FUNDS PRACTICE EXAM
Findings that would lead the nurse to determine that a client is at an increased risk for infection
surgical incision, urinary catheter, antibiotic therapy, intravenous access.
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
When teaching a health promotion class at a retirement home, which information would the nurse include about ways to decrease infection in older adults
Obtain flu vaccines
Instructions that minimize the risk of falls in the home that the nurse would provide the caregiver of an older client that requires the use of a walker with wheels
remove cords, use bright lighting, get rid of throw rugs
Category of isolation for a client positive for Clostridium difficile
contact precautions
Requires correction regarding use of restraints
A written order for restraints is not required
What complication would the nurse monitor for in a client on strict bed rest for 3 days?
Atelectasis, hypotension, constipation, pressure injuries, urinary tract infections
Risk factors that increase a clients risk for infection in the community
Lifestyle, occupation, frequent traveling
The nurse changed a dressing on a client's wound with vancomycin-resistant enterococci (VRE). Which step would the nurse take to ensure proper disposal of the solid dressing?
Place the dressing in a red bad/hazardous materials bag
What would the nurse do to widen her or his base of support during a transfer from bed to chair.
Spread his or her feet away from each other
The nurse creates a plan of care for a client with a risk of infection. Which is the desirable expected outcome for the client?
The client will be free of signs of signs and symptoms of infection by discharge
After presenting information about falls 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
Interventions the nurse manager would include in a fall prevention program to decrease the number of falls on the unit
apply fall wristband, install bed safety alarms, establish a toileting schedule
Risk factors regarding fall prevention and safety for older adults would the nurse manager include in a presentation to a group of nurses
medications, visual changes, orthostatic hypotension
The RN is evaluating the statements of a new nurse about wound dressings. What would be an incorrect statement made by the nurse
"I should use the cotton swab placed on the table"
Which legal implication would the nurse understand about applying restraints to a client?
The nurse can be charge with assault and battery for using restraints improperly
Extrinsic factors responsible for falls in older adults
environmental hazards, inappropriate footwear, improper use of assistive devices
A client has an open reduction 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
nosocomial infection
hospital acquired infection
Assessment items that need to be documented on a client in restraints
pulse near the restrained area, temperature of the restrained area, skin integrity surrounding the restraint, behavior leading to the need for the restraint