2) Chapter 10-15: Safety and Infection Control -->
PRACTICE QUESTIONS With Complete Solutions
A charge nurse is assigning rooms for the clients to be admitted
to the unit. To prevent falls, which of the following clients
should the nurse assign to the room closest to the nurses' station?
A. A middle adult who is postoperative following a laparoscopic
cholecystectomy
B. A middle adult who requires telemetry for a possible
myocardial infarction
C. A young adult who is postoperative following an open
reduction internal fixation of the ankle
D. An older adult who is postoperative following a below-the-
knee amputation Correct Answers A. Although this client just
had surgery, the client's age and type of surgery puts him at low
risk for falls
B. Although this client requires telemetry, the client does not
have as many risk factors as another client the nurse will admit
C. Although this client just had surgery, the client's age and type
of surgery puts him at low risk for falls
D. CORRECT: the nurse should assign this client to a room near
the nurses' station due to risk factors that include client's age
plus the immobility and balance issues that result from this type
,of surgery. The client will also receive analgesics, which
increase the risk fro drowsiness, dizziness, and confusion
A home health nurse is discussing the dangers of carbon
monoxide poisoning with a client. Which of the following
information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds with hemoglobin in the body
Correct Answers A. The nurse should include that carbon
monoxide cannot be seen, smelled, or tasted
B. The nurse should tell the client to inspect gas-burning
furnaces, water heaters, and appliances annually
C. The nurse should inform the client that carbon monoxide
impairs the body's ability to use oxygen, but the lungs are not
damaged
D. CORRECT: The nurse should warn the client that carbon
monoxide is very dangerous because it binds with hemoglobin
and ultimately reduces the oxygen supplied to the tissues in the
body
,A home health nurse is discussing the dangers of food poisoning
with a client. Which of the following information should the
nurse include in her counseling? (Select all that apply)
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for
complications from food poisoning
C. Clients who are at high risk should eat or drink only
pasteurized dairy products
D. Healthy individuals usually recover from the illness in a few
weeks
E. Handling Raw and fresh food separately can prevent food
poisoning Correct Answers A. The nurse should include that
most food poisoning is caused by bacteria such as Escherichia
coli, Listeria monocytogenes, and Salmonella
B. CORRECT: The nurse should warn the client that very
young, very old, immunocompromised, and pregnant individuals
are at risk for complications from food poisoning
C. CORRECT: The nurse should include that clients who are at
high risk should follow a low-microbial diet, which includes
eating or drinking only pasteurized milk, yogurt, cheese, and
other dairy products
D. The nurse should inform the client that healthy individuals
usually recover from the illness in a few days
, E. CORRECT: The nurse should include interventions to
prevent food poisoning, such as performing proper hand
hygiene, cooking meat and fish to the correct temperature,
handling raw and fresh food separetely to avoid cross-
contamination, and refrigerating perishable items
A nurse educator is addressing the safe use of seclusion and
restraints with a group of newly licensed nurses. What
information should the nurse include?
Nursing Interventions:
Describe at least six nursing responsibilities when caring for a
client in either seclusion or restraints? Correct Answers
Nursing Interventions:
-Explain the need for the restraints to the client and family,
emphasizing that the restraints keep the client safe and are
temporary
-Ask the client or guardian to sign a consent form
-Review the manufacturer's instructions for correct application
-Assess skin integrity, and provide skin care according to the
facility's protocol, usually every 2 hr
-Offer food and fluid
-Provide a means for hygiene and elimination
-Monitor vital signs
PRACTICE QUESTIONS With Complete Solutions
A charge nurse is assigning rooms for the clients to be admitted
to the unit. To prevent falls, which of the following clients
should the nurse assign to the room closest to the nurses' station?
A. A middle adult who is postoperative following a laparoscopic
cholecystectomy
B. A middle adult who requires telemetry for a possible
myocardial infarction
C. A young adult who is postoperative following an open
reduction internal fixation of the ankle
D. An older adult who is postoperative following a below-the-
knee amputation Correct Answers A. Although this client just
had surgery, the client's age and type of surgery puts him at low
risk for falls
B. Although this client requires telemetry, the client does not
have as many risk factors as another client the nurse will admit
C. Although this client just had surgery, the client's age and type
of surgery puts him at low risk for falls
D. CORRECT: the nurse should assign this client to a room near
the nurses' station due to risk factors that include client's age
plus the immobility and balance issues that result from this type
,of surgery. The client will also receive analgesics, which
increase the risk fro drowsiness, dizziness, and confusion
A home health nurse is discussing the dangers of carbon
monoxide poisoning with a client. Which of the following
information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds with hemoglobin in the body
Correct Answers A. The nurse should include that carbon
monoxide cannot be seen, smelled, or tasted
B. The nurse should tell the client to inspect gas-burning
furnaces, water heaters, and appliances annually
C. The nurse should inform the client that carbon monoxide
impairs the body's ability to use oxygen, but the lungs are not
damaged
D. CORRECT: The nurse should warn the client that carbon
monoxide is very dangerous because it binds with hemoglobin
and ultimately reduces the oxygen supplied to the tissues in the
body
,A home health nurse is discussing the dangers of food poisoning
with a client. Which of the following information should the
nurse include in her counseling? (Select all that apply)
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for
complications from food poisoning
C. Clients who are at high risk should eat or drink only
pasteurized dairy products
D. Healthy individuals usually recover from the illness in a few
weeks
E. Handling Raw and fresh food separately can prevent food
poisoning Correct Answers A. The nurse should include that
most food poisoning is caused by bacteria such as Escherichia
coli, Listeria monocytogenes, and Salmonella
B. CORRECT: The nurse should warn the client that very
young, very old, immunocompromised, and pregnant individuals
are at risk for complications from food poisoning
C. CORRECT: The nurse should include that clients who are at
high risk should follow a low-microbial diet, which includes
eating or drinking only pasteurized milk, yogurt, cheese, and
other dairy products
D. The nurse should inform the client that healthy individuals
usually recover from the illness in a few days
, E. CORRECT: The nurse should include interventions to
prevent food poisoning, such as performing proper hand
hygiene, cooking meat and fish to the correct temperature,
handling raw and fresh food separetely to avoid cross-
contamination, and refrigerating perishable items
A nurse educator is addressing the safe use of seclusion and
restraints with a group of newly licensed nurses. What
information should the nurse include?
Nursing Interventions:
Describe at least six nursing responsibilities when caring for a
client in either seclusion or restraints? Correct Answers
Nursing Interventions:
-Explain the need for the restraints to the client and family,
emphasizing that the restraints keep the client safe and are
temporary
-Ask the client or guardian to sign a consent form
-Review the manufacturer's instructions for correct application
-Assess skin integrity, and provide skin care according to the
facility's protocol, usually every 2 hr
-Offer food and fluid
-Provide a means for hygiene and elimination
-Monitor vital signs
