AND ANSWERS
In order to provide the best intervention for a patient, the nurse is often responsible for
obtaining a sample of exudate for culture. What information will this provide?
What cells are being utilized by the body to attack an infection.
Whether a patient has an infection.
What specific type of pathogen is causing an infection.
Where an infection is located. - ANS What specific type of pathogen is causing an infection.
The nurse is working on a plan of care with her patient which includes turning and positioning
and adequate nutrition to help the patient maintain intact skin integrity. She knows this will
help break the chain of infection by:
Eliminating a portal of entry
Increasing the patient's circulation
Increasing the patient's protein
Eliminating the mode of transmission - ANS Eliminating a portal of entry
The nurse assesses a patient's surgical wound on the first postoperative day and notes redness
and warmth around the incision. Which action by the nurse is appropriate?
Obtain wound cultures.
Notify the health care provider.
Document the assessment.
Start IV antibiotics. - ANS Document the assessment.
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,A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/µL and a band
count of 11%. What prescribed action should the nurse take first?
Obtain cultures of the wound.
Redress the wound with wet-to-dry dressings
Continue to monitor the wound for drainage.
Begin antibiotic administration. - ANS Obtain cultures of the wound.
Which statement made by a parent indicates an understanding about the management of a
child with cellulitis on the arm?
"I am supposed to continue the antibiotic until the redness and swelling disappear."
"I have been putting ice on my son's arm to relieve the swelling."
"I should call the doctor if the redness disappears."
"I have been putting a warm soak on my son's arm every 4 hours." - ANS "I have been
putting a warm soak on my son's arm every 4 hours."
The nurse is assigned to a client who has a draining sacral wound infected by MRSA. Which
personal protective equipment (PPE) is included for contact precautions?
1. Gloves2. Goggles3. Gown4. N95 respirator5. Surgical mask6. Shoe covers
1 and 3
1, 2, and 3
1, 2, and 6
3, 4, and 5
1, 2, 3, 4, 5, and 6 - ANS 1 and 3
You have a patient admitted with an MRSA infection that has improved and will be discharged
to home. What teaching items should you EXCLUDE for this patient?
Hand hygiene for people who live with the patient is not necessary.
If you are prescribed an antibiotic for a MRSA infection, complete the full course of antibiotics.
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,Avoid sharing personal items such as towels or razors.
For future care inform health care providers about MRSA status. - ANS Hand hygiene for
people who live with the patient is not necessary.
A client is being admitted to the hospital for treatment of acute cellulitis of the right hand.
During the admission assessment, the nurse expects to note which finding?
Silver, scaly patch to right hand
Xeroderma of the right hand
Erythema to the right hand with sharp borders
a white color to the hand that is insensitive to touch - ANS Erythema to the right hand with
sharp borders
nurse plans a community education program related to prevention of the cancer with the
highest death rates in both women and men. What should the nurse include in the teaching
plan?
Screening with colonoscopy
Smoking cessation
Screening with breast biopsy
Regular examination of reproductive organs - ANS Smoking cessation
The nurse is triaging a 55-year-old African-American male client with a past history of colon
polyps who complains of recent unexplained weight loss, abdominal pain, and change in bowel
habits. Which lab study will the nurse want to review based on these symptoms?
Hemoglobin
UA
BUN
Bilirubin - ANS Hemoglobin
The nurse is receiving a client who will be having chemotherapy and radiation for his tumor.
Which of these will the nurse need to implement for this client?
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, Offer foods high in sugar.
Limit time with patient by clustering care for 30 minutes only per shift.
Keep the head of the bed elevated.
Monitor and educate visitors to not visit while ill. - ANS Monitor and educate visitors to not
visit while ill.
The nurse is providing teaching to a client regarding the prevention of cancer. Which statement
by the client indicates teaching has been effective? Select all that apply.
I will stop smoking and vaping.
I will schedule regular appointments with my doctor.
I will exercise daily to help myself lose extra weight.
I will limit my alcohol to 3 drinks everyday. - ANS I will stop smoking and vaping.
I will schedule regular appointments with my doctor.
I will exercise daily to help myself lose extra weight.
The nursing student is talking with an client on the medical-surgical floor, who states "I have no
family history of cancer, how did this happen?" The nursing student understands that:
Family history is the biggest risk factor for cancer.
Cancer is most common in younger adults.
Cancer can affect all individuals, regardless of age, gender, race, or socioeconomic status.
Modifiable risk factors include age and family history. - ANS Cancer can affect all individuals,
regardless of age, gender, race, or socioeconomic status.
The community health nurse is creating a poster for an educational session for a group of
women and will be discussing the risk factors associated with breast cancer. Which risk factors
for breast cancer should the nurse list on the poster? Select all that apply.
Multiparity
Early menarche
Early menopause
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