Fundamentals Ch. 24 & 27
A client is diagnosed with hepatitis C. What statement made by the client indicates that further education is required regarding the transmission of the virus?
"I probably got the virus when I sat on the toilet seat in a dirty bathroom."
A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. What response by the family member indicates that the nurse's teaching was successful?
"I will obtain a mask from the staff and wash my hands before touching my family member."
The poison control nurse receives a call from the parent of a 2-year-old child. The parent states, "I just took a quick shower, and when I finished, I walked into the kitchen and found my child with an open bottle of household cleaner." What is the poison control nurse's appropriate response?
"Is your child breathing at this time?"
The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. The visitor states, "I need to directly hold my loved one's hand without a barrier." What essential information does the nurse need to explain to the visitor to prevent transmission of the organism?
"The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with."
he nurse is caring for a client who is to have a sterile dressing change to a wound. A student nurse enters the client's room and notices the nurse preparing the sterile field. After reviewing the image, which response by the student nurse to the nurse is the most accurate understanding of this procedure?
"The way you are doing it helps to minimize contamination of the non-waterproof side."
A child is playing soccer and is involved in a head-to-head collision with another player. Which assessment findings should the nurse be alert to that may indicate a concussion? Select all that apply.
- Drowsiness - Headache - Vomiting
Which client presents the most significant risk factors for the development of Clostridium difficileinfection?
An 81-year-old client who has been receiving multiple antibiotics for the treatment of sepsis
The nurse is caring for a client admitted with tuberculosis (TB). What would be the best action by the nurse?
Apply a nonparticulate (N-95) respirator when entering the room.
A client has frequent readmissions for fall-related injuries. Which is the most appropriate intervention by the nurse?
Arrange for a skilled home care assessment
The nurse overhears an older adult client's son talking to her in a very aggressive and violent way. When the nurse walks into the room, the son changes and speaks kindly to his mother and the health care providers. What should the nurse do about this observation?
Ask to examine the client alone in order to speak to her privately.
The nurse is caring for an older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first?
Assess the need for assistance with ambulation.
A confused client is pulling at the IV line. When considering alternatives to restraints, which nursing intervention would be used first?
Conceal IV tubing with gauze wrap
A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. Which action should the nurse perform?
Hold sterile objects above waist level to prevent accidental contamination.
A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. What is an accurate guideline for using this technique?
Hold sterile objects above waist level to prevent inadvertent contamination.
The nurse working with the hospital's infection control team is attempting to decrease the transmission of healthcare-associated pathogens. Which intervention will be most effective?
Incentivizing health care workers to utilize hand hygiene
The nurse will be entering the room of a client with pneumonia to provide personal care. What action should the nurse perform while applying personal protective equipment (PPE) for this situation?
Pneumonia requires droplet precautions, including a gown, mask, and gloves. Goggles and face shields are not normally required unless there is an acute threat of secretions' being expressed into the air.
An older adult client with an unsteady gait has been experiencing urinary urgency after being diagnosed with a urinary tract infection. What is the nurse's best action for reducing the client's risk of falls?
Provide a bedside commode and ensure adequate lighting.
The nurse is caring for a client who has been prescribed extremity restraints. Which action must be documented by the nurse?
The alternative measures attempted before applying the restraints
The acute care nurse is caring for a client who is at risk for falling. Which desired outcome is mostappropriate for this client?
The client will not experience a fall and remains free of injury.
In which order should the following steps for putting the first hand into a sterile glove be performed?
The expected outcome to achieve when putting on and removing sterile gloves is that the gloves are applied and removed without contamination. The nurse performs this procedure using the steps in the order listed.
A client who is enrolled in Medicare and who has been recovering in the hospital from a stroke has developed a pressure injury on the coccyx, an event that the Centers for Medicare & Medicaid Services (CMS) has identified as a "never event." The nurse should recognize what implication of this CMS designation?
The hospital must bear any costs incurred for treating the client's injury.
The nurse is caring for a client who is hospitalized and has an indwelling urethral catheter. Which finding would most likely indicate the client has developed an infection?
Urine culture is positive for vancomycin-resistant enterococci (VRE).
The nurse is reviewing the plan of care for assigned clients. Which client has the highest risk for developing an infection?
an older adult client with a history of heart failure
A 17-year-old is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to:
automobile accidents.
he nurse is initiating isolation precautions for a client who has chronic Clostridium difficileinfection. What should the nurse be sure to include with these precautions?
be sure that there are gloves of various sizes and gowns for use
The nurse is admitting a client who has a draining wound that is contaminated with Staphylococcus aureus. What type of precautions should the nurse initiate for this client?
contact precautions
During a course on terrorism, a group of emergency room nurses learns about terrorists who use bombs or other explosives to inflict injury on numerous people and cause multiple fatalities. This is an example of:
mass trauma terrorism.
A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. How will the nurse document this condition?
noncommunicable disease
A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What is the most important factor to prevent this infection?
surgical asepsis
The staff at a day-surgery clinic are meeting because there have been two significant medication errors committed over the past few weeks. To prevent future medication errors, what is the priority action for the nurse's to take?
take measures to ensure that nurses are not disturbed when obtaining and administering medications
A client has been discharged from the hospital after being treated for a myocardial infarction. The client has been asked to evaluate the care received by completing the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The results of this survey may affect:
the amount of money the hospital receives from the Centers for Medicare & Medicaid Services.
A nurse has sustained a puncture wound on the hand from a scalpel blade that was left on a used procedure tray. What is the first action by the nurse?
wash the area with soap and water
Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)?
wearing a particulate respirator for all client care and interaction
The patient has asked the nurse to explain her WBC level of 8,000 cells/mm3. The nurse would identify the level of WBCs as:
within normal limits
The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement requires immediate nursing intervention?
"Only certain members of the health care team can extinguish a fire."
Which are the names of the transmission-based precautions defined by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
- airborne precautions - droplet precautions - contact precautions
The nurse determines that which client is at greatest risk for a wound infection?
A two-day postoperative client
The nurse is preparing to help mobilize a client with an abdominal wound that is colonized by methicillin-resistant Staphylococcus aureus (MRSA). Which of the shown actions should the nurse perform before assisting the client?
Drug-resistant wounds normally require contact precautions. This necessitates the use of gloves and a gown but not a mask, goggles, or face shield.
The nurse is providing education to a group of healthy older adults. Which nursing recommendation best promotes client safety in an independent living environment?
Encourage exercise that improves balance and muscle strength
A health care provider orders extremity restraints for a confused client who is at risk for injury by pulling out her central venous catheter. What is the nurse's most appropriate action when carrying out this order?
Ensure that two fingers can be inserted between the restraint and the client's extremity.
Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora?
Escherichia coli in the intestinal tract
Unintentional injuries are a major cause of disability and death in the United States. For adults, where do unintentional injuries fall on the list of leading causes of death?
Fifth
Which mask should the nurse don when caring for a client with tuberculosis?
Filtered respirator
Which level of health care provider may make the decision to apply physical restraints to a client?
Nurse Practitioner
What is the most appropriate outcome for the client who has a nursing diagnosis of "Risk for Injury related to the use of assistive mobility devices in an unfamiliar environment?"
The client will demonstrate safety measures to prevent falls.
Surgical asepsis is defined as:
absence of all microorganisms.
For which client would the use of standard precautions alone be appropriate?
an incontinent client in a nursing home who has diarrhea
A client is admitted to the hospital with tuberculosis. Which statement by the nurse explains how to reduce the risk of transmission to others?
"All visitors who enter the room must wear special masks."
Which safety tip could the nurse give to parents to help decrease the risk of the leading cause of injury or death in children 1 to 4 years of age?
"Always provide close supervision for young children when they are in or around pools and bathtubs."
The poison control nurse receives a call from the caregiver of a young school-age child who may have ingested a poisonous substance. Which is the priority response by the nurse?
"Check breathing and heart rate."
The parent of a pediatric client tells the nurse, "I do not believe in vaccinations." What is the appropriate nursing response?
"Help me understand your perspective about vaccinating."
The nurse is conducting a community education program on bike helmet safety. The nurse determines additional information is needed when a participant states
"I should be able to fit two fingers between my chin and the chin strap."
The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement demonstrates that teaching has been effective?
"I will rescue clients from harm before doing anything else."
The client presents to the Emergency Department reporting fever, chills, and a productive cough. The chest x-ray shows an area of infiltrate, and the primary care provider prescribes a broad spectrum antibiotic. Which client teaching statement from the nurse is most appropriate regarding the prescribed drug?
"This antibiotic is the best choice since the causative organism is not known."
Which statement indicates that a family understands the teaching that has been provided by the nurse related to car seat safety for a 9-month-old infant?
"We place our baby in a rear-facing car seat in the back seat of the car."
Which statement indicates that a family understands the teaching that has been provided by the nurse related to car seat safety for their 3-year-old child who weighs 31 lb (14 kg)?
"We place our child in a front-facing car seat in the back seat of the car."
A pregnant woman with a history of genital herpes infection who is near term asks the nurse why she must have a cesarean section when she has not had an outbreak in a "long time". The nurse responds:
"You may have infection in your birth canal that you are unaware of."
Unbeknownst to him, a nursing student has inhaled droplets containing common cold viruses and is soon to develop a cold himself. Place the following stages of infection in the sequence in which they will occur.
- Incubation period - Prodromal stage - Full stage of illness - Convalescent period
The surgical nurse is preparing a client for surgery on the left leg. Which nursing action is appropriate? Select all that apply.
- Mark the appropriate lower extremity as the one intended for surgery. - Have the client mark the body part intended for surgery. - Go through a preprocedural verification protocol. - Call for a "time-out" immediately before surgery begins.
The nurse is caring for a client that is disoriented. The nurse places the client in soft wrist restraints to discourage pulling at a nasogastric tube. Which nursing action(s) is appropriate? Select all that apply.
- Obtain order from a licensed provider within minutes of restraint application. - Check circulation and skin condition every 2 hours. - `Offer regular, frequent opportunities for toileting.
A nurse is making a home visit for a client with several home safety concerns. On which safety concept(s) would the nurse advise the client? Select all that apply.
- Remove extension cords from open spaces. - Check the batteries in all smoke detectors. - Ensure appropriate lighting in hallways and entrances to the home. - Remove throw rugs from high traffic areas.
The community health nurse is talking with four clients. Who does the nurse identify that would most benefit from teaching about alcohol and drug use?
19-year-old male college student majoring in physics
Which client would the nurse consider the most infectious?
A client who is in the prodromal stage
The nurse is providing safety teaching to the family of an older adult client. Which finding in the client's home will the nurse teach the family to address?
A hair dryer is placed next to the sink.
After meeting with the family to give an update on the surgical client, the nurse shakes their hands before leaving. Which method of hand hygiene is most appropriate following this encounter?
Alcohol-based hand rub
A nurse has finished providing care for a client who is on contact precautions. When removing the protective gown, the nurse should take which action?
Avoid touching the outer surfaces of the gown.
A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning?
Avoid unattended baths for the toddler.
The nurse is teaching the parents of a teenager about safety. Which teaching will the nurse include?
Be alert for signs of peer pressure.
A nurse is educating parents of preschoolers on appropriate safety measures for this age group. What might be a focus of the education plan?
Childproofing the house
The nurse has completed an intervention with a client. There is no visible soiling on the nurse's hands. Which technique is recommended by infection control practice standards for hand hygiene?
Decontaminate hands using an alcohol-based hand rub.
When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. What action does the nurse take to ensure that the saline used is sterile?
Discard the bottle and get a new one because the saline has expired.
A client has presented to the emergency department after splashing a chemical in the eyes. When managing the injury, what should be included in the plan of care?
Flush the eyes with water for 10 minutes.
A nurse is caring for a client with ringworm. Which microorganism causes ringworm in a client?
Fungi
Which piece of personal protective equipment (PPE) should be removed first?
Gloves
The unlicensed assistive personnel (UAP) tells the nurse that a client is very confused and trying to get out of bed without assistance. What is the appropriate action by the nurse?
Initiate use of a bed alarm.
An order for a waist restraint has been obtained for a client who is a threat to her own safety. The nurse should perform which action?
Insert a fist between the restraint and the client to ensure that her breathing is not constricted.
A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which intervention should the nurse implement to ensure electrical safety?
Obtain a three-prong grounded plug adapter.
The nurse is providing discharge teaching to the family of an older adult client. Which teaching will the nurse include to decrease the risk for electric shock?
Refrain from using extension cords.
The nurse is caring for a client who has been placed in strict isolation. Which nursing action is appropriate?
Remove fresh fruit from the room.
What is an accurate guideline for the use of PPE?
Replace gloves if they are visibly soiled.
Which should be documented by the nurse?
The fact that sterile technique was used for a given procedure
The nurse is teaching a new nurse about preparing a sterile field. Which action made by the new nurse would indicate further teaching is required?
The new nurse touches 1.5 in. (4 cm) from the outer edges.
A nurse is filing a safety event report for an older adult client who tripped and fell when getting out of bed. Which action exemplifies an accurate step of this process?
The nurse details the client's response and the examination and treatment of the client after the incident.
A nurse is caring for a client who is diagnosed with tuberculosis. Which nursing intervention promotes infection control based on nursing practice standards for safety?
The nurse places the client in a private room with monitored negative air pressure.
A nurse is completing an intake assessment. The nurse notes that an older adult male client appears to have bruises in varying stages of healing. Which action by the nurse indicates an understanding of her responsibilities?
The nurse should question the client about the source of the bruises.
A nurse is preparing to file a safety event report after a client experienced a fall. Which statement is correct regarding the filing of a safety event report?
The nurse should record the incident in the client's medical record and fill out a safety event report separately.
The nurse is caring for a client who has an infection spread by respiratory droplets and is under droplet precautions. Which precautions should the nurse take?
Use a mask when within 3 ft (1 m) of the client
The nurse is preparing to insert an intravenous catheter into a client. Which infection control procedure will the nurse use to ensure safe client care?
Use a sterile intravenous catheter.
The school nurse is educating 7th grade children about safety. Which recommendation is mostappropriate for this age group?
Use protective sporting equipment.
The nurse conducting a hand hygiene in-service determines that the participants need additional education when they state that the use of an alcohol-based hand rub is appropriate in which situation?
When hands are visibly soiled
In which situation is an alcohol-based rub not the appropriate option for hand hygiene?
When the nurse's hands are visibly soiled
A program has been introduced at a hospital with the goal of improving client safety. The nurses participating in the program should recognize what event as posing the most significant threat to a client's safety?
administering medications to the client
The nurse is caring for a client with a surgical wound. Which action by the nurse best reduces the reservoir of infection?
changing the soiled dressing
A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to:
experimentation with drugs and inhalants.
A client went missing from a long-term care facility and an emergency code was called. After a search of 1 hour, the client was discovered in a utility room that should have been inaccessible. When responding to this event, staff should:
fill out an incident report, with the goal of preventing a similar event in the future.
Which nursing action is a component of medical asepsis?
handwashing after removing gloves
The nurse is caring for a client who developed pneumonia while hospitalized. How will the nurse document this condition?
health care-associated infection (HCAI)
A near miss has taken place on a medical unit in which a client nearly received a unit of packed red blood cells of an incompatible blood type. In the follow up to this event, which action should be prioritized?
identifying systemic factors on the unit that may have contributed to the event
To eliminate needlesticks as potential hazards to nurses, the nurse should:
immediately deposit uncapped needles into a puncture-proof plastic container.
A nurse is taking stock of the equipment in the room of an older adult client with pneumonia who has been on parenteral nutrition for a long time. Which equipment can transmit infection to older adult clients?
indwelling catheter
The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Which room assignment will the nurse make?
into a private room
The nurse who is caring for a client in contact isolation is preparing to conduct an assessment. Which stethoscope will the nurse choose to auscultate the client's bowel sounds?
one that remains in the client's room
A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). This nurse has another client that day who has an upper respiratory infection. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection?
perform hand hygiene before and after entering the client's room
Which action by the unlicensed assistive personnel (UAP) requires intervention from the nurse when providing care to an older adult client who is at risk for falls?
provides slippers for ambulation
The nurse manager is developing a plan to decrease the transmission of health care associated infections. What would be the best to implement?
staff education on utilizing hand hygiene
The nurse who is caring for a client in contact isolation is preparing to conduct an assessment. How will the nurse listen to the client's heart?
stethoscope that remains in the client's room
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
The health department is reviewing community health initiatives for the year. During the summer, the health department focuses infection control activities on which program?
using pesticides for mosquitoes
Several family members are visiting a client with an antibiotic-resistant infection who has been placed on contact precautions. When the nurse teaches the visitors about wearing gloves and gowns, a family member states, "I don't want to wear those. I can't catch anything just by holding my loved one's hand." What is the best response to educate the family about infection transmission?
"These barriers help prevent the transmission of infection to you or other people."
The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which competencies are included in this initiative? Select all that apply.
- Client-centered care - Teamwork and collaboration - Quality improvement (QI)
The nurse is preparing to perform handwashing. Place the following steps in the correct order. Use all options.
- Turn on the faucet and adjust force and temperature of the water. - Wet the hand and wrists. - Apply soap. - Wash the palms and backs of the hands for at least 20 seconds. - Pat the hands dry with a paper towel. - Turn the faucet off with a paper towel.
A nurse is teaching parents about Internet safety for children. Which action(s) is a recommended guideline for Internet use? Select all that apply.
- Use filtering software to block objectionable information. - Investigate any public chat rooms used by the children. - Be alert for downloaded files with suffixes that indicate images or pictures.
A school-age child is admitted to the emergency room with the diagnosis of a concussion following a collision when playing football. After the collision, the parents state that he was "knocked out" for a few minutes before recognizing his surroundings. What is the priority assessment when the nurse first sees the client?
Assessment of vital signs and respiratory status
What is the most important safety concept that a nurse should include in the teaching plan for a family with a newborn infant in the household?
Avoid stuffed animals and blankets in the crib.
The nurse is able to help promote safety and prevent injury by identifying which factors that have a direct impact on client safety? Select all that apply.
Communication ability Developmental level Mobility
The nurse is donning a pair of sterile gloves. The nurse correctly dons the first glove, but inadvertently inserts the thumb and index finger into the thumb hole of the second glove. The glove remains intact. Which action is most appropriate?
Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole.
What is the primary purpose for the demonstrated glove application?
Cover exposed wrist skin
The nurse is inserting an indwelling catheter. What steps will the nurse distinguish as priority in preventing an infection?
Create an area for sterile field and opening packages
Which item would alert the home care nurse to a safety hazard threatening a young child?
Dangling blind cords
The nurse is removing gloves after responding to the call light of a client on airborne precautions. During glove removal, what action is most likely to result in contamination?
Grabbing the Outside of the Gloves
The nurse is caring for a client with human immunodeficiency virus (HIV) who currently has no signs or symptoms of the disease. Which important information about being an HIV carrier does the nurse teach the client?
HIV can be transmitted from an infected person to another person through blood, semen, vaginal fluids and breast milk.
The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. Which concept should be the priority in the teaching plan?
Hand Washing
The client is concerned about "catching the flu." What primary information can the nurse teach the client to best prevent the spread of infection?
Hand hygiene
An experienced nurse is teaching a student nurse about the proper use of hand hygiene. Which guideline should the nurse provide to the student?
Hand hygiene is needed after contact with objects near the client.
A nurse visits an older adult client at home and assesses the safety of the client's environment. Multiple small rugs are located in the home. Which statement by the nurse is appropriate when addressing the client's safety?
I am concerned that the small rugs in your home can be a tripping hazard."
A nurse is inserting a male client's indwelling urinary catheter. After preparing the sterile field and cleansing the client's meatus, the nurse realizes that he has brought the wrong-sized catheter to the bedside. What is the nurse's best action?
Illuminate the client's call light and have a colleague bring the correct catheter to the bedside.
A nurse working in a long-term care facility institutes interventions to prevent falls in the older adult population. Which intervention would be an appropriate alternative to the use of restraints for ensuring client safety and preventing falls?
Involve family members in the client's care.
A nurse has been exposed to urine while changing the linens of a client's bed. Which guideline is followed for performing hand hygiene after this client encounter?
Keep hands lower than elbows to allow water to flow toward fingertips.
The nurse must assign a room for a client admitted with endocarditis and methicillin-resistant Staphylococcus aureus (MRSA) in the blood. A client with which diagnosis can share a room with this client?
MRSA in the wound
What best describes the nurse's role in disaster preparedness?
Multiple roles, including triage and the distribution of resources
A hospital is introducing a program that has the goal of aligning practices more closely with the Quality and Safety Education for Nurses (QSEN) project. What initiative best exemplifies QSEN competencies?
New systems are introduced to increase communication between nurses and the members of other health disciplines.
The nurse is caring for a school-age child and notices a variety of circular burns on the back and legs in various stages of healing. What action should the nurse take related to this suspicion?
Notify the National Abuse Hotline.
Following a demonstration to a family member on how to insert a straight catheter, the nurse instructs the family member to remove the gloves by inverting one glove into the other. Which step would the nurse instruct the family member to do next?
Perform hand hygiene
The nurse is caring for a client who has active tuberculosis and is under airborne precautions. The health care provider prescribes a computed tomography (CT) examination of the chest. Which action by the nurse is appropriate?
Place a surgical mask on the client and transport to the CT department at the specified time.
What is the primary role of the nurse in the care of clients who experience domestic violence?
Providing prompt recognition of the potential or actual threat to safety
A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which action should the nurse take?
Pull the fire alarm lever.
A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation?
Rescue anyone who is in immediate danger.
A nurse is preparing discharge education for a client with a newborn baby. What is the highest priority item that must be included in the education plan?
Restrain the baby in a car seat.
he nurse has completed a comprehensive assessment of a client who has been admitted to the hospital experiencing acute withdrawal from alcohol. What nursing diagnosis would provide the clearest justification for the use of physical restraints during this client's care?
Risk for Injury Related to Agitation
The nurse is creating a plan of care for the older adult who has multiple medications and a difficult time reading medication labels due to poor eyesight. What is the most appropriate nursing diagnosis to include in this client's plan of care?
Risk for Poisoning related to poor eyesight and the inability to read medication labels
Which reason best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk?
Social pressure
The nurse is teaching the caregiver of a 8-month-old infant about safety. Which teaching will the nurse include?
Supervise your child on the changing table.
The nurse planning to insert an indwelling urinary catheter into a client should utilize which technique?
Surgical Asepsis - Also known as Sterile Technique. Used to precent microorganisms from enter during surgery or procedures.
A client is to have an indwelling urinary catheter inserted. Which precaution is followed during this procedure?
Surgical asepsis technique
The nurse is caring for an 80-year-old client who was admitted to the hospital in a confused and dehydrated state. After the client got out of bed and fell, restraints were applied. She began to fight and was rapidly becoming exhausted. She has black-and-blue marks on her wrists from the restraints. What would be the most appropriate nursing intervention for this client?
Take the restraints off, stay with her, and talk gently to her.
The nurse is caring for a client with a cough and copious secretions. Before providing care, the nurse observes the licensed practical nurse (LPN) standing outside the client's room and donning personal protective equipment as shown above. How should the nurse best interpret the LPN's actions?
The LPN is donning personal protective equipment appropriately.
A nurse is preparing to implement an order for the use of restraints to ensure a client's safety. Which statement accurately describes a guideline to follow?
Time-limit the use of restraints and release the client from the restraint as soon as he or she is no longer a risk to self or others.
