NURS208 - Safety and Infection Control #1

Which would the nurse recommend to overwhelmed new parents to prevent shaken baby syndrome?

"Plan periods of rest so you can have a break."

A pregnant woman arrives at the local health department requesting a flu shot. Which action would the nurse perform?

Administer the usual dose of the vaccine

Which action would the nurse take during a falls risk assessment after learning that the client experienced a recent fall?

Assessing the circumstances of the fall, including feelings and setting

Which disaster triage tag would the nurse apply to the group of clients who have extensive full-thickness body burns and severe head trauma after an apartment building fire and clients who require mechanical ventilation for survival?

Black

Which category of isolation would the nurse implement for a client who is positive for Clostridium difficile?

Contact precautions

Which nursing intervention is the priority for a client who is admitted into the emergency department (ED) with multiple injuries from an accident?

Establishing a patent airway in the client

For which conditions is obesity a known risk factor? Select all that apply. One, some, or all responses may be correct.

Gout Gallbladder disease Diverticular disease

Which nursing action is most appropriate to help reduce the likelihood of an older adult client falling during the night?

Instructing the client to call the nurse before going to the bathroom.

Which nursing action is appropriate when caring for a client who is legally blind and has been admitted to the hospital for surgery?

Keep the furniture in the same location in the room.

The public health nurse is leading a workshop for families on personal disaster preparedness in the community. Which information would be included for the families? Select all that apply. One, some, or all responses may be correct.

Nonperishable food Cellphone and charger Flashlight with batteries

Which nursing actions contribute to a health care facility's emergency preparedness and response before a natural disaster? Select all that apply. One, some, or all responses may be correct.

Participating in drills Evaluating outcomes

A client with which condition would the nurse treat first according to a three-tiered triage system?

Respiratory distress

Which topics will the nurse include when educating adolescents about injury prevention? Select all that apply. One, some, or all responses may be correct.

Suicide Seat belt use Firearm safety

A 2-year-old child with previously diagnosed hemophilia is admitted to the pediatric unit for observation after a motor vehicle collision. The toddler has several bruises but no other apparent injuries. Which is the nurse's specific concern regarding this child?

Undetected injury

Which statement by the student nurse indicates effective learning about the functions and utilization of trauma centers?

"Clients requiring stabilization with major injuries should be sent to a level III trauma center."

Which response would the nurse have when a child who recently completed treatment for Lyme disease expresses fear of going camping again because of the ticks?

"I understand you are afraid. Checking for ticks often can help prevent reinfection."

Which trauma center level is appropriate for the client who survived an earthquake and is found to have multiple injuries and requiring stabilization?

Level III

Which nursing intervention is the priority when the nurse notices that the client has a blood pressure of 90/70 mm Hg and a heart rate of 50 beats per minute while the nurse is performing nasotracheal suctioning?

Stop the suctioning procedure immediately.

Which examples will the nurse use to describe occupational hazards for burn injuries when teach a safety class on burns? Select all that apply. One, some, or all responses may be correct.

Tar Power lines Fertilizers

Which instruction would the nurse provide to a group of parents with small children to promote safety and prevent injury? Select all that apply. One, some, or all responses may be correct.

Turn the pot handles away from the edges. Install smoke detectors in the house. Lock medications away in a safe place. Place child safety latches on cabinets. Verify water temperatures before baths.