Adaptive Quizzing 1

The nurse receives a report on a newly admitted client who is positive for Clostridium difficile. Which category of isolation would the nurse implement for this client? - Airborne precautions - Droplet precautions - Contact precautions - Protective environment

contact precautions

The registered nurse is evaluating the statements of a new orienting nurse about wound dressing. Which statement made by the new orienting nurse indicates the need for further teaching? - "I should wash my hands with alcohol." - "I should take the cotton swab placed on the table." - "I should wash my hands before touching the wound." - "I should wear gloves before touching the site of injury."

"I should take the cotton swab placed on the table."

A nurse assists a client who had bariatric surgery to be more mobile. What complication is the nurse attempting to prevent? - Incisional pain - Wound dehiscence - Anastomosis leakage - Pulmonary embolism

Pulmonary embolism

Which client care can be safely delegated to the unlicensed nursing personnel (UNP) to provide oral hygiene? - dental caries (client A) - oral cancer (client B) - jaw fracture (client C) - thrombocytopenia (client D)

Client A

A nurse is caring for a client with a diagnosis of acquired immunodeficiency syndrome (AIDS). The IV infiltrates and needs to be restarted. What is necessary to protect the nurse when restarting the IV? . - Mask - Gown - Gloves - Face shield - Hand hygiene

gloves, hand hygiene (C,E)

A nurse is caring for a client who had an open reduction internal fixation of a fractured hip. Which nursing assessment of the affected leg is most important after this surgery? - Femoral pulse - Toes for mobility - Condition of the pin - Range of motion of the knee

toes for mobility

The nurse is caring for a surgical client who develops a wound infection during hospitalization. How is this type of infection classified? - Primary - Secondary - Superinfection - Nosocomial

Nosocomial

Which client has the highest risk for human immunodeficiency virus (HIV) infection? - A client who is involved in mutual masturbation - A client who undergoes voluntary prenatal HIV testing - A client who shares equipment to snort or smoke drugs - A client who engages in insertive sex with a non-infective partner

A client who shares equipment to snort or smoke drugs

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? - "I can share athletic equipment." - "I can participate in contact sports." - "I should sit on upholstered furniture." - "I should use antibacterial soaps for bathing." - "I should wash all infected skin areas before covering those areas."

A,B,C

Considerations when caring for a client with a total hip replacement should include which interventions? Select all that apply. - Maintain the affected hip in the adduction position when moving the client out of bed. - Pain control should include regularly scheduled analgesics and may necessitate use of as needed medications as well. - The client should sit in a chair at the correct height to encourage flexion of the joint. - Frequent neurovascular assessment should be done distal to the surgical site and compared with the unaffected side. - When turning, the client should be log rolled to prevent the leg from falling forward or backward.

B,D,E

What criteria should the nurse consider when determining if an infection should be categorized as a health care-associated infection? - Originated primarily from an exogenous source - Is associated with a drug-resistant microorganism - Occurred in conjunction with treatment for an illness - Still has the infection despite completing the prescribed therapy

Occurred in conjunction with treatment for an illness

A nurse places a client with severe burns on a circulating air bed. Which goal is the nurse trying to achieve? - Increasing mobility - Preventing contractures - Limiting orthostatic hypotension - Preventing pressure on peripheral blood vessels

Preventing pressure on peripheral blood vessels

After an amputation of a limb, a client begins to experience extreme discomfort in the area where the limb once was. What is the nurse's greatest concern at this time? - Addressing the pain - Reversing feelings of hopelessness - Promoting mobility in the residual limb - Acknowledging the grieving for the lost limb

addressing the pain

A nurse is providing education about excellent food sources of vitamin A for a client who is deficient in this vitamin. Which foods should the nurse include in the teaching? . - Carrots - Oranges - Tomatoes - Green leafy greens - Yellow/orange vegetables

carrots, leafy green veggies, yellow / orange vegetables

A client has been admitted with a urinary tract infection. The nurse receives a urine culture and sensitivity report that reveals the client has vancomycin-resistant enterococci (VRE). After notifying the healthcare provider, which action should the nurse take to decrease the risk of transmission to others? - Insert a urinary catheter. - Initiate droplet precautions. - Move the client to a private room. - Use a high-efficiency particulate air (HEPA) respirator during care.

move the client to a private room

During chemotherapy, altered nutrition is a common side effect. Knowing that compromised nutrition can contribute to an increased risk of infection and other problems, what can the nurse do to offset nutritional deficiencies? - Provides oral supplements - Offers the patient's favorite foods - Restricts intake from dairy products - Encourages the client to drink low-protein shakes

provides oral supplement

A nurse is providing morning hygiene to a bedridden client who was admitted for exacerbation of chronic obstructive pulmonary disease (COPD). What is the priority nursing intervention when the client becomes short of breath during the care? - Obtain a pulse oximeter to determine the client's oxygen saturation level. - Put the client in a high Fowler position. - Darken the lights and provide a rest period of at least 15 minutes. - Continue the hygiene activities while reassuring the client.

put client in high fowlers

A depressed client has been sitting alone in a chair most of the day and displays no interest in eating. How should the nurse plan to meet this client's nutritional needs? -Stay with the client during meals. - Take the client to the dining room. - Bring the client a tray of finger foods. - Talk with the client about the importance of nutrition.

stay with the client during meals