INFECTION CONTROL

c. wear a gown when in the client's room

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following precautions should the nurse implement? a. place the client in a semi-private room b. wear a mask when providing care c. wear a gown when in the client's room d. dispose of all bed linens used by the client

d. purulent exudate

A nurse is changing the dressings for a client who is 3 days postoperative following a cholecystectomy. The nurse observes yellow, thick drainage on the dressing. The nurse should document this finding as which of the following types of drainage? a. sanguineous exudate b. serous exudate c. serosanguineous exudate d. purulent exudate

d. infection acquired from a diagnostic procedure

A nurse manager is providing teaching to a group of newly licensed nurses about ways that clients acquire health care-associated infections (HAIs). Which of the following routes of infection should the manager identify as an iatrogenic HAI? a. infection acquired from improper hand hygiene b. infection acquired by drug resistance c. infection acquired by inappropriate waste disposal d. infection acquired from a diagnostic procedure

Surgical asepsis (sterile technique)

STERILE FEILD AND EQUIPMENT REQUIRED FOR

c. serosanguineous exudate

The nurse observes a pale yellow-to-blood-tinged drainage on the dressing. The nurse should document this finding as which of the following types of drainage? a. sanguineous exudate b. serous exudate c. serosanguineous exudate d. purulent exudate

b. serous exudate

The nurse observes a watery, clear-to-yellow drainage on the dressing. The nurse should document this finding as which of the following types of drainage? a. sanguineous exudate b. serous exudate c. serosanguineous exudate d. purulent exudate

a. sanguineous exudate

The nurse observes bright red drainage on the dressing. The nurse should document this finding as which of the following types of drainage? a. sanguineous exudate b. serous exudate c. serosanguineous exudate d. purulent exudate

Medical asepsis (clean technique)

BASIC HAND HYGIENE, CLEAN EQUIPMENT & CLEAN FIELDS

GLOVES, GOGGLES, GOWN, MASK

DOFFING PPE

GOWN, MASK, GOGGLES, GLOVES

DONNING PPE

d. obtain a new catheter and reattempt insertion

During the insertion of a urinary catheter for a client, the tip of the catheter brushes against the nurse's arm. Which of the following actions should the nurse take? a. wipe the catheter with povidone-iodine and continue the catheter insertion b. soak the catheter in chlorhexidine for 15 min and then reattempt insertion c. continue with the catheter insertion d. obtain a new catheter and reattempt insertion

a. airborne

A nurse is admitting a client who has measles. Which of the following types of transmission precautions should the nurse initiate? a. airborne b. droplet c. contact d. protective environment

a. wear gloves when changing the client's gown

A nurse is caring for a client who has a C.diff infection and is in contact isolation. Which the following actions should the nurse take? a. wear gloves when changing the client's gown b. use alcohol-based sanitizer to cleanse the hands c. wear a mask when assisting the client with his meal tray d. place the client on complete bed rest

d. halo of erythema on the surrounding skin

A nurse is changing the dressing for a client recovering from an appendectomy following a ruptured appendix. The client's surgical wound is healing by secondary intention. Which of the following observations should the nurse report to the provider? a. tenderness when touched b. pink, shiny tissue with a granular appearance c. serosanguineous drainage d. halo of erythema on the surrounding skin

b. cleanse the wound with 0.9% sodium chloride irrigation

A nurse is collecting a specimen for culture from a client's infected wound. Which of the following actions should the nurse perform? a. wear sterile gloves when collecting the specimen b. cleanse the wound with 0.9% sodium chloride irrigation c. allow the collection swab to absorb old exudate d. rotate the collection swab over the edges of the wound

a. vitamin C and zinc

A nurse is planning care for a client who has a wound infection following abdominal surgery. To promote healing and fight infection, which of the following vitamins and minerals should the nurse plan to increase in the client's diet? a. vitamin C and zinc b. vitamin D c. vitamin K and iron d. calcium

c. the AP hangs the collection bag at the level of the bladder

An assistive personnel (AP) is helping a nurse care for a female client who has an indwelling urinary catheter. Which of the following actions by the AP indicated a need for further teaching? a. the AP uses soap and water to clean the perineal area b. the AP tapes the catheter to the client's inner thigh c. the AP hands the collection bag at the level of the bladder d. the AP ensures there are no kinks in the drainage tubing