safety and infection control

A client in early labor is connected to an external fetal monitor. The physician hasn't noted any restrictions on her chart. The client tells the nurse that she needs to go to the bathroom frequently and that her partner can help her. How should the nurse respond?

"Please press the call button. I'll disconnect you from the monitor so you can get out of bed."

Which is an example of naturally acquired active immunity? (Select all that apply.)

An individual who is exposed to pertussis for the first time and has no immunity to the disease. An individual who is exposed to chickenpox for the first time and has no immunity to the disease.

A client is admitted with bacterial meningitis. Which hospital room is the best choice for this client?

An isolation room three doors from the nurses' station

A graduate nurse is learning about medical management of clients that experience a reaction. What intervention should be included in the treatment of a client that is cyanotic and experiencing dyspnea? Select all that apply

Provide supplemental oxygen. Administer epinephrine intravenous infusion.

Which would be the priority diagnosis for the client in the manic phase of bipolar disorder who is exhibiting aggressive behavior?

Risk for other-directed violence

The nurse is considering the use of a power stand-assist machine with a client who has difficulty getting out of bed. The nurse will choose a different assistive device if which assessments are present? Select all that apply.

The client is oriented to self, but not time or place.The client makes no attempt to help with transfers.

A client learning to self-administer desmopressin subcutaneously should be taught to administer the injection at which site?

abdomen

When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

administering systemic antibiotics as ordered

A client is taking a vacation in a foreign country. The nurse teaches the client about giardiasis, a common traveler's infection. Which statement should be included in the teaching plan?

avoid eating and drinking things that could be contaminated

Acute pyelonephritis is a result of:

bacterial infection

A client has an abdominal wound that requires irrigation. Where should the nurse place the client's old dressing after removal?

biohazardous trash can

The primary source of microorganisms for catheter-related infections are the skin and the

catheter hub

The nurse is caring for assigned clients who are all stable. Which client should the nurse see first to minimize the spread of infection?

client who is 48 hours postsurgical procedure

A client asks the nurse if it is possible to contract influenza by being exposed to wound secretions. On what knowledge should the nurse base her response to the client?

influenza transmission occurs by inhalation of droplet nuclei

A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the nurse?

obtain medical order

Which occupational nursing action supports the primary goal of the Occupational Safety & Health Administration (OSHA)?

providing CPR certification to shift leaders

A nurse is caring for a 55-year-old postoperative client. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first?

urinary catheter