WEEK 1 (30)

19)The nurse is caring for a client who has an order to receive Hespan IV. The client asks the nurse what this solution is for. What would be the nurse's response? Select all that apply.

* "This solution pulls fluid into the vascular space."* "This is a colloid solution used to replace blood."* "Hespan is a solution used instead of a transfusion."* "Hespan can be used to treat hypovolemic shock."

5)A clinic nurse is caring for a male client diagnosed with gonorrhea who has been prescribed ceftiaxone and doxycycline. The Client asks why he is receiving two antibiotics. What is the nurse's best response?

*"Many people infected with gonnorrhea are infected with chlamydia as well."

24)The nurse is aware that prior to infusing any medication into an existing intravenous infusion, what assessment takes priority?

*Assess for blood return at the IV site.

18)A central venous catheter has been inserted in the right subclavian vein of the client. Which of the following would be the priority nursing action before total parenteral nutrition (TPN) can be started?

*Call for portable chest x-ray,*Assess blood sugar via glucometer.

9)A nurse is explaining the different procedures used to break the chain of infection to a nursing student. In which of the following links in the chain of infection should a nurse provide special attention to the respiratory and gastrointestinal tracts?

*Exit Route

25)Thirty minutes after hanging a glass intravenous bottle of total parenteral nutrition (TPN), the nurse notices the solution has stopped dripping. Which is the best troubleshooting action of the nurse?

*Hang vented tubing.

29)A post-surgical patient's MAR provides for PRN administration of a number of analgesics by various routes. Which of the following routes will likely provide the most rapid pain relief for the patient?

*Intravenous

27)Which of the following factors is associated with rapid absorption of a drug?

*Intravenous route of administration

14)A client informs the nurse that she has been using a douche to cleanse the vagina on a daily basis and is now experiencing itching and burning in the vaginal area. What should the nurse explain to the client that occurs when the vaginal pH is changed?

*It causes destruction of the normal flora of the vagina and allows the development of vaginal infections.

10)A nurse is attending to a client with an infectious disease. After changing the linen and caring for the patient, the nurse does a hand antisepsis with an alcohol-based hand rub. Which of the following is a reason for the nurse to use an alcohol-based hand rub?

*It provides the greatest reduction in microbial counts.

12)Which term describes the time interval after primary infection when a microorganism lives within the host without producing clinical evidence?

*Latency

26)The nurse is caring for a client who is receiving total parenteral nutrition therapy (TPN) and should know that what else is usually infused regularly with the TPN?

*Lipid emulsion

22)A client is brought to the emergency department with full-thickness burns to 27% of the body. The nurse knows to prepare intravenous (IV) fluid administration from which solution group?

*Lower osmolarity solution

11)The nurse is trying to determine if a patient admitted to the hospital the previous day has a bacterial wound infection. What laboratory study should the nurse review to obtain this information?

*Microbiology report

4)Lucy Peters was admitted for observation as the physician suspects she may be developing sepsis. As her nurse, you monitor her carefully and are to report any suspicious findings which could indicate the development of systemic infection. What would your primary nursing tasks in this effort?

*Observe Mrs. Peters' mental status

7)The nurse recognizes what groups of people are at an increased risk for infection? Select all that apply.

*Older adults,*Debilitated client,*Clients with impaired skin

8)A nurse participating in a vaccination clinic at the local public health clinic. The nurse is describing the public health benefits of vaccinations to participants. Vaccine programs address which of the following diseases have been deemed successful? Select all that apply.

*Polio, *Diphtheria,*Mumps

30)The major advantage for giving a client medication via intravenous (IV) route is which of the following?

*Rapid distribution of the drug to all target tissues

21)The nurse is preparing to administer a blood transfusion to a client and plans to spend the first 15 minutes of the transfusion with the client observing for what manifestations of an incompatibility transfusion reaction? Select all that apply.

*Rapid pulse,*Back pain

23)The nurse is caring for a healthy adult client who developed a gastrointestinal virus in the last 24 hours that has caused vomiting and diarrhea and now has a diagnosis of dehydration. The nurse should know that a health care provider's order to initiate intravenous therapy is given primarily for which reason(s)? Select all that apply.

*Replace electrolytes,*Replace fluids.

6)A family member wants to donate blood for a client who needs a blood transfusion. What information from the family member would make them ineligible for donation?

*The family member was serving in the military in England in 1993 for 2 years.

17)A family member of a client in a long-term care facility asks the nurse why he cannot insert a catheter so the client will not develop skin breakdown from being wet. What should the explanation include when the nurse responds to the family member?

*The invasive nature of the catheter provides a portal for infection.

15)The nurse is teaching a health class in the local public health center. What instructions should the nurse provide as the single most important measure to prevent the spread of infection?

*Thorough handwashing

16)Nursing students are reviewing the various infectious diseases that require transmission-based precautions. The students demonstrate understanding of the information when they identify which infectious disease as requiring airborne precautions?

*Tuberculosis

20)The nurse in the emergency department has just administered a plasma expander to a client who is experiencing hypovolemic shock and who will not allow the administration of blood or blood products. The nurse is aware that which assessments will take priority in this client? Select all that apply.

*Urine output,*Jugular venous distention ,*Development of rash or hives,*Signs and symptoms of bleeding

3)A 74-year-old healthy client who lives with an adult daughter and young grandchildren is concerned about "catching whatever the kids bring home" this winter. What intervention can the nurse suggest as the first line of defense against infection?

*Use lotion to moisturize skin and keep it from cracking and chapping.

2)The nurse educator is discussing emerging diseases with a group of nurses. The educator should cite what cause of emerging diseases? Select all that apply.

*Use of extended-spectrum antibiotics,*population movements,*increased global travel,*Globalization of food supplies

13)A nursing instructor is instructing on the infectious process. The instructor explains that older adults are more susceptible to serious infections because they:

*can have less efficient defense mechanisms than younger adults.

28)A client is in full-blown pulmonary edema and needs the appropriate medication to take effect as quickly as possible. Which medication route will be the quickest to give this client a fighting chance?

*intravenous

1) The physician has ordered the debridement of a client's leg ulcer. How might the nurse accomplish this intervention? Select all that apply

*irrigating the wound,*applying wet-to-dry dressings