Fundamentals Exam 2 QUESTIONS WITH CORRECT ANSWERS RATED A+.pdf

Fundamentals Exam 2 QUESTIONS
WITH CORRECT ANSWERS RATED
A+
WhichRactionsRshouldRtheRnurseRtakeRtoRhelpRtheRclientRwithRbowelRandRbladderRdysfunctionRredu
ceRtheRriskRofRinfection?R

SelectRallRthatRapply.



A.RMonitorRintakeRandRoutput.

B.RUseRstandardRprecautionsRwhenRhandlingRlinenRafterRepisodesRofRincontinence.

C.RProvideRhygienicRcareRafterRepisodesRofRincontinence.

D.RLimitRfluidRintake.

E.RIsolateRtheRclientRusingRtransmission-basedRprecautions.R-RCORRECTRANSWERSA

B

C



MonitoringRintakeRandRoutputRisRimportantRbecauseRitRcanRhelpRrevealRwhetherRaRclientRisRexperie
ncingRdehydration.RDehydrationRmayRleadRtoRurinaryRstasis,RwhichRincreasesRtheRriskRofRinfection.
RSimilarly,RintakeRandRoutputRlevelsRcanRhelpRrevealRurinary


Rretention,RwhichRalsoRheightensRtheRriskRofRinfection.RProvidingRhygienicRcareRafterRepisodesRofRb


owelRorRbladderRincontinenceRwillRensureRthatRtheRskinRremains
Rintact,RreducingRtheRriskRofRinfection.RUsingRproperRbiohazardRprecautionsRafterRepisodesRofRinco


ntinenceRwillRalsoRreduceRtheRriskRofRtransmittingRanRinfection.RIn
Rcontrast,RlimitingRfluidRintakeRincreasesRinfectionRriskRbyRputtingRtheRclientRatRgreaterRriskRforRdeh


ydration.RIsolatingRtheRclientRusingRtransmission-
basedRprecautionsRisRnotRnecessaryRbecauseRtheseRprecautionsRareRmeantRtoRpreventRtheRspreadR
ofRinfectionRfromRtheRclientRtoRothers,RandRthisRclientRisRnotRcurrentlyRexperiencingRinfection.

,ARnurseRisRplanningRanRin-serviceRonRpreventingRinfectionRforRtheRstaffRnursesRonRa
Rhospital'sRmedical-


surgicalRunit.RWhichRofRtheRfollowingRshouldRbeRtheRpriorityRteachingRpointRforRthisRin-service?



A.RPerformingRhandRhygiene

B.RRaisingRtheRtemperatureRinReachRclient'sRroom

C.RWearingRaRmaskRforRclientRcare

D.RAssessingRvitalRsignsRonceRdailyR-RCORRECTRANSWERSA



HandRhygieneRisRalwaysRtheRfirstRandRbestRwayRtoRstopRtheRspreadRof
Rmicroorganisms,RwhichRcauseRinfections.RRaisingRtheRtemperatureRinRa


Rclient'sRroomRwouldRcontributeRtoRtheRgrowthRofRmicroorganisms.RAssessingRvitalRsignsRisRimport


antRbutRshouldRbeRdoneRmoreRfrequentlyRthanRonceRdaily.RWearingRaRmaskRforRallRclientsRisRnotRpra
cticalRandRisRunnecessaryRunlessRaRmicroorganismRisRairborneRandRtheRclientRisRinRisolation.



TheRnurseRisRassessingRaRclientRwhoRisRrecoveringRfollowingRsurgery.RWhichRfactorRwouldRincreaseR
thisRclient'sRsusceptibilityRtoRinfection?



A.RPresenceRofRanRincision

B.RIntactRmucousRmembranes

C.RActiveRbowelRsounds

D.RDryRskinR-RCORRECTRANSWERSA



ThisRclientRhasRaRsurgicalRincision,RsoRtheRbody'sRfirstRlineRofRdefense,Rthe
Rskin,RisRnotRintact.RActiveRbowelRsounds,Rdry


Rskin,RandRintactRmucousRmembranesRareRfactorsRthatRhelpRdefendRtheRbodyRagainstRinfection.

,TheRnurseRisRcaringRforRaRclientRwhoRisRbeingRdischargedRfollowingRabdominalRsurgeryRwithRanRinci
sion.RWhichRinstructionRisRmostRimportantRforRtheRnurseRtoRteachRthisRclientRregardingRwound
Rhealing?




A.R"AddRmoreRfruitsRandRvegetablesRtoRyourRdiet."

B.R"ThoroughlyRirrigateRtheRwoundRwithRhydrogenRperoxideRonceRaRday."

C.R"NotifyRtheRhealthcareRproviderRifRyouRnoticeRswelling,Rwarmth,RorRtendernessRatRtheRwound
Rsite."



D.R"ApplyRaRlubricatingRlotionRtoRtheRedgesRofRtheRwoundRtwiceRaRday."R-RCORRECTRANSWERSC



ARclientRbeingRdischargedRwithRaRsurgicalRwoundRhasRtoRbeRinstructedRonRtheRdetectionRof
Rinfection,RasRtheRskinRisRtheRfirstRlineRofRdefense.RSignsRsuchRas


Redema,Rheat,RandRtendernessRwouldRindicateRaRlocalRinfection.RIncreasingRfruitsRandRvegetablesR


wouldRincreaseRvitaminRC,RwhichRhelpsRwithRwound
Rhealing,RbutRmoreRproteinRwouldRbeRtheRbestRchoice.RIrrigatingRwithRhydrogenRperoxideRwouldRbr


eakRdownRgoodRgranulating
Rtissue,RsoRthisRalsoRwouldRnotRincreaseRhealing.RApplyingRlubricatingRlotionRtoRtheRedgesRofRaRwou


ndRwouldRimpedeRtheRhealingRprocess.



TheRnurseRisRcaringRforRaRclientRwhoRisRexhibitingRsignsRofRaRsystemicRinfectionRfollowingRsurgery.R
WhichRdiagnosticRtestsRwouldRtheRnurseRanticipateRbeingRordered?R

SelectRallRthatRapply.



A.RUrinalysis

B.RWhiteRbloodRcellRdifferential

C.RSerumRelectrolyteRlevels

D.RWhiteRbloodRcellRcount

E.RWoundRcultureR-RCORRECTRANSWERSA

B

, D

E



SerumRelectrolyteRlevelsRareRnotRusedRtoRdetermineRtheRpresenceRofRaRsystemicRinfection.RUrinaly
sisRisRusedRtoRassessRforRtheRpresenceRofRbacteriaRorRbloodRinRtheRurine.RAnRelevatedRWBCRand
R15%RbandsRareRindicativeRofRanRinfection.RWoundRculturesRareRusedRtoRidentifyRprobableRmicroor


ganisms.



TheRnurseRisRteachingRaRclassRonRinfectionRcontrol.RWhichRnursingRmeasureRisRmostRappropriateRinR
breakingRaRlinkRinRtheRchainRofRinfection?



A.RWearRsterileRglovesRforRclientRcare.

B.RPlaceRcontaminatedRlinensRinRaRpaperRbag.

C.RUseRpersonalRprotectiveRequipmentR(PPE).

D.RCoverRone'sRcoughRbyRplacingRtheRmouthRinRtheRhand.R-RCORRECTRANSWERSC



PPE,RaccordingRtoROccupationalRSafetyRandRHealthRAdministration
R(OSHA)Rstandards,RhasRtoRbeRusedRwheneverRtheRsituationRdictatesRandRisRaRnursingRmeasureRtoRb


reakRaRlinkRinRtheRchainRofRinfection.RPlacingRlinensRinRaRpaperRbagRwouldRallowRgermsRtoRcomeRout
RthroughRtheRbag,RandRtheRlinenRwouldRactRasRa


Rfomite,RthusRallowingRtheRchainRtoRcontinue.RCovering


Rone'sRmouthRwhenRcoughingRpreventsRairborneRdropletsRfromRescapingRintoRtheRairRforRothersRtoR


contractRinRtheRchainRofRinfection.RHowever,RtheRcoughRshouldRbeRcoveredRinRthe
Relbow,RnotRinRtheRhand.RNonsterileRglovesRhaveRtoRbeRwornRwhenRprovidingRcertainRaspectsRofRcli


entRcare.RTheRglovesRshouldRbeRchangedRbetweenRclients,RandRhandsRareRtoRbeRwashed.



TheRnurseRisRteachingRaRchildRcareRclassRforRmothersRofRyoungRchildren.RWhatRshouldRtheRnurseRte
achRasRbeingRtheRmostRcommonRmodeRofRtransmissionRofRinfectiousRdisease?



A.RChildrenRwhoRareRsittingRtogetherReatingRmeals