Patient Centered Care Exam 2 Questions and Answers With complete solution (Grade A)

Patient Centered Care Exam 2 Questions and Answers With complete solution (Grade A) When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. When preparing the sterile field, it is important that the nurse - Place a mask on the client to limit the spread of micro-organisms into the surgical wound. A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects may the nurse touch without breaching the sterile technique? (select all that apply) - c. The inner wrapping of an item on the sterile field d. An irrigation syringe on the sterile field e. One gloved hand with the other gloved hand A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? - d. The flap farthest from the body A nurse is reviewing hand hygiene techniques with a group of assistive personnel. Which of the following instructions should the nurse include when discussing handwashing? (select all that apply) - b. Wash the hands with soap and water for at least 15 seconds. d. Use a clean paper towel to turn off hand faucets. A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? (select all that apply) - b. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field c. The procedure is delayed 1 hour because the provider receives and emergency call d. The nurse turns to speak to someone who enters through the door behind the nurse. A nurse is caring for a client diagnosed with severe acute respiratory syndrome (SARS). The nurse is aware of that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (select all that apply) - a. Planning and evaluating control and prevention strategies. b. Determining public health priorities. c. Ensuring proper medical treatment. e. Monitoring for common-source outbreaks. A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnoses of pertussis. Which of the following should the nurse include in the plan of care. (select all that apply) - b. Wear a mask when providing care within 3ft of the client c. Place a surgical mask on the client if transportation to another department is unavoidable. A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crustings. Which of the following should the nurse suspect? - d. Herpes zoster A nurse is caring for a client who reports a sever sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection? - d. Illness A nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations of a localized versus a systematic infection. The nurse indicates understanding when she states that which of the following are clinical manifestations of a systematic infection? (select all that apply) - a. Fever b. Malaise e. Increase in pulse and respiratory rate A nurse in a provider's office is preparing to to assess a young adult male client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? (select all that apply) - a. A concave thoracic spine posterioly c. A concave lumbar spine posteriorly e. Muscles slightly larger on his dominant side A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she should ask the client to close his eyes and identify which of the following items? - d. A familiar object she places in his hand A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely to affect? - c. Fastening her bra behind her back A nurse is performing a neurosensory examination for a client. Which of the following tests should the nurse perform to test the clients balance? (select all that apply) - a. Romberg test b. Heel-to-toe walk A nurse is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated with aging? (select all that apply) - b. Some vision and hearing decline c. Slower fine finger movement d. Some short-term memory decline A nurse is caring for client whose partner passed away 4 months ago and who has been recently diagnosed with diabetes mellitus. He is tearful and states, "How could you possibly understand what I am going through?" Which of the following is an appropriate response? - b. You are right; I cannot really understand. Perhaps you would like to tell me more about what you are feeling." A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bipass graft. Just as the transport team arrives, the nurse takes the client's vital signs and notes an elevation in BP and HR. The nurse should recognize this response as which part of the general adaption syndrome (GAS)? - c. Alarm reaction