Elsevier P & R Final
The nurse is caring for a surgical client who develops a wound infection during hospitalization. Which classification would this infection belong to/
Nosocomial
Which statement made by the nurse will be most significant when teaching strategies to reduce the risk for developing antibiotic-resistant infections?
"Do not skip any prescribed doses of your antibiotics"
A client who is scheduled for a bowel resection is to receive antibiotics preoperatively. Which explanation would the nurse include when teaching the client about the purpose of the antibiotics?
"They are given to eliminate bacteria from the GI tract"
Tetanus immune globulin is prescribed for the client with a puncture wound. which information will the nurse include when teaching the client about this medication?
"it provides immediate, passive, short-term immunity"
When a client with a health care-acquired respiratory tract infection asks the nurse what this means, which response will the nurse give?
"your infection occurred because of exposure to a health care facility"
The nurse is teaching a client self-management care in preventing and spreading methicillin-resistant Staphylococcus aureus (MRSA). which statements made by the client indicate the need for further learning? (Select all that apply)
-"I can share athletic equipment" -"I can participate in contact sports" -"I should sit on upholstered furniture"
Which collaborative and nursing actions would help prevent venous thrombosis in a client during the perioperative period? (select all thatapply)
-Administer subcutaneous heparin injections -Assist the client to don antiembolism stockings -Apply pneumatic compression devices to the legs
Which leukocyte values determine the adequacy of a client's response to inflammation? (select all that apply)
-Monocytes -Neutrophils -Macrophages
Which therapeutic outcomes are expected after administering ibuprofen? (Select all that apply)
-Pain relief -Temperature reduction -Reduced inflammation
The registered nurse (RN) delegates the care of a client in the immediate postoperative period to the patient care associate (PCA). which tasks are in the scope of practice of the PCA? (select all that apply)
-feeding the client -assisting the client with bathing
Which type of immunity would a 4 year old child develop during the course of an infection with varicella?
Active natural immunity
Which action describes the process of artificial active immunity?
Antibodies are made after an antigen is injected into the body
which type of immunity will clients acquire through immunizations with live or killed vaccines?
Artificial active immunity
Nursing actions after a client has general anesthesia are directed at preventing which postoperative respiratory complication?
Atelectasis
Which would the nurse do when obtaining consent for surgery?
Determine whether the client's knowledge level is sufficient to give consent
Which laboratory test will be elevated in a client with inflammatory arthritis?
Erythrocyte sedimentation rate (ESR)
When getting a postoperative client out of bed, which action will the nurse take to avoid postural hpotension?
Have the client sit on the edge of the bed for a few minutes before standing up
A client is hospitalized for intravanous antibiotic therapy and an incision and drainage of an abscess that developed at the site of a puncture wound. when would the nurse begin to teach the client about how to care for the wound?
In the preoperative period
Which type if immunity is acquired through the transfer of colostrum from the mother to the child?
Naturel passive immunit
Which criteria would the nurse consider when determining if an infection is a health care-associated infection?
Occurred in conjunction with treatment for an illness
Which action by the client who requires an above the knee amputation for peripheral arterial disease best indicates emotional readiness for the surgery?
Participates in learning perioperative care
Which nonpharmacological nursing intervention is effective in helping relieve postoperative pain?
Repositioning
Which task is classified as low priority when planning client care for the day?
Teaching self-administration of insulin injections before discharge
A client is likely to undergo reconstructive surgery for which purpose?
To restore function and/or appearance
Which intervention is most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client?
removing the catheter within 24 hrs
As part of informed consent, a surgeon explains to the client scheduled for surgery the details of the surgery and the related care. The nurse leader witnesses the complete procedure. Which information would the nurse leader ensure was provided to the client? (select all that apply)
-Surgical procedure -Name of the surgeon -Explanation of the possible risks
