FUNDS EAQ 2/1/21

Which strategy is most effective for preventing the transmission of infection?

Wearing gloves and hand hygine

Which interventins would the nurse manager include in a fall prevention program to decrease the number of falls on the unit? Select all that apply

- Apply fall wristband - Install bed safety alarms - Establish a toileting schedule

A hospitalized client experiences a fall after climbing over the bed's side rails. Upon reviewing the client's medical record, the nurse discovers that restraints had been prescribed but were not in place at the time of the fall. Which information would the nurse include in the follow-up incident report?

A listing of facts related to the incident as witnessed by the nurse

Which point requires correction regarding the use of restraints?

A written order for restraints is not required

Which action would the nurse take during a falls risk assessment after learning that the client experienced a recent fall?

Assessing the circumstances of the fall, including feelings and setting

The nurse is transfering a client from the bed to the chair. Which action would the nurse take first during the transfer?

Instruct the client to dangle the legs

The nurse is providing restraint education to a group of nursing students. Which reason to use restraints is incorrect to teach?

To prevent an adult client from getting up at night when there is insufficient staffing on the unit

A client has an open eduction and internal fixation of the hip. Before transferring the client to the chair, which would the nurse do?

Explain the transfer procedure step by step

Which action would the nurse teach an older adult to take to prevent frequent colds (viral rhinitis)?

Washing hands before putting them near the nose or mouth

The new nurse 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. Which answer by the nurse is correct?

"Wash your hands before and after any client care."

After presenting information about fall risk assessment to nursing staff, which reply needs review for correction regarding interventions that would be implemented?

"We will use the admission fall assessment for the entire stay."

Which situation is an accurate instance of false imprisonemnt?

Restraints are applied to a conscious client to feed him or her

The nurse is assisting a client to transfer from the bed to chair. Which would the nurse do to widen her or his base of support during the transfer?

Spread his or her feet away from each other

Which category of isolation would the nurse implement for a client who is positive for Clostridium difficle?

Contact precautions

While assessingh a client's range of motion, the nurse explains adduction to the nursing student. Which statement made by the nursing student indicates effective learning?

"I will ask the client to move his or her hand so that the ventral surface faces downward."

The nurse is reviwing the procedure for intervention if a fire occurs. Which interventions would the nurse include in the procedure if a fire occurs that relate to the acronym RACE? Select all that apply

- Activate the alarm - Remove all clients from the area - Confine the fire by closing doors and windows

Which nursing interventions enhance comfort in a dying client in the hospital? Select all that apply

- Frequently repositioning the clientg - Maintaning oral hygine in the client - Applying body lotion to the client's skin daily

Which risk factor increases a client's risk for infection in the community? Select all that apply

- Lifestyle - Occupation - Frequent traveling

Which risk factor(s) regarding fall prevention and safety for older adults would the nurse manager include in a presentation to a group of nurses? Select all that apply

- Medicarions - Visual changes - Orthostatic hypotension

Which assessment items need to be documented on a client in restraints? Select all that apply

- Pulse near the restrained area - Temperature of the restrained area - Skin integrity surrounding the restraint - Behavior leading to the need for restraint

After conducting a falls risk assessment education session for the staff and observing falls risk assessment on the unit, which staff action needs review for correction?

Delegating falls assessment to assistive personnel

The nurse is caring for a surgical client who develops a wound infection during hospitalization. Which classification would this infection belong to?

Nosocomial

A client with left-sided weakness is learning how to use a cane. The nurse would demonstarte proper use of the cane by holding it where?

On the right side

Which legal implication would the nurse understand about applying restraints to a client?

The nurse can be charged with assault and bettery for using restraints improperly