NUR 205

The nurse conducting an in-service on hand hygiene determines that additional education is needed when a participant states which of the following?

I do not need to wash my hands if I am using gloves

What are the stages on infection?

Incubation period Prodromal stage Illness stage Convalescence

The friend of a long-term care client comes to visit despite having an upper respiratory infection.What is the appropriate nursing response?

Please use a mask when visiting with the client to prevent infection

The nurse begins a task and then realizes that personal protective equipment (PPE) is needed.What is the correct action by the nurse?

Stop and obtain appropriate PPE

What is an accurate guideline for removing soiled gloves after client care?

after removing the glove on the non dominant hand, hold the removed glove in the remaining gloved hand

For which client would the use of standard precaution alone be appropriate?

an incontinent client in a nursing home who has diarrhea

Which piece of PPE should be removed first?

gloves

A nurse is performing a venipuncture on a client and notices that there is a hole in one of the sterile gloves. What would be the appropriate action to take to maintain a sterile field?

stop the procedure, remove damaged gloves, perform hand washing, and open new sterile gloves

What nursing action will the nurse perform to reflect safe injection practices?

using sterile, single use, disposable, syringes for each injection

A nurse is caring for a child who is hospitalized for diphtheria. Which guideline would be appropriate when caring for this client?

wear PPE when entering the room for all interaction that may involve contact with the client

Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora?

E coli in the intestinal tract

The nurse is completing a sterile dressing change on a confused client. During the procedure, the client reaches down and touches the contents of the open dressing kit. What is the nurse's next action?

Open a new sterile dressing

When assessing a client's central line, a drop of the client's blood falls on the nurse's gloved hand. Which of the following is the appropriate action by the nurse?

Perform hand hygiene after removing the gloves

The nurse is caring for a client with a latex sensitivity. Which of the following resources would be the most appropriate for the nurse to access when developing the client's plan of care?

Policy for clients with latex sensitivity

What is an accurate guideline for the use of PPE?

replace gloves if they are visibly soiled