3130: Ch 3, 4, 14, 24
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 gown, 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 appropriate nursing response?
"These barriers help prevent the transmission of infection."
An older adult woman has been in the hospital for more than 1 week. While assessing her intravenous catheter port, the nurse finds a staph infection, which has developed in the past day or so. This infection is an example of which type of infection?
Healthcare-associated infection
A new nurse is caring for a client who has a prescription for a stool specimen analysis. As the nurse performs the procedure in the image, the charge nurse walks in to the client's bathroom and observes the new nurse obtaining the specimen. What is next priority action by the charge nurse?
Inform the new nurse to wear gloves when obtaining specimens that contains bodily fluids
A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. What is the appropriate nursing intervention?
Offer the family member a mask, explaining its use.
When accessing a client's central line, a drop of the client's blood falls on the nurse's gloved hand. What is the appropriate action by the nurse?
Perform hand hygiene after removing the glove
A nurse caring for a client in a long-term health care facility measures the client's intake and output and weighs the client to assess water balance. These actions help to meet which type of need in Maslow's hierarchy of needs?
Physiologic
A nurse is inserting a client's urinary catheter and notices a hole in one of the sterile gloves and that his hands are soiled. What would be the most appropriate action to take in order to maintain a sterile field?
Stop the procedure, remove damaged glove, perform hand washing, and open new sterile gloves.
In conjunction with the client, the nurse has set the following client outcomes. Which client outcome reflects Maslow's level of self-esteem?
The client will verbalize feelings of increased confidence in performing a finger-stick blood sugar
Recently the United States and Canada have seen the development of West Nile virus. It is carried to humans by:
mosquitoes
When performing hand hygiene, the nurse prefers to use an alcohol-based hand sanitizer. For which situation should the nurse use a different method?
visibly soiled hands
