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2. A school nurse is performing an assessment of a student who states: "I'm too tired to keep my
head up in class." The student has a low-grade fever. The nurse would interpret these findings as
indicating which stage of infection?
A) Incubation period
B) Prodromal stage
C) Full stage of illness
D) Convalescent period ✔Correct Answer-B) Prodromal stage
To eliminate needlesticks as potential hazards to nurses, the nurse should: ✔Correct Answer-
Immediately deposit uncapped needles into puncture-proof plastic container.
The nurse is donning a pair of sterile gloves. The nurse correctly dons the first glove, but
inadvertently inserts the thumb and index finger into the thumb hole of the second glove. The glove
remains intact. Which action is most appropriate? ✔Correct Answer-Continue to don the glove,
then use the other gloved hand to carefully insert the finger into the proper hole.
Nurses use medical asepsis, or clean technique, in practice to reduce the number and transfer of
pathogens. Which of the following are principles of this practice? Select all that apply. ✔Correct
Answer-Clean the least soiled areas first and then move to the more soiled ones.
Use personal grooming habits, such as shampooing hair often, to prevent spreading microorganisms.
Upon review of a client's microbiology culture results, the nurse recognizes which organism as
indicative of normal flora? ✔Correct Answer-Escherichia coli in the intestinal tract
The nurse is assessing a client admitted from a long-term facility. Which assessment finding could
indicate an increased risk for infection? (Select all that apply.) ✔Correct Answer-weakened cough
reflex
diminished pedal pulses
cool, pale skin
A nurse is taking stock of the equipment in the room of an older adult client with pneumonia who
has been on parenteral nutrition for a long time. Which equipment can transmit infection to older
adult clients? ✔Correct Answer-Indwelling catheter
The nurses on a busy surgical ward use hand hygiene when caring for postsurgical patients. Which
action represents the appropriate use of hand hygiene? ✔Correct Answer-The nurse keeps
fingernails less than ¼ inch long.
A nurse is following the principles of medical asepsis when performing patient care in a hospital
setting. Which nursing action performed by the nurse follows these recommended guidelines?
A) The nurse carries the patients' soiled bed linens close to the body to prevent spreading
microorganisms into the air.
B) The nurse places soiled bed linens and hospital gowns on the floor when making the bed.