NCLEX-INFECTION CONTROL

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The nurse is preparing an intravenous (IV) solution and tubing for a client who requires IV fluids. While preparing to prime the tubing, the tubing drops and hits the top of the medication cart. The nurse would plan to take which action?

ANS: Change the IV tubing.

The nurse would institute which interventions for a client diagnosed with Clostridium difficile? Select all that apply.

ANS: 1. Wear gloves and gown while in the room caring for the client. 2. Use soap and water, not alcohol-based hand rub, for hand hygiene.

The nurse reinforces instructions to the parent of a child with meningococcal meningitis. Which statement by the parent indicates a need for further teaching?

ANS: "I will need to get my other children the pneumococcal vaccine, but not the baby yet, he is only 3 months."

The nurse, employed in a long-term care facility, is planning the clinical assignments for the day. The nurse knows not to assign which staff member to the client with a diagnosis of herpes zoster?

ANS:

The nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions would the nurse use to perform this procedure? Select all that apply.

ANS: 1.Put on a mask. 2. Don gown and gloves. 3. Wear a pair of protective goggles.

A pregnant woman has a positive history of genital herpes, but she has not had lesions during her pregnancy. The nurse plans to provide which information to the client?

ANS: "You will be evaluated at the time of delivery for herpetic genital tract lesions. If they are present, a cesarean delivery will be needed."

A licensed practical nurse (LPN) attends a session about bioterrorism agents including anthrax. Which statement by an attendee demonstrates the need for further teaching about anthrax?

ANS: Anthrax bacteria produces a neurotoxin leading to a serious, possibly fatal paralysis.


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