CH 23

A hospital unit is participating in a bioterrorism drill. A "client" is admitted with inhalation anthrax. Under what type of precautions does the charge nurse admit the "client" A. Airborne Precautions B. Contact Precautions C. Droplet Precautions D. Standard Precaution

D

A client has a wound infection to the right arm. What comfort measure can the nurse delegate to the unlicensed assistive personnel (UAP) A. Elevate the arm above the level of the heart. B. Order a fan to help cool the client if feverish. C. Place cool, wet cloths on top of the wound. D. Take the client's temperature every 4 hours.

A

A client has been admitted to the hospital for a virulent infection and is started on antibiotics. The client has laboratory work pending to determine if the diagnosis is meningitis. After starting the antibiotics, what action by the nurse is best A. Assess the client frequently for worsening of his or her condition. B. Delegate comfort measures to unlicensed assistive personnel. C. Ensure the client is placed on Contact Precautions. D. Restrict visitors to the immediate family only.

A

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) infection cultured from the urine. What action by the nurse is most appropriate A. Prepare to administer vancomycin (Vancocin). B. Strictly limit visitors to immediate family only. C. Wash hands only after taking off gloves after care. D. Wear a respirator when handling urine output.

A

A student nurse asks the nursing instructor why older adults are more prone to infection than other adults. What reasons does the nursing instructor give (Select all that apply.) A. Age-related decrease in immune function B. Decreased cough and gag reflexes C. Diminished acidity of gastric secretions D. Increased lymphocytes and antibodies E. Thinning skin that is less protective

A B C E

The student nurse learns that effective antimicrobial therapy requires which factors to be present (Select all that apply.) A. Appropriate drug B. Proper route of administration C. Standardized peak levels D. Sufficient dose E. Sufficient length of treatment

A B D E

A client is being admitted with suspected tuberculosis (TB). What actions by the nurse are best (Select all that apply.) A. Admit the client to a negative-airflow room. B. Maintain a distance of 3 feet from the client at all times. C. Order specialized masks/respirators for caregiving. D. Other than wearing gloves, no special actions are needed. E. Wash hands with chlorhexidine after providing care.

A C

A client is admitted with fever, myalgia, and a papular rash on the face, palms, and soles of the feet. What action should the nurse take first A. Obtain cultures of the lesions. B. Place the client on Airborne Precautions. C. Prepare to administer antibiotics. D. Provide comfort measures for the rash

B

A client with an infection has a fever. What actions by the nurse help increase the client's comfort (Select all that apply.) A. Administer antipyretics around the clock. B. Change the client's gown and linens when damp. C. Offer cool fluids to the client frequently. D. Place ice bags in the armpits and groin. E. Provide a fan to help cool the client

B C

The student nurse caring for clients understands that which factors must be present to transmit infection (Select all that apply.) A. Colonization B. Host C. Mode of transmission D. Portal of entry E. Reservoir

B C D E

Which statements are true regarding Standard Precautions (Select all that apply.) A. Always wear a gown when performing hygiene on clients. B. Sneeze into your sleeve or into a tissue that you throw away. C. Remain 3 feet away from any client who has an infection. D. Use personal protective equipment as needed for client care. E. Wear gloves when touching client excretions or secretions

D E