurse avoid touching the outside of
the gown? - ANSWER>>To prevent touching contaminated material with
unprotected hands
When delegating patient care that requires nursing assistive personnel (NAP) to
use personal protective equipment (PPE), it is necessary for the nurse to do what
first? - ANSWER>>Review the patient's need for a specific isolation precaution
When irrigating a wound, how would the nurse know the right amount of
pressure to apply? - ANSWER>>Follow the general rule of keeping the pressure
between 4 and 15 psi.
Which action should the nurse avoid before irrigating a patient's foot wound? -
ANSWER>>Warm the irrigant to body temperature in the microwave.
Which device is used for wound irrigation? - ANSWER>>19-gauge needle attached
to a 35-mL syringe
Which imaging study or diagnostic test would the nurse review to determine if
the pressure ulcer on a patient's left heel is infected? - ANSWER>>Culture and
sensitivity test
A nurse is irrigating a patient's abdominal wound 2 days postoperatively. Which
finding would need to be reported to the health care provider? -
ANSWER>>Drainage that was not present previously
