ACCURATE ANSWERS
place a mask on the client to prevent contamination of the wound - Accurate answers When
entering a clients room to change a surgical dressing, the nurse sees the client is coughing. What should
the nurse do when preparing sterile field?
flap farthest from the body - Accurate answers Which flap to unfold first in a sterile bowl?
1. inner wrapping of an item on sterile field
2. irrigation syringe on field
3. one hand with the other hand - Accurate answers Which objects can the nurse touch while
wearing sterile gloves
1. wash hands with soap + water for at least 15 seconds
2. use paper towel to turn off hand faucets - Accurate answers Which instructions should the nurse
include when discussing hand washing?
1. nurse moistens cotton ball with saline and places it on sterile field.
2. procedure is delayed one hour
3. nurse turns to speak to someone who has entered behind her - Accurate answers Which events
in a chest tube insertion is considered contaminating sterile field?
1. planning and evaluating control and prevention strategies
2. determining public health priorities
3. ensuring proper medical treatment
4. monitoring for common source outbreaks - Accurate answers List rationale for reporting
communicable diseases.
herpes zoster - Accurate answers A client presents linear clusters of fluid containing vesicles with
some crustations. These indicate which condition?
illness - Accurate answers A nurse is caring for a client who reports sore throat, pain when
swallowing, and swollen lymph nodes. Which stage of infection is this?
Fever, malaise, increase in pulse + respirations - Accurate answers List manifestations of systemic
infection.
1. wear a mask when providing care within 3 ft
2. place surgical mask on client when transporting
3. wear a gown when performing care - Accurate answers What should be included in the plan of
care with a patient who has pertussis?
1. call light within reach
2. nonskid footwear
, 3. fall-risk assessment - Accurate answers A person fell in a nursing home but is oriented x 4.
Which actions should be taken to decrease risk of another fall?
Do not leave the patient and go to the nurses station. Instead use a call light. - Accurate answers A
patient is having a seizure. What not to do in that situation?
move clients who are nearby - Accurate answers There is smoke coming from under the door of a
staff lounge. What is the first priority?
complete a fall-risk assessment - Accurate answers A client has a history of falls. What is the nurses
first priority?
older adult who is post-op following a below knee amputation - Accurate answers To prevent falls,
which type of client should be assigned to the room nearest to the nurses station?
1. No nail polish around patient receiving O2
2. "No Smoking" should be placed on door
3. fire extinguisher should be available in the home - Accurate answers What info should be
included about home oxygen safety?
hypotension - Accurate answers A client who has had a heat stroke will display what?
once my infant starts to push up, i will remove the mobile from over the crib - Accurate answers
Which statement made by a parent indicates understanding of parenting class instructions?
carbon monoxide binds with hemoglobin in the body - Accurate answers What info should a nurse
include in carbon monoxide poisoning teaching?
1. immunocompromised are at risk for complications from food poisoning
2. high risk clients should eat/drink only pasteurized dairy products
3. handling raw and fresh food separately can prevent food poisoning - Accurate answers What
info should be included in food poisoning teaching?
semi-fowlers - Accurate answers Which bed position should a client be in if he is receiving enteral
tube feedings for dysphagia?
determine clients ability to help with transfer - Accurate answers A client is sitting in a chair and
asks to go back to bed. What action is priority of the nurse?
sit on the side of the bed and rest her arms over pillows on top of her bedside table - Accurate answers
A client with COPD should do what if she has difficulty breathing at night?
1. request assistance when repositioning a client
2. avoid twisting spine/bending at the waist
3. use smooth movements when lifting/moving - Accurate answers which instructions should a
nurse manager include when reviewing guidelines for preventing injury?
1. lower center of gravity to gain stability