Client Needs- Infection Control and Safety
What should be used to clean needles and syringes between intravenous drug users (IDUs)? Correct 1 Bleach 2 Hot water 3 Ammonia Incorrect 4 Rubbing alcohol
Bleach
What is the most commonly reported sexually transmitted infection (STI)? 1 Syphilis Correct 2 Chlamydia 3 Gonorrhea 4 Herpes simplex
Chlamydia
child becomes cyanotic during a generalized tonic-clonic seizure. What is the most appropriate action by the nurse? 1 Inserting an oral airway Incorrect 2 Administering oxygen by mask Correct 3 Continuing to observe the seizure 4 Notifying the practitioner immediately
Continuing to observe the seizure
A child with a diagnosis of tuberculosis is admitted to the pediatric unit. Which location should the nurse select as the best placement for the child? 1 Private room 2 Isolation room 3 Four-bed room 4 Semiprivate room
Isolation room
An older client with diarrhea is admitted to the hospital from a nursing home. A stool specimen confirms a diagnosis of a methicillin-resistant Staphylococcus aureus (MRSA) infection. The daughter of the client asks why her mother has been placed in a room with another client who is on isolation. How should the nurse respond? 1 "The other person's infection is not contagious." 2 "This is the usual practice when antibiotic therapy is started." 3 "It is safe to place people with the same infection in one room." 4 "As soon as a private room becomes available we will move her.
It is safe to place people with the same infection in one room."
What criteria should the nurse consider when determining if an infection should be categorized as a health care-associated infection? 1 Originated primarily from an exogenous source Is associated with a drug-resistant microorganism Correct 3 Occurred in conjunction with treatment for an illness 4 Still has the infection despite completing the prescribed therapy
Occurred in conjunction with treatment for an illness
The emergency department nurses are caring for a group of clients injured in a community disaster. Which action of the nurse needs correction? 1 Triaging the victims Supervising volunteers 3 Providing on-site first aid Correct 4 Removing people from danger
Removing people from danger
Why is a Neisseria gonorrhoeae infection particularly troublesome for a female client? 1 The medication is expensive. 2 It is difficult to treat with antibiotics. 3 Symptoms are often overlooked. 4 Treatment has many adverse effects.
Symptoms are often overlooked.
Which is essential for ensuring disaster readiness in a community? Correct 1 Trauma system 2 State government 3 Federal government Incorrect 4 Emergency response system
Trauma system
A nurse is inserting a gastric tube and arranging for diagnostic studies for a client who sustained injuries after a bus accident. Which type of emergency assessment is being performed? 1 Disability 2 Breathing 3 Focused adjuncts 4 Giving comfort measures
focused adjuncts
A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor site on the scalp. Which complication should the nurse monitor this newborn for? 1 Injury 2 Infection 3 Feeding problems 4 Respiratory distress
infection
A school nurse is teaching a group of parents about pediculosis capitis (head lice). What common secondary infection does the nurse teach the parents to identify? 1 Eczema Correct 2 Impetigo 3 Cellulitis 4 Folliculitis
impetigo
The home healthcare nurse is evaluating the environments of several preschool-age pediatric clients. Which activities noted during the visits places a child at risk for bodily harm? Select all that apply. Correct 1 The client is swimming in the pool unsupervised. Correct 2 The parents leave medications within reach of the client. Correct 3 A parent tricks the client to eat a vitamin by saying, "This is candy." 4 A parent only allows the client to watch two hours of television each day. 5 The parents ask the client, "Has anyone touched you inappropriately at school?
Correct 1 The client is swimming in the pool unsupervised. Correct 2 The parents leave medications within reach of the client. Correct 3 A parent tricks the client to eat a vitamin by saying, "This is candy."
new mother asks the nurse administering erythromycin ophthalmic ointment to her newborn why her baby must be subjected to this procedure. What is the best response by the nurse? Incorrect 1 "It will keep your baby from going blind." 2 "This ointment will protect your baby from bright lights." 3 "There is a law that newborns must be given this medicine." Correct 4 "This antibiotic helps keep babies from contracting eye infections.
"This antibiotic helps keep babies from contracting eye infections. Erythromycin ophthalmic ointment is used to treat gonorrhea and Chlamydia infections, which may be transmitted during birth. It is administered prophylactically. Although it will prevent the newborn from becoming blind if the infant is born with these infections, there is not enough information in the answer to help the mother understand how the ointment prevents blindness. The antibiotic ointment is not administered to protect the newborn from bright lights. Newborns are in fact required by law to receive erythromycin ophthalmic ointment, but simply stating this does not explain why it is administered.
A newly hired nurse during orientation is approached by a surveyor from the department of health. The surveyor asks the nurse about the best way to prevent the spread of infection. What is the most appropriate nursing response? 1 "Let me get my preceptor." 2 "Wash your hands before and after any client care." 3 "Clean all instruments and work surfaces with an approved disinfectant." 4 "Ensure proper disposal of all items contaminated with blood or body fluids.
"Wash your hands before and after any client care."
Arrange the events of an examination of a rape victim for a sexually transmitted infection in correct order. Incorrect 1. Wet mount and culture or point-of-care testing of a vaginal swab specimen for trichomoniasis. Incorrect 2. Nucleic acid amplified testing for chlamydia and gonorrhea. Correct 3. Serum sample for HIV infection, hepatitis B, and syphilis. Correct 4. Repetition of serologic tests for syphilis and HIV infection
2, 1, 3, 4
Which toddler-age client has reached a height in which it is no longer safe to sleep in a crib? 1 26 inches 2 28 inches 3 33 inches 36 inches
36 inches or 3 feet no longer safe to sleep in crib
A group of clients is admitted with mass fatalities in the emergency unit. Which emergency medical service agency offers service for this condition? 1 Medical Reserve Corps (MRC) Incorrect 2 Hospital Incident Command System (HICS) 3 International Medical Surgical Response Teams (IMSRT) Correct 4 Disaster Mortuary Operational Response Teams (DMORT)
A group of clients is admitted with mass fatalities in the emergency unit. Which emergency medical service agency offers service for this condition? 1 Medical Reserve Corps (MRC) Incorrect 2 Hospital Incident Command System (HICS) 3 International Medical Surgical Response Teams (IMSRT) Correct 4 Disaster Mortuary Operational Response Teams (DMORT)
At the age of 3 weeks an infant undergoes surgery to repair a cleft lip. What should postoperative nursing care include? 1 Using a spoon to administer oral feedings Correct 2 Cleansing the suture line to prevent infection 3 Offering a pacifier for sucking to prevent crying 4 Using wrist restraints to keep the infant's hands away from the face
Cleansing the suture line to prevent infectionCleansing the suture line to prevent infection
A client is admitted to the emergency department after a train derailment. The primary health care provider orders staff members to monitor vital signs, perform basic wound care, and ensure spinal immobilization. Which emergency staff member should provide this care for the client's condition? 1 Paramedics 2 Prehospital care providers 3 Emergency medicine physician Correct 4 Emergency medical technicians
Emergency medical technicians Emergency medical technicians are the appropriate emergency staff members who would monitor vital signs, perform basic wound care, and ensure spinal immobilization, as these are basic life support (BLS) interventions. Paramedics are qualified to perform advanced life support (ALS) measures. Prehospital care providers are the first caregivers who help in transportation to the emergency department. Emergency medicine physicians receive specialized education and training in emergency client management
Which would the nurse describe as an example of an internal disaster? 1 Tornado 2 Hurricanes Fire or explosion 4 Terrorism attacks
Fire or explosion
Which method of delivering client care works well in disaster situations? Incorrect 1 Team nursing 2 Primary nursing Correct 3 Functional nursing 4 Total patient care nursing
Functional nursing The functional method of delivering care works well in emergency and disaster situations. Each care provider knows the expectations of the assigned role and completes the tasks quickly and efficiently. Team nursing, primary nursing, and total patient care nursing are not the ideal models for delivering client care during disaster situations.
After a mass causality scene, the nurse finds that a group of victims with minor injuries arrived to a hospital in a private vehicle. Which disaster triage tag does the nurse finds on victims? A Red B Black Correct C Green Yellow
GREEN The green-tagged victims have minor injuries, can move themselves to hospital from a mass causality scene in a private vehicle, and are also called "walking wounded" victims. Red- tagged victims can't ambulate themselves as they are severely injured. The black-tagged victims are dead or expected to die and require ambulances to transfer them. The yellow-tagged victims can have large wounds that require assistance to ambulate.
What is the priority in preparing health care professionals for any type of disaster? Correct 1 Identification of hazards 2 Cooperation with state authorities Incorrect 3 Collaboration with local authorities 4 Implementation of federal mandates
Identification of hazards
The nurse is caring for four clients admitted at the same time under mass casualty conditions. Based on this data, which client should be given the highest priority for treatment? Incorrect 1 A- massive head trauma B- open fracture w/ distal pulse C- shock D- strains and contussions
C- shock Client C reporting with shock is identified with a red tag, indicating an immediate threat to life. The client with massive head trauma is labeled with a black tag, which indicates the client is deceased or is expected to die, so treatment will not be provided in order to maximize resources to save the most clients possible. The client reporting with an open fracture with distal pulse is triaged as class 3 where the treatment is considered urgent but less so than for a red-tagged client. Strains and contusions are minor injuries and are considered nonurgent; client D should be triaged as class III.
Which statement by the nurse is true regarding the disaster triage tag system? 1 Class IV clients are issued a red tag. Class III clients are given a black tag. Correct 3 Class II clients are marked with a yellow tag. 4 Class I clients are identified with a green tag.
Class II clients are marked with a yellow tag. Class II clients who can wait for a short time for care are marked with a yellow tag. Class IV clients who are expected to die or are dead are issued a black tag. Class III clients who require nonurgent care or "walking wounded" are given a green tag. Class I clients who require emergency care are identified with a red tag.
The nurse is assessing four clients who were injured in a mass casualty event. Which client does the nurse plan to treat first according to the disaster triage tag system? Correct 1 Client belonging to class I 2 Client belonging to class II Incorrect 3 Client belonging to class III 4 Client belonging to class IV
Client belonging to class I Class I clients are emergent clients who are marked with red tag. These clients have an immediate threat to life and need attention first. Class II clients have major injuries and need treatment within 30 minutes to 2 hours. Class III clients have minor injuries and can be treated in a delayed manner. Class IV clients are those who are expected to die or are dead.
Which clients belong to class I according to the disaster triage tag system? A Clients who can wait a short time for treatment B Clients who are dead or expected to die Correct C Clients who need emergency treatment Incorrect D Clients who have no urgent need for treatment
Clients who need emergency treatment Emergent clients are identified with red tags and belong to class I according to the disaster triage tag system. Clients who can wait a short time for treatment are identified by yellow tags and belong to class II according to the disaster triage tag system. Clients who are expected to die or are dead are given a black tag and belong to class IV in the disaster triage tag system. Clients who have no urgency for treatment are issued green tags and belong to class III. Test-Taking Tip: Make certain that the answer you select is reasonable and obtainable under ordinary circumstances and that the action can be carried out in the given situation.
Which term describes the practice of placing clients with the same infection in a semi-private room? 1 Isolating Correct 2 Cohorting 3 Colonizing Cross-referencing
Cohorting Cohorting is the practice of grouping clients who are colonized or infected with the same pathogen. Isolating is limiting the exposure to individuals with an infection. Colonizing refers to the development of an infection in the body. Cross-referencing has nothing to do with an infectious process.
Which plant, if ingested by a toddler-age client, would necessitate further action by the nurse? 1 Lily 2 Rose 3 Coleus 4 Begonia
Correct 1 Lily
An older adult comes for an annual physical and tells the nurse, "I had three respiratory infections last year. How can I prevent this from happening again?" What is the nurse's best response? 1 "Stay away from preschool and school-aged children." 2 "Avoid putting your hands near your nose and mouth." 3 "Wear a sweater under your coat when going outside in cold weather." 4 "Take an aspirin when you think you may be coming down with a cold."
Correct 2 "Avoid putting your hands near your nose and mouth.
A nurse teaches the mother of a child with a pinworm infestation how pinworms are transmitted. Which statement indicates that the teaching has been effective? 1 "I need to make sure the cat stays off her bed at night." 2 "I'll have to reinforce her hand washing habits, especially before she handles food." 3 "I need to be sure to disinfect the toilet seat after she has a bowel movement for the next few days." 4 "I'll report to the school nurse that the school's dirty toilet seats caused my child to get pinworms."
Correct 2 "I'll have to reinforce her hand washing habits, especially before she handles food."
Which instruction should the nurse provide the client who is concerned about contracting amebic dysentery during foreign travel? 1 Apply insect repellent. 2 Drink only bottled water. 3 Avoid drinking pasteurized milk. 4 Obtain vaccine prior to foreign travel.
Correct 2 Drink only bottled water.
A client is admitted to the coronary care unit with atrial fibrillation and a rapid ventricular response. The nurse prepares for cardioversion. What nursing action is essential to prevent the potential danger of inducing ventricular fibrillation during cardioversion? 1 Energy level is set at its maximum level. 2 Synchronizer switch is in the "on" position. 3 Skin electrodes are applied after the T wave. 4 Alarm system of the cardiac monitor is functioning simultaneously
Correct 2 Synchronizer switch is in the "on" position
A circulating nurse in the operating room learns of being HIV positive. What should this nurse do regarding participation in exposure-prone procedures? Incorrect 1 Adhere to standard precautions at all times 2 Avoid handling equipment used in direct client care 3 Disinfect all equipment used for non-invasive procedures Correct 4 Discuss procedures that can be performed with a review panel
Correct 4 Discuss procedures that can be performed with a review panel Workers who are infected with HIV should seek advice from an expert review panel before performing exposure-prone procedures to determine under what circumstances they may continue to practice these procedures. All healthcare workers should adhere to standard precautions at all times and not just those who are HIV positive. Workers with exudative lesions or weeping dermatitis should not perform direct client care or handle client care equipment and devices used in invasive procedures. Workers must follow guidelines for disinfection and sterilization of reusable equipment utilized in invasive procedures.
Which emergency medical service agency offers service such as a first aid stations and special-need shelters during a disaster or pandemic disease outbreak? Correct 1 Medical Reserve Corps (MRC) 2 National Disaster Medical System (NDMS) 3 Disaster Medical Assistance Team (DMAT) Incorrect 4 Federal Emergency Management Agency (FEMA)
MRC Medical Reserve Corps (MRC) may help staff hospitals or community health settings that face shortages and provide first aid stations or special-need shelters. The National Disaster Medical System (NDMS) manages mass fatalities, emergency animal care, and establishes fully functional field surgical facilities. A Disaster Medical Assistance Team (DMAT) is a medical relief team deployed to a disaster area with enough medical equipment and supplies to sustain operations for 72 hours. The Federal Emergency Management Agency (FEMA) provides Community Emergency Response Team (CERT) training so that people are better prepared for disasters and hazard situations in their own communities. Test-Taking Tip: Choose the best answer for questions asking for a single answer. More than one answer may be correct, but one answer may contain more information or more important information than another answer.
What is the role of the plasma cell in the antigen-antibody response? 1 Makes an antigen harmless without destroying it Correct 2 Produces antibodies against the sensitizing antigen Incorrect 3 Produces antibodies after an exposure to a known antigen 4 Clumps antibody-antigens linkages together to form immune complexes
Produces antibodies against the sensitizing antigen Incorrect 3
An 11-year-old child with type 1 diabetes who also has a learning disability has difficulty measuring the required insulin dose. The child frequently draws up 42 units of insulin instead of the prescribed 24 units. What is the most appropriate intervention to ensure dosage safety? 1 Having the child write the number on paper before filling the syringe 2 Giving the child a tuberculin syringe, which has different units of measure 3 Teaching the child to use a magnifying glass to read the numbers on the syringe Correct 4 Providing the child with a preset syringe that was developed for the visually impaired
Providing the child with a preset syringe that was developed for the visually impaired
A postpartum nurse is reviewing principles related to automobile infant restraint systems with the parents of a newborn who is to be discharged in the morning. What information should be included in the teaching session? Select all that apply. Use a forward-facing infant car seat. 2 Secure the infant seat so that it faces the rear. 3 Position the seat between the driver's and passenger's seats in the front seat. 4 Follow the manufacturer's directions to secure the infant seat in the back seat. 5 Be sure to follow weight guidelines set forth in the manufacturer's instructions
Secure the infant seat so that it faces the rear. Follow the manufacturer's directions to secure the infant seat in the back seat. Be sure to follow weight guidelines set forth in the manufacturer's instructions
A nurse is caring for a client with pulmonary tuberculosis. What must the nurse determine before discontinuing airborne precautions? Client no longer is infected. 2 Tuberculin skin test is negative. Correct 3 Sputum is free of acid-fast bacteria. 4 Client's temperature has returned to normal.
Sputum is free of acid-fast bacteria.
Which stage of HIV would a client with a CD4+ T-cell count of 325 cells/mm3 be classified? 1 Stage 1 Correct 2 Stage 2 3 Stage 3 Incorrect 4 Stage 4
Stage 2 describes a client with a CD4+ T-cell count between 200 and 499 cells/mm3. Stage 1 describes a client with a CD4+ T-cell count of greater than 500 cells/mm3. Stage 3 describes a client with a CD4+ T-cell count of less than 200 cells/mm3. Stage 4 describes a client with a confirmed HIV infection but no information regarding CD4+ T-cell counts is available.
A parent and 3-month-old infant are visiting the well-baby clinic for a routine examination. What instruction should the nurse include in the accident-prevention teaching plan? Incorrect 1 Remove small objects from the floor. 2 Cover electric outlets with safety plugs. Correct 3 Test the temperature of water before bathing. 4 Remove toxic substances from accessible areas
Test the temperature of water before bathing
The nurse finds a green triage tag on a client. What does the nurse infer from this finding? A The client belongs to class I. B The client belongs to class II. Correct C The client belongs to class III. D The client belongs to class IV.
The client belongs to class III- can walk The green disaster triage tag is issued to nonurgent or "walking wounded" clients who belong to class III. A red disaster triage tag is issued to clients who require immediate treatment and belong to class I. Clients with yellow and black tags belong to class II and IV respectively.
What does the nurse understand to be the role of emergency medical technicians (EMTs) in emergency nursing after a disaster? Correct 1 To monitor vital signs 2 To provide intubation Incorrect 3 To establish intravenous (IV) access 4 To perform advanced airway management
To monitor vital signs EMTs offer basic life support interventions that include monitoring vital signs. Paramedics are advanced life support care providers that perform advanced techniques such as providing intubation, establishing IV access, and performing advanced airway management.
The nurse is examining four bomb blast victims in an emergency department. Which client should receive care first? Correct 1. Clients with red disaster triage tag Incorrect 2. Clients with yellow disaster triage tag Incorrect 3. Clients with green disaster triage tag Incorrect 4. Clients with black disaster triage tag
green tag
Which diseases are caused by viruses? Select all that apply. Correct 1 Mumps 2 Tetanus Correct 3 Measles Correct 4 Hepatitis B diphtheria
measles, hep b, and mumps
Which threats, included in the term "NBC", lead to the implementation of improved emergency medical services (EMS) and hospital safety programs? Select all that apply. Nuclear Biologic Botulism Chemical Nipha virus
nuclear biologic chemical
What is the most important intervention to prevent hospital-acquired catheter-associated urinary tract infections (CAUTIs)? Correct 1 Removing the catheter 2 Keeping the drainage bag off of the floor Incorrect 3 Washing hands before and after assessing the catheter 4 Cleansing the urinary meatus with soap and water daily
removing the catheter
While walking to the examination room with the nurse, a toddler with autism suddenly runs to the wall and starts banging the head on it. What should the nurse's initial action be? 1 Allowing the toddler to act out feelings Incorrect 2 Asking the toddler to stop this behavior Correct 3 Restraining the toddler to prevent head injury 4 Telling the toddler that the behavior is unacceptable
restraining to prevent toddler from injury
Which agent of terrorism can cause death within a few minutes? Correct A Sarin gas Incorrect B Uranium C Iodine-131 D Mustard gas
sarin gas Sarin gas is an agent for bioterrorism that can cause death within minutes of exposure by paralyzing respiratory muscles. Uranium and Iodine-131 can be dangerous in close proximities but are not as harmful as sarin gas. Mustard gas causes blisters on the skin but does not cause death within a few minutes.
Which conditions are given a green tag according to triage disaster tag system? Select all that apply. Strains Correct 2 Abrasions 3 Open fractures 4 Airway obstruction 5 High cervical spinal cord injury
strains abrasions
Which of these age groups has the highest incidence of lead poisoning? 1 Adult 2 Toddler 3 Adolescent 4 School-age child
toddler
What should the nurse encourage the parents of a child with plumbism (lead poisoning) to do? 1 Discourage the child's pica by providing nutritious snacks. 2 Move the family away from areas that are next to gas stations. Correct 3 Assess the family's home environment for lead sources and have them removed. 4 Have the child take repeat x-rays of the wrist and forearm for signs of a lead line.
Assess the family's home environment for lead sources and have them removed
Which noninvasive assessment and management skills certification would the nurse be required to use for airway maintenance and cardiopulmonary resuscitation (CPR)? Correct 1 Basic Life Support (BLS) 2 Certified Emergency Nurse (CEN) 3 Advanced Cardiac Life Support (ACLS) 4 Pediatric Advanced Life Support (PALS
BLS
Which pregnancy safety category shows a proven risk of fetal harm, but potential benefits of use during pregnancy may be acceptable despite its risks? 1 Category A Category C Category D 4 Category X
Category D
The nurse is caring for four clients in an emergency department. Which client should be given least priority by the primary healthcare provider based on his/her condition? 1 Client with cardiac arrest 2 Client with abdominal pain 3 Client with multiple trauma Correct 4 Client with closed extremity trauma
Client with closed extremity trauma
A nurse is preparing a 5-year-old girl who has undergone a myringotomy for discharge. What should the parents be taught about their child's care at home? 1 Insert earplugs whenever a bath is given. 2 Keep cotton in the ears until drainage subsides. 3 Keep the child out of kindergarten until the ears are healed. 4 Clean the child's ears with cotton-tipped swabs after each bath
Correct 1 Insert earplugs whenever a bath is given
n older adult with a diagnosis of delirium on the mental health unit begins acting out while in the dayroom. What is the initial nursing intervention? 1 Instructing the client to be quiet 2 Allowing the client to act out until fatigue sets in Guiding the client from the room by gently holding the client's arm Correct 4 Giving the client one simple direction at a time in a firm, low-pitched voice
Giving the client one simple direction at a time in a firm, low-pitched voice
What is a manifestation of tertiary syphilis? 1 Chancre 2 Alopecia Correct 3 Gummas 4 Condylomata lata
Gummas which are chronic, destructive lesions affecting the skin, bone, liver, and mucous membranes occur during tertiary syphilis. A chancre appears during primary syphilis. Alopecia and condylomata lata occur during secondary syphilis.
Which is the first antibody formed after exposure to an antigen? 1 IgA 2 IgE Incorrect 3 IgG Correct 4 IgM
IGM IgM (immunoglobulin M) is the first antibody formed by a newly sensitized B-lymphocyte plasma cell. IgA has very low circulating levels and is responsible for preventing infection in the upper and lower respiratory tracts, and the gastrointestinal and genitourinary tracts. IgE has variable concentrations in the blood and is associated with antibody-mediated hypersensitivity reactions. IgG is heavily expressed on second and subsequent exposures to antigens to provide sustained, long-term immunity against invading microorganisms.
A child undergoes tonsillectomy and adenoidectomy for numerous recurrent respiratory tract infections. After the surgery, what should the nurse teach the parents to do? 1 Offer ice chips on which to suck. 2 Encourage the intake of ice cream. 3 Keep the child in the supine position. 4 Gargle with a diluted mouthwash solution
Offer ice chips on which to suck Ice chips are soothing and promote vasoconstriction. Milk and milk products coat the mouth, causing the child to clear the throat, which may precipitate bleeding. The supine position promotes edema and does not allow oral secretions to drain from the mouth. The head of the bed should be elevated, and the child should be positioned on the side. Mouthwash solution is too caustic; a warm saltwater solution is preferred.
xygen therapy is prescribed for a client being cared for in the coronary care unit. The nurse implements safety precautions. Which information should the nurse consider when planning care for this client? 1 Oxygen is flammable. 2 Oxygen supports combustion. 3 Oxygen has unstable properties. 4 Oxygen converts to an alternate form of matter
Oxygen supports combustion
Which emergency medical system (EMS) first responders can perform triage during mass casualty incidents? Select all that apply. Correct 1 Paramedics 2 Unlicensed assistive personnel Correct 3 Nurses appointed to a field team A physician who survives the incident 5 Community response team members
Paramedics Nurses appointed to a field team
A burn client is receiving the open method for wound treatment. Which information will the nurse explain to the client? 1 Bathing will not be permitted. 2 Dressings will be changed daily. Correct 3 Personal protective equipment will be worn by staff. 4 Room temperature will be kept below 72° F (22.2° C).
Personal protective equipment will be worn by staff.
A nurse is teaching a parent how to prevent accidents while caring for a 6-month-old infant. What ability should be emphasized with regard to the infant's motor development? 1 Sits up 2 Rolls over 3 Crawls short distances 4 Stands while holding on to furniture
Rolls over Muscle coordination and perception are developed enough at 6 months for the infant to roll over. If unaware of this ability, the parent may leave the infant unattended for a moment to reach for something, making it possible for the infant to roll off an elevated surface. Sitting up unsupported is accomplished by most infants at 7 to 8 months. Crawling takes place around 9 months of age. Standing by holding on to furniture is accomplished by most infants between 8 and 10 months of age.
A client newly diagnosed with tuberculosis has a productive cough. Which is the most appropriate nursing intervention to teach the client? 1 Exercise daily 2 Use disposable tissues 3 Avoid foods high in sodium 4 Monitor blood pressure weekly
Use disposable tissues
