Control) Foundations of Nursing
Fundamentals Hallmark Final Exam
(Latest Update )
Questions with Verified Answers |
100% Correct | Grade A -
Nightingale
Quiz_________________?
A patient was diagnosed with a urinary tract infection. The patient has been drinking fruit juice and has
increased his intake of fluids but has failed to take his antibiotic as prescribed because it caused gastric
upset. Three days later, the patient presents to the clinic with fever, malaise, nausea, and vomiting. What
might you suspect? -
Answer☑
The patient may now have a systemic infection.
* The patient is displaying generalized symptoms that indicate a systemic infection. Symptoms of a
localized infection such as the urinary tract may include pain, burning from edematous membranes, and
frequency of urination. Because the patient failed to be treated as prescribed, you might suspect that the
patient's urinary tract infection has ascended to the kidney, producing more systemic symptoms of
infection. Gastrointestinal (GI) disturbance may be a side effect of the antibiotic. An allergic response
would be more likely suspected if the patient developed a rash, hives, urticaria, or difficulty breathing.
Quiz_________________?
The nurse is preparing to insert a urinary catheter. To perform this procedure, the nurse will use: -
Answer☑
Surgical asepsis (sterile technique).
1
, * Inserting a urinary catheter requires sterile technique (surgical asepsis) to prevent the introduction of
any microorganisms into the urinary bladder during the procedure. Medical asepsis (clean technique) is
used to reduce the number or transmission of microorganisms and includes hand hygiene, wearing clean
disposable gloves, etc. Droplet precautions are a type of standard precaution in which the
recommended barrier method includes the use of a mask. Standard precautions refer to wearing
personal protective equipment (PPE) when there is potential contact with blood or body fluids. It does
not specifically warrant sterile technique.
Quiz_________________?
The nurse is working in a busy emergency room. On entering station 1, the nurse dons a pair of clean
disposable gloves. The nurse sees that the patient has a gunshot wound to the chest and is concerned
there may be splattering of infectious materials. The nurse applies goggles, a mask, and a gown. What is
this called? -
Answer☑
Following standard precautions.
* The nurse is demonstrating the use of standard precautions. Standard precautions are used to protect
the nurse from potential contact with blood and body fluids. Because there is a risk of being splattered
with infectious materials, the nurse should use gloves, mask, eye protection, and a gown. Standard
precautions should become a routine part of her practice and thus be observed in every patient
encounter. Medical asepsis (or clean technique), includes procedures used to reduce the number of and
prevent the spread of microorganisms. Surgical asepsis (or sterile technique) includes procedures used
to eliminate all microorganisms from an area. Health care-acquired infections are those that develop as a
result of a stay or visit in a health care facility and that were absent at the time of admission.
Quiz_________________?
A nurse assists a patient with a Foley catheter to ambulate down the hall. The nurse holds the catheter
bag below the level of the patient s bladder. What link in the chain of infection is the nurse breaking by
doing so? -
Answer☑
Portal of entry.
* By not allowing the urine from the bedside drainage bag to reenter the bladder, the nurse is breaking
the chain of infection at the portal of entry. Emptying the bedside drainage bag may be an example of
controlling the reservoir. Host susceptibility has to do with issues such as age, nutritional status, medical
treatments, immunizations, and so on.
2