Nursing Therapeutics Quiz #!
To reduce the transmission of infection arrange the steps for applying personal protective equipment in the correct order
1. Perform hand hygiene 2. apply gown 3. apply mask 4. put on protective eyewear 5. put on gloves
Arrange the steps in order when personal protective equipment is being applied before and during a patient's room
1. Perform hand hygiene 2. put on a gown 3. apply mask 4. apply eyewear 5. put on clean gloves
When the nurse leaves in isolation room arrange the steps of personal protective equipment removal in order
1. Remove gloves 2. remove eyewear 3. remove gown 4. remove mask 5. perform hand hygiene
Place the steps in order for applying restraints for a patient who has been pulling out a surgical wound drain 1. explain what you plan to do 2. identify the patient using proper identifier 3. wrap a limb restraint around the wrist or ankle with the soft part toward the skin and secure 4. pad the patient's wrist 5. determine that restraint alternatives fail to ensure the patient's safety
1. identify the patient using proper identifier 2. determine that restraint alternatives fail to ensure the patient's safety 3. explain what you plan to do 4. pad the patients wrist 5. wrap a limb restraint around the wrist or ankle with the soft part toward the skin and secure
Place in order the correct steps for removal of protective barriers when leaving an isolation room
1. remove gloves 2. remove eyewear or goggles 3. remove gown 4. remove mask 5. perform hand hygiene
Which patient would be at increased risk of injury from heat and cold applications A. 75 year old B. 40 year old with peripheral vascular disease C. 35 year old with spinal cord injury D. 50 year old comatose patient E. 45 year old with cholecystitis
A. 75 year old B. 40 year old with peripheral vascular disease C. 35 year old with spinal cord injury D. 50 year old comatose patient
A registered nurse is teaching a nursing student about the use of cold therapy to relieve dental pain which statement by the nursing student indicates effective learning? A. I should suggest that the patient apply ice two to five times a day B. I should instruct the patient to limit the application to 10 minutes C. I should instruct the patient to stop applying cold if there is numbness D. I should advise the patient to place the ice on the palmar aspect of the hand for tooth pain E. I should instruct the patient to massage in a circular manner with a large ice cube over the area of pain
A. I should suggest that the patient apply ice two to five times a day C. I should instruct the patient to stop applying cold if there is numbness
A healthcare provider prescribes cold compressions for a patient with a sprain injury in the spinal area. which assessment finding by the nurse would be a contraindication for cold therapy A. Neuropathy B. Site edema C. Shivering D. cardiovascular problems E. altered level of consciousness
A. Neuropathy B. Site edema C. Shivering
Which task related to the use of patient restraints can be delegated to assistive personnel? A. checking on a restraint B. Assessing a patients behavior C. Determining a patients need for restraints D. Orienting the patient to the environment
A. checking on a restraint
Which reason would support the use of patient restraints? A. confusion and disorientation B. Trying to remove medical devices C. verbal aggression D. Sedation and the need to be protected from falling out of the bed E. Preparation for a routine physical assessment
A. confusion and disorientation B. Trying to remove medical devices
Which complication would the nurse be aware of when using physical restraints? A. constipation B. incontinence C. pressure injury D. increased appetite E. improved alertness
A. constipation B. incontinence C. pressure injury
Which intervention with the nurse perform to reduce the risk of thrombus formation in a bedridden patient A. ensure adequate fluid intake B. Do not move or reposition the patient C. Use elastic stockings on the legs D. perform like ankle and foot exercises regularly E. perform hand arm and neck exercises regularly
A. ensure adequate fluid intake B. Do not move or reposition the patient C. Use elastic stockings on the legs D. perform like ankle and foot exercises regularly
Which method is most effective to break the chain of infection A. hand hygiene B. wearing gloves C. placing patients in isolation D. providing private rooms for patients
A. hand hygiene
Which reason would justify the use of restraints on a disoriented patient? A. helps reduce the risk of patient injury from falls B. prevent the patient from removing intravenous infusions C. Helps control the patient D. helps reduce the risk of injury to others by the patient E. minimizes the need for supervision of the patient
A. helps reduce the risk of patient injury from Falls B. prevent the patient from moving intravenous infusions D. helps reduce the risk of injury to others by the patient
Which policy regarding the fingernails of healthcare workers reduces the harboring of microorganisms A. natural tips should be no longer than 0.625 cm long B. artificial nails are permitted if their fingers are meticulously cleaned C. only clear nail polish may be used D. nail polish should be removed every seven days
A. natural tips should be no longer than 0.625 cm long
Which nursing action would be performed first when moderating a patient's blood glucose level A. performing hand hygiene B. turning on the glucometer C. choosing a puncture site D. removing the reagent strip from the container
A. performing hand hygiene
Which technique is most effective in preventing and controlling the transmission of an infection A. performing hand hygiene B. using isolation precautions C. performing sterilization procedures D. wearing personal protective equipment
A. performing hand hygiene
Which step with the nurse take first when removing personal protective equipment in an isolation room A. remove gloves B. removed mask C. remove gown D. perform hand hygiene
A. remove gloves
Which method would the nurse use for hand hygiene after the nurses ungloved hand come in contact with drainage from a patient's wound A. wash them with soap and water B. use an alcohol based hand cleaner C. first rinse them with warm water than clean using alcohol based clean cleaner D. wipe them with a paper towel
A. wash them with soap and water
Which action by the nurse may cause an infection A. wearing rings on both hands B. maintaining nail tips no longer than 0.25 inches C. rubbing both hands together after applying the antiseptic D. pushing long uniform sleeves above the wrists
A. wearing rings on both hands
Which statement made by the nursing student regarding the use of physical restraints indicates effective learning? A. "Restraints are ordered prn" B. "They reduce the risk of patient injury from falls" C. "Restraints are used as alternatives for electronic devices" D. "They prevent interruption of therapy, such as traction" E. "restraints prevent the removal of life-supporting equipment by confused patients"
B. "They reduce the risk of patient injury from falls" D. "They prevent interruption of therapy, such as traction" E. "restraints prevent the removal of life-supporting equipment by confused patients"
Which patient would need a temporary restraint? A. Alert patients B. Confused patients C. Accommodating patients D. Patients who repeatedly fall E. Patients who try to remove medical devices
B. Confused patients D. Patients who repeatedly fall E. Patients who try to remove medical devices
Which characteristic would be the therapeutic benefit of heat application A. decreases tissue oxygen needs B. Promotes the movement of waste products C. reduces blood flow to injured body parts D. improves blood flow to injured body parts E. improves delivery of leukocytes to the wound site
B. Promotes the movement of waste products D. improves blood flow to injured body parts E. improves delivery of leukocytes to the wound site
Which patient statement indicates understanding of the advantages of using dry heat applications for wound therapy A. dry applications soften wound exudate B. They reduce the risk of burns C. dry dressings conform well to most body areas D. they allow heat to penetrate deeply into tissue layers
B. They reduce the risk of burns
The nurse was interviewing one which handwashing step is performed by another member of the healthcare team A. turning off the faucet using a clean dry paper towel B. keeping elbows lower than the hands and forearms during washing C. applying 3 to 5 mL of soap to rub the hands thoroughly and robustly D. rubbing the Palms and back to the hands and cleaning between the fingers with a circular motion
B. keeping elbows lower than the hands and forearms during washing
The nurse is making an occupied bed which action helps reduce the transmission of microorganisms pool room A. curtains around the bed while making the bed B. perform hand hygiene and applied clean gloves C. wipe off any moisture on exposed mattress with a towel D. if clean linen touches the floor place it in the dirty linen container E. position the patient on the far side of the bed turned onto the side facing away
B. perform hand hygiene and applied clean gloves C. wipe off any moisture on exposed mattress with a towel D. if clean linen touches the floor place it in the dirty linen container
For a patient who has wrist and ankle restraints, which position will place the patient at risk of aspiration? A. sitting B. supine C. lateral D. Sleeping
B. supine
What is the rationale for moving finger rings when performing hand hygiene A. to ensure complete antimicrobial action B. to prevent the harborage of microorganisms C. to prevent jewelry from being damaged by strong antimicrobial soap D. to provide enough time for the antimicrobial solution to be effective
B. to prevent the harborage of microorganisms
BASED ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION GUIDELINES WHICH INFORMATION WITH THE NURSE INCLUDE IN A HAND HYGIENE TEACHING SESSION FOR HEALTHCARE WORKERS A. PROPER HAND HYGIENE IS THE MOST EFFECTIVE WAY TO KILL MICROORGANISMS B. ANTIMICROBIAL MICROBIAL SOAPS ARE MORE EFFECTIVE FOR STANDARD HANDWASHING BY HEALTHCARE WORKERS AND ALCOHOL-BASED PRODUCTS C. HANDWASHING IS DEFINED AS THE VIGOROUS BRIEF RUBBING TOGETHER OF ALL SURFACES OF LATHERED HANDS FOLLOWED BY RINSING UNDER A STREAM OF WATER FOR 15 SECONDS D. ETHANOL-BASED HAND ANTISEPTICS CONTAINING 50% ALCOHOL APPEAR TO BE THE MOST EFFECTIVE AGAINST COMMON PATHOGENS FOUND ON THE HANDS
C. HANDWASHING IS DEFINED AS THE VIGOROUS BRIEF RUBBING TOGETHER OF ALL SURFACES OF LATHERED HANDS FOLLOWED BY RINSING UNDER A STREAM OF WATER FOR 15 SECONDS
The nurse is providing education about restraints to the parents of a seven year old patient who has been restrained after pulling out their intravenous catheter multiple times which information will the nurse include in the teaching? A. I will remove the restraints on your child has to go to the bathroom B. I will put a Stockinet over your child's IV catheter so it remains protected C. I will be assessing your child every 15 minutes to ensure there are no injuries D. I will have the health care provider renew the order in two hours if necessary
C. I will be assessing your child every 15 minutes to ensure there are no injuries
In which situation is the nurse allowed to use physical restraints? A. the patient is extremely irritated B. a patient has suicidal ideations C. The healthcare provider has given a written prescription D. the patient is potentially dangerous to other patients E. the patient's family members have asked to restrain the patient
C. The healthcare provider has given a written prescription D. the patient is potentially dangerous to other patients
The nurse is evaluating the need for the use of restraints when managing a patient with delirium. Which condition must be met before the nurse may use restraints? A. the patient is improving B. the patient refuses to undergo a necessary procedure C. The safety of the patient is at risk D. There is a written prescription from a health care provider E. less restrictive patient interventions have failed
C. The safety of the patient is at risk D. There is a written prescription from a health care provider E. less restrictive patient interventions have failed
The nurse is caring for a patient who is scheduled for an x-ray for an injured right leg which intervention may help reduce the patient's pain A. administering a placebo B. creating a noise free environment C. applying ice near the site of pain D. performing a pain assessment frequently
C. applying ice near the site of pain
At 10:00 AM an adult patient was restrained after physically assaulting another patient on the unit. Which monitoring parameter will the nurse incorporate into the plane of care A. Assess tje patients vital signs at 10:30 AM B. Renew the prescription for restraints at 11:00 AM C. assess the patients psychological status at 10:15 AM D. Request the health care provider to see the patient at 12:00 PM
C. assess the patients psychological status at 10:15 AM
Which method is effective in reducing the transmission of pathogens to patients and personnel and healthcare settings A. vaccinations B. isolation precautions C. hand hygiene practices D. use of clean equipment
C. hand hygiene practices
Which statement made by the nursing student regarding handwashing with anti-septic soap indicates a need for further learning A. micro organisms travel and growing moisture B. hands are the most contaminated parts of the body C. hot water removes fewer protective oils than warm water D. using a faucet and the controls can reduce the risk of hand cabinet contamination
C. hot water removes fewer protective oils than warm water
To reduce the spread of infection which action with the nurse perform when assessing a patient who is 10 days post hysterectomy and reports pain itching and warm at the incision site A. contact the nursing team leader B. review the patient's culture results C. perform hand hygiene practices D. use gloves when assessing the wound E. use appropriate personal protective equipment
C. perform hand hygiene practices D. use gloves when assessing the wound E. use appropriate personal protective equipment
Which nursing action may allow the transfer of pathogens when performing hand hygiene A. keeping hands down and elbows up all rinsing B. drying from fingers to wrist C. using wet paper towels to turn off the faucet after washing D. cleaning the area under the fingernails with the fingernails of the other hand
C. using wet paper towels to turn off the faucet after washing
The use of which restraint has been eliminated by many health care agencies because of the risk of fatal injuries A. Jacket B. Elbow C. Mitten D. Extremity
Jacket
After educating a nursing student about standard precautions the nurse identifies that which statement made by the student indicates the need for further learning A. I should stand at least 3 feet away from the patient who has a cough B. I should dispose of used uncapped needles in a puncture resistant container C. I should perform hand hygiene before after or in between direct contact with patients D. I should wash my hands with antimicrobial soap and water if my hands are not visibly soiled
D. I should wash my hands with antimicrobial soap and water if my hands are not visibly soiled
The registered nurse is teaching a patient about the use of cold therapy in acute pain management which patient statement indicates a need for further teaching A. I will ice 2 to 5 times a day B. I will ice with a lightweight cover with firm pressure to my skin C. I will ice within a 6-in circular area near where I have pain D. I will place the ice between my thumb and index finger if I have shoulder pain
D. I will place the ice between my thumb and index finger if I have shoulder pain
According to the centers for disease control and prevention in which circumstance is it appropriate to decontaminate the hands using an alcohol-based waterless antiseptic agent A. when hands are visibly dirty B. after using the toilet C. when hands are soiled with blood D. after removing gloves
D. after removing gloves
The nurse provides education for a group of nursing students about the prevention of healthcare-associated infections and will discuss which intervention is the most effective way to break the chain of infection A. placing patients in reverse isolation B. using protective eyewear while bathing patients C. Donning gown and gloves before entering a patient room D. performing hand hygiene before and after patient care
D. performing hand hygiene before and after patient care
For which condition with the nurse wear gloves and a gown went in the patient's room A. The patient's hygiene is poor B. the nurse is assisting with medication administration C. the patient has acquired immunodeficiency syndrome or hepatitis D. the patient's infection can be transmitted to the nurse via blood or body fluids
D. the patient's infection can be transmitted to the nurse via blood or body fluids
Which is the major route of transmission for pathogens identified in the healthcare setting A. exposure to another patient's respiratory secretions B. not cleaning equipment among patients C. disposing of soiled linens in a shared linen bag D. unwashed hands of the healthcare worker
D. unwashed hands of the healthcare worker