PREP U unit TWO {Test 2/7/2020}
A home health nurse is completing a health history for a client. What is one question that is important to ask to identify a latex allergy for this client?
"Have you had any unusual symptoms after blowing up balloons?"
The nurse is caring for a client who requires droplet precautions. Which statement made by the client would indicate further teaching is required? "I will tell my visitors to keep their distance from me." "Any staff who enters my room will be wearing personal protective equipment (PPE)." "My personal belongings should remain in the room until I am discharged." "I can leave my room any time I want as long as I wear a mask."
"I can leave my room any time I want as long as I wear a mask."
The client presents to the Emergency Department reporting fever, chills, and a productive cough. The chest x-ray shows an area of infiltrate, and the primary care provider prescribes a broad spectrum antibiotic. Which client teaching statement from the nurse is most appropriate regarding the prescribed drug?
"This antibiotic is the best choice since the causative organism is not known."
The nurse educator is reminding a group of new nurses about precautions. Which statement by a new nurse requires further teaching by the nurse educator? "Wearing an N95 respirator is critical when I care for clients in droplet precautions." "I will always wash my hands thoroughly and often." "Masks, gloves, and gowns should be used to protect from infectious agents." "It is important to refrain from recapping needles."
"Wearing an N95 respirator is critical when I care for clients in droplet precautions."
How long should a health care worker scrub hands that are not visibly soiled for effective hand hygiene?
15 seconds
A client is on airborne precautions. How frequently must the nurse ensure that the air in the client's room is changed per hour? 2 to 10 times 1 to 4 times 6 to 12 times every 10 minutes
6-12 times
The nurse caring for clients at an outpatient clinic determines that which client is at greatest risk for infection?
80 year old woman
What is an accurate guideline for removing soiled gloves after client care? Remove the glove on the nondominant hand by pulling it straight off, keeping the contaminated area on the outside. After removing the first glove, slide the fingers of the ungloved hand between the remaining glove and the wrist and pull the glove straight off, with the contaminated area on the outside. Use the nondominant hand to grasp the opposite glove, near the cuffed end on the outside exposed area. After removing the glove on the nondominant hand, hold the removed glove in the remaining gloved hand.
After removing the glove on the nondominant hand, hold the removed glove in the remaining gloved hand.
A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me any antibiotics." What would be the mostappropriate response by the nurse? "I know what you mean; you need an antibiotic." "Why do you think you need an antibiotic?" "Antibiotics have no effect on viruses." "Let me talk to the physician and see what we can do."
Antibiotics have no effect on viruses."
The nurse is caring for a client admitted with tuberculosis (TB). What would be the best action by the nurse?
Apply a nonparticulate (N-95) respirator when entering the room.
A nurse has completed morning care for a client. There is no visible soiling on the nurse's hands. What type of technique is recommended for hand hygiene?
Clean hands with an alcohol-based handrub.
The nurse has finished caring for a client on contact precautions. Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? Sterilize it by placing it in the autoclave. Discard it in the waste can. Do nothing; it can be used again immediately. Disinfect it with alcohol swabs.
Disinfect it with alcohol swabs.
The nurse is inserting a foley catheter for a client. Which nursing action is appropriate if the sterile field is broken during this procedure?
Don another pair of sterile gloves.
The nurse is caring for a postpartum mother who delivered her second child yesterday. The mother states that her older child has just been diagnosed with chickenpox. She is concerned that her newborn will develop the disease. What is the best response by the nurse? "Is there someone who could care for your older child until she is no long contagious?" "Have you had chickenpox?" "Have you discussed this with your pediatrician?" "It would be best if your newborn weren't around your older child until the disease is no longer contagious."
Have you had chickenpox?"
A veteran nurse is working with a new graduate nurse. The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Which would be considered significant blood exposures by occupational health? Select all that apply. Hepatitis C Hepatitis B HIV Tuberculosis
Hepatitis B Hepatitis C HIV
A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter in a client. What is an accurate guideline for using this technique?
Hold sterile objects above waist level to prevent inadvertent contamination.
A nurse has been exposed to urine while changing the linens of a client's bed. Which guideline is followed for performing hand hygiene after this client encounter?
Keep hands lower than elbows to allow water to flow toward fingertips.
A 12-year-old is being hospitalized for pneumonia. The nurse receives the client's culture and sensitivity report on her tracheal aspirate. The client is infected with a strain of Streptococcus pneumoniae, which is particularly prone to cause infections, also referred to as what? Source Specific Pathogenic Virulent
Pathogenic
A nurse is preparing to add a sterile solution to a sterile container on a sterile field. After opening the container, what would the nurse do with the cap?
Position it with the inside facing up on a flat surface.
The nurse is teaching a new nurse about preparing a sterile field. Which action made by the new nurse would indicate further teaching is required?
The new nurse touches 1.5 in. (4 cm) from the outer edges.
A nurse is wearing latex gloves when caring for an older adult client at the health care facility. What are the characteristics of latex gloves? Select all that apply.
They increase the risk of allergies. They are used when fine motor skills are required. They are more flexible and durable than other types of gloves.
A nurse is in charge of care for a client who has methicillin-resistant Staphylococcus aureus(MRSA). Which guideline is accurate for using transmission-based precautions when caring for this client? Keep visitors 3 feet (1 m) from the client. Place the client in a private room that has monitored negative air pressure. Use respiratory protection when entering the room. Wear gloves whenever entering the client's room.
Wear gloves whenever entering the client's room.
The nurse has admitted a client on airborne precautions onto the medical-surgical unit. When the client asks, "When will these airborne precautions be removed?" what is the appropriate nursing response? "When your sputum culture is negative." "For 2 days as you get settled onto the unit." "Only until you begin to feel better." "Until you leave the hospital."
When your sputum culture is negative."
A nurse provides care for a diverse population of clients on a busy acute medicine unit. Which client is likely the most susceptible to infection? a 70-year-old man who has been diagnosed with polycythemia (excess red blood cell production) a 55-year-old woman who developed acute kidney failure because of poorly controlled diabetes a 39-year-old man who has been admitted because his HIV has recently developed into AIDS a 27-year-old woman who was admitted in hyperglycemic crisis (high blood glucose) and who has subsequently been diagnosed with type 1 diabetes
a 39-year-old man who has been admitted because his HIV has recently developed into AIDS
A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate? a portal of entry an infectious agent a portal of exit a reservoir
a reservoir
Surgical asepsis is defined as:
absence of all microorganisms.
A nursing student is preparing to return demonstrate the skill of handwashing. Which action would indicate that the student needs additional education? pushes watch to about 4 in (10 cm) above the wrist adjusts the water temperature to be hot avoids leaning against the wet sink removes jewelry except for plain wedding band
adjusts the water temperature to be hot
The nurse is caring for an older adult with pulmonary tuberculosis. Which precautions will the nurse begin? none airborne contact droplet
airborne
What are the recommended cleansing agents for hand hygiene in any setting when the risk of infection is high?
antimicrobial products
The nurse is preparing to change a client's sterile dressing. Which action by the nurse would increase the risk for infection? describing each step verbally to the client while performing the dressing change checking that the sterile dressing packages are intact before opening applying a new dressing with the gloves that were used to remove the old dressing ensuring that the surface where the sterile field will be set up is dry
applying a new dressing with the gloves that were used to remove the old dressing
A client suffers from bloody diarrhea after eating contaminated food at a local restaurant. The client has been infected with a(an):
bacteria
What means of transmission do nurses use transmission barriers to protect themselves from? Select all that apply. air droplets medication devices body substances blood
blood body substances air droplets
The nurse is caring for a client with tuberculosis. The prior shift's nurse has placed the client in droplet precautions. Which is the appropriate nursing action? continue with droplet precautions change to airborne precautions change to contact precautions change to standard precautions
change to airborne precautions
The nurse is caring for a client with a surgical wound. Which action by the nurse best reduces the reservoir of infection?
changing the soiled dressing
The nurse is caring for an older adult with pneumonia. Which assessment finding requires immediate nursing intervention? client is more difficult to arouse weight loss of 1 lb (0.5 kg) over 1 month oral temperature 99°F (37°C) reports increased fatigue
client is more difficult to arouse
Which clients are at a heightened risk for infection? Select all that apply. client with hypothermia client with an IV catheter client with hypertension client with gastric tube feeding client with an indwelling catheter
client with gastric tube feeding client with an indwelling catheter client with an IV catheter
The client is an employee on the medical unit at the local children's hospital. The nurse is an occupational health nurse educating the client on various routes of exposure. The nurse knows that as a hospital employee, the client is most susceptible to infection by what mode of transmission? contact vehicle airborne droplet
contact
The nurse is caring for a client with a draining abscess. Which precautions will the nurse begin? none airborne droplet contact
contact
The nurse is caring for a client with acute viral conjunctivitis. Which precautions will the nurse begin? airborne droplet none contact
contact
The nurse is caring for an older adult with a recurrent wound infection. Which precautions will the nurse begin? droplet airborne contact none
contact
A client is on contact precautions. How frequently must the nurse ensure that care items and bedside equipment for this client are cleaned? daily weekly hourly twice a day
daily
An acute medicine unit of a hospital currently has a number of clients who have tested positive for methicillin-resistant Staphylococcus aureus (MRSA). Which measures should the nursing staff prioritize in preventing the spread of MRSA to clients who are currently MRSA-negative?
diligent handwashing practices
The nurse is caring for an older adult with streptococcal pneumonia. Which precautions will the nurse begin? airborne contact none droplet
droplet
A nurse is preparing a sterile field and has removed the sterile drape from the outer wrapper. The nurse places the inner drape in the center of the work surface with the outer flap facing in which direction?
facing away from the body
A 34-year-old woman is pregnant with her first child. The nurse notices on her lab results that she is not immune to rubella. Why is it important that the client protect herself from a rubella infection? third trimester second trimester immediately postpartum first trimester
first trimester
Which piece of personal protective equipment should be removed first? respirator gloves goggles gown
gloves
A nurse is about to enter the room of a client with a strain of influenza A. The nurse prepares to don PPE. Which would be appropriate? Select all that apply. mask with face shield respirator gown gloves
gloves gown mask with face shield
Which personal protective equipment (PPE) should the nurse don to enter the room of a client who is diagnosed with Clostridium difficile?
gown and gloves
The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. Which concept should be the priority in the teaching plan?
hand washing
Which nursing action is a component of medical asepsis?
handwashing after removing gloves
A lead nurse is removing personal protective equipment after dressing the infected wounds of a client. Which is the priority nursing action? make contact between two contaminated surfaces handwashing before leaving the client's room remove the garments that are most contaminated make contact between two clean surfaces
handwashing before leaving the client's room
The nurse is teaching a client the correct procedure for pouring a sterile solution. Which client action indicates the need for further education from the nurse?
holding the container off to the side
To eliminate needlesticks as potential hazards to nurses, the nurse should: slide the needle into the cap and deposit it in a puncture-proof plastic container. stick the uncapped needle into a Styrofoam block and deposit it in a plastic container. immediately deposit uncapped needles into a puncture-proof plastic container. place the uncapped needle on a tray and carry it to the medicine room for disposal.
immediately deposit uncapped needles into a puncture-proof plastic container.
The nurse is caring for a pediatric client who became very ill after being in a day care where a number of other children are sick with the same condition. How will the nurse document this condition? Select all that apply. health care-associated infection (HCAI) noncommunicable disease infectious disease contagious disease communicable disease
infectious disease communicable disease contagious disease
Tuberculosis (TB) is a communicable disease transmitted by which method? inhaling droplets exhaled from an infected person using an infected person's eating utensils sexual contact using dirty needles
inhaling droplets exhaled from an infected person
The nurse is educating a client and caregivers about recurrent infections the client has experienced. What priority intervention can the nurse include that is a first line of defense? the cell-mediated immune response intact skin and mucous membranes staying home when sick low levels of flora early intervention with antibiotics
intact skin and mucous membranes
The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Which room assignment will the nurse make? with another client with a draining wound with a client with a myocardial infarction with a client with pneumonia into a private room
into a private room
The nurse is using aseptic technique to insert an indwelling urinary catheter. Which technique made by the nurse is correct?
keeping sterile field above waist level
A nurse is believed to have become infected by inhaling the spores of a bacterium. What precaution should have been applied when the nurse was working with the client who had this illness?
mask
A nurse has provided hygiene to an elderly client who has Clostridium difficile-related diarrhea. The nurse has been careful to wear a gown and gloves while providing care and has performed a thorough hand washing afterward. These precautions address what component of the chain of infection?
means of transmission
Airborne precautions are being followed for a client in a health care facility. The nurse should know that the client may have which disease? herpes pediculosis influenza measles
measles
A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. How will the nurse document this condition? contagious disease communicable disease noncommunicable disease infectious disease
noncommunicable disease
The nurse is caring for a client who became very ill after ingesting seafood. How will the nurse document this condition? noncommunicable disease infectious disease contagious disease communicable disease
noncommunicable disease
An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours, and a new infection is suspected. However, the nurse has documented that the client's temperature is within normal limits. When performing further assessments of this client, the nurse should understand that: older adults may present atypical signs and symptoms of infection. infections have a much slower onset in older adults than in younger adults. laboratory testing is usually the only indicator of infection in older adults. older adults typically have more antibodies to fight infection than do younger adults.
older adults may present atypical signs and symptoms of infection.
A nurse is explaining the importance of sterilization to the mother of a 6-month-old baby. Which method should the nurse ask the mother to follow when sterilizing food containers used for the baby at home? use free-flowing steam place in boiling water expose to sunlight apply dry heat
place in boiling water
A nurse is caring for an older adult client at a long-term health care facility. Which infections pose a high risk to long-term care residents and older adult clients admitted to health care facilities? Select all that apply. influenza pneumonia HIV chickenpox skin infection
pneumonia skin infection influenza
A nurse is caring for an older adult client at a long-term health care facility. Which infections pose a risk to long-term care residents and older adult clients admitted to health care facilities? Select all that apply.
pneumonia skin infection influenza
When pouring a sterile solution, what care should the nurse take to avoid contamination of the solution? Pour and discard a small amount of the solution before each use. Wash the inside surface of the cap of the container with water. Wipe the mouth of the container with a sterile cloth before and after use. Open and place the cap of the container inside down on a flat surface.
pour and discard a small amount of the solution before each use.
During an interaction with a client who is HIV-positive, the nurse learns that the client has nonspecific symptoms such as nausea, fever, general weakness, and aches and pains. The nurse interprets these findings as reflecting which stage of the communicable period? convalescent period prodromal period incubation period acute phase of illness
prodromal period
The nurse notices a student preparing to enter the room of a client with pulmonary tuberculosis with only gloves on. What is the appropriate nursing intervention? teach that a gown and shoe coverings must be worn in addition to gloves remind the student that a fitted N95 respirator is required do nothing, as the precautions observed are appropriate offer the student a mask
remind the student that a fitted N95 respirator is required
The nurse has worn a gown and gloves while caring for a client in contact isolation. How will the nurse appropriately remove this personal protective equipment (PPE)? remove gloves, wash hands, remove gown remove gloves, remove gown, wash hands remove gown, remove gloves, wash hands remove gown, wash hands, remove gloves
remove gloves, remove gown, wash hands
The nurse observes an unlicensed assistive personnel (UAP) collecting a urine specimen from a client with Staphylococcus aureus infection. Which action by the UAP would require the nurse to intervene? performs hand hygiene before donning gloves removes gloves and walks out of the room applies a mask with face shield asks the client to state name and date of birth
removes gloves and walks out of the room
A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What is the most important factor to prevent this infection?
surgical asepsis
The nurse performs hand hygiene with soap and water before caring for a client. What is the primary rationale for this action? to prevent the nurse from developing disease to eliminate disease-producing organisms from the nurse's skin to sterilize the nurse's hands to prevent infection to protect the integrity of the nurse's immune system
to eliminate disease-producing organisms from the nurse's skin
Personal protective equipment (PPE) is used in health care facilities to protect the staff from potentially infected clients.
true
Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. false true
true
A nurse is caring for a female client with multiple health problems. Which intervention mostsignificantly increases the client's risk of infection? insertion of a peripheral intravenous catheter placement in a shared room use of an indwelling urinary catheter use of a nasogastric tube for feedings
use of an indwelling urinary catheter
Which factor has contributed to resistant microbial strains? use of antibiotics in clients with viral infections mutation of common disease-causing viruses antibiotic use for bacterial infections use of topical antibiotics on skin abrasions
use of antibiotics in clients with viral infections
Which is not appropriate regarding the use of gowns as PPE? use of paper or cloth gowns use of a new gown each time the nurse enters the room use of one gown per person per shift donning a gown when splashing
use of one gown per person per shift
A team of nurses is caring for a client with tuberculosis. They have not been fitted for N95 respirators. How will the team proceed with care? utilize a powered air purifying respirator (PAPR) refrain from providing care until a nurse who has been fitted arrives use a regular mask and continue to provide care as usual enter the room as normal but maintain a 3-foot (1-meter) distance from the client
utilize a powered air purifying respirator (PAPR)
A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. Which measure by the nurse is appropriate? posting infection control measures on the room door, clearly identifying the disease directing the client to provide a sputum specimen at the public health department within 6 months of discharge teaching the client to dispose of tissues in a special sealed device wearing a particulate air filter respirator during client care
wearing a particulate air filter respirator during client care
A nurse is performing a sterile dressing change. If new sterile items or supplies are needed, how can they be added to the sterile field?
with sterile forceps or hands wearing sterile gloves
A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. Which disease does the client likely have? chickenpox tuberculosis influenza impetigo
tuberculosis
The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. Place the following steps in the order that the nurse should take when donning sterile gloves. Use all options.
-Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. -With the thumb and forefinger, grasp the folded cuff of the glove, insert fingers while pulling the glove over thee hand. -Place the fingers of the gloved hand inside the cuff of the remaining glove and insert the fingers while stretching it over the hand. -Adjust gloves on both hands if necessary, touching only sterile areas with other sterile areas.
A nursing instructor is reviewing the course of infection with students. The students show they understand the information when they place the stages in what sequence?
Incubation period Prodromal stage Acute stage Convalescent stage Resolution
Which client would require a negative flow room? a 3-year-old with influenza A and a productive cough a 4-year-old boy with meningitis an 81-year-old man with active tuberculosis and a productive cough a 21-year-old man with latent tuberculosis who is postoperative following repair of a femoral fracture
an 81-year-old man with active tuberculosis and a productive cough
For which client would the use of standard precautions alone be appropriate? an incontinent client in a nursing home who has diarrhea a client with diphtheria who needs p.m. care a client with TB who needs medications administered a child with chickenpox who is treated in the emergency room
an incontinent client in a nursing home who has diarrhea
The nurse is reviewing the plan of care for assigned clients. Which client has the highest risk for developing an infection?
an older adult client with a history of heart failure
Any microorganism capable of disrupting normal physiologic body processes is a:
pathogen
What is an accurate guideline for the use of PPE?
Replace gloves if they are visibly soiled.
The nurse is caring for a client who is hospitalized and has an indwelling urethral catheter. Which finding would most likely indicate the client has developed an infection? The nurse notes the client's urine is dark yellow with sediment. Urine culture is positive for vancomycin-resistant enterococci (VRE). The unlicensed assistive personnel (UAP) documents the client's oral temperature as 99°F (37.22°C) The client reports nausea and vomiting.
Urine culture is positive for vancomycin-resistant enterococci (VRE).
The nurse is preparing to perform handwashing. Place the following steps in the correct order. Use all options.
Turn on the faucet and adjust force and temperature of the water. Wet the hand and wrists. Apply soap. Wash the palms and backs of the hands for at least 20 seconds. Pat the hands dry with a paper towel. Turn the faucet off with a paper towel.
A nurse is providing care to a client who has developed an infection due to Candida. The infection is resistant to several medications. The client asks the nurse how he may have developed this infection. When responding to the client, the nurse would incorporate an understanding of which factor as contributing to the organism's resistance?
overprescription of antibiotics
Which practice is a correct application of infection control practices? A nurse rinses hands thoroughly after the application of an alcohol-based hand rub. A nurse performs hand washing each time the nurse removes a pair of gloves. A nurse dons a pair of gloves prior to any client contact. A nurse uses an alcohol-based hand rub each time that the nurse's hands are visibly soiled.
A nurse performs hand washing each time the nurse removes a pair of gloves.
After the nurse has set up a sterile field for a dressing change, the nurse realizes that an essential item has been forgotten. How should the nurse proceed?
Ask another staff member to bring the forgotten item.
The nurse is donning a pair of sterile gloves. The nurse correctly dons the first glove, but inadvertently inserts the thumb and index finger into the thumb hole of the second glove. The glove remains intact. Which action is most appropriate?
Continue to don the glove, then use the other gloved hand to carefully insert the finger into the proper hole.
The nurse has completed an intervention with a client. There is no visible soiling on the nurse's hands. Which technique is recommended by infection control practice standards for hand hygiene?
Decontaminate hands using an alcohol-based hand rub.
A client comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection?
Intact skin and mucous membranes protect against microbial invasion.
The nurse is caring for a client who has active tuberculosis and is under airborne precautions. The health care provider prescribes a computed tomography (CT) examination of the chest. Which action by the nurse is appropriate? Request that the examination be done at the bedside. Notify the CT department in advance so other clients and staff can be removed from the area. Question the need for the examination, because the client must remain under airborne precautions. Place a surgical mask on the client and transport to the CT department at the specified time.
Place a surgical mask on the client and transport to the CT department at the specified time.
The nurse manager for a long-term facility notes an increase in infection rates among residents. Which would be the best to implement?
Review the current infection control protocols.
After changing the bed linens for a client, the nurse uses an alcohol-based handrub to perform hand antisepsis. What is the proper way to use an alcohol-based handrub?
Rub the product between the hands until they are dry.
The nurse is preparing a sterile field for a dressing change. How would the nurse add paper-wrapped sterile items to the sterile field? Set up another sterile field for the additional items. Open the package away from the field. Separate the sealed flaps and drop contents onto field. While wearing sterile gloves, unwrap the package and add to the field.
Separate the sealed flaps and drop contents onto field.
The community nurse is educating a family about infection control measures. What teaching will the nurse include? Select all that apply. Standard precautions should be used when family members have active infections. Keep the entire living environment as clean as possible. Wear personal protective equipment (PPE) when appropriate. Hand hygiene is not needed in the home environment. Do not share drinking glasses with family members who are ill.
Wear personal protective equipment (PPE) when appropriate. Standard precautions should be used when family members have active infections. Do not share drinking glasses with family members who are ill. Keep the entire living environment as clean as possible.
The nurse is assisting a client with a history of vancomycin resistant enterococcus (VRE). What precaution should the nurse implement? airborne precautions standard precautions droplet precautions contact precautions
contact precautions
The clinical unit has been notified of a client being admitted with tuberculosis. Which action bestdemonstrates the correct measure for prevention of transmission of the disease? washing hands after completion of client care stocking the supply cart with masks at the beginning of every shift having the client wear a mask when coming up from the admitting office wearing a surgical mask in the care of the client
having the client wear a mask when coming up from the admitting office
A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). This nurse has another client that day who has an upper respiratory infection. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? wear gloves when touching the client wear a mask and gown in the client's room avoid direct contact with the client perform hand hygiene before and after entering the client's room
perform hand hygiene before and after entering the client's room
A nurse is wearing a cover gown. What are the benefits of a cover gown? Select all that apply. They can be worn while a nurse moves from client to client to save resources and time. They open in the back to reduce inadvertent contact with the client and objects. They look more pleasant to clients who have sensory deprivation. They have loose wristbands to help avoid contamination of the forearms. They fasten at the neck and waist to keep the gown securely closed, thus covering all the wearer's clothing.
They open in the back to reduce inadvertent contact with the client and objects. They have loose wristbands to help avoid contamination of the forearms. They fasten at the neck and waist to keep the gown securely closed, thus covering all the wearer's clothing.
A nurse is caring for a child who is hospitalized for diphtheria. Which guideline would be appropriate when caring for this client? Use a private room with the door closed at all times. Place client in a private room that has monitored negative air pressure. Wear personal protective equipment (PPE) when entering the room for all interactions that may involve contact with the client. Ensure that hard surfaces in the room are disinfected at least once per day.
Wear personal protective equipment (PPE) when entering the room for all interactions that may involve contact with the client.
An infection-control nurse is discussing needlestick injuries with a group of newly hired nurses. The infection control nurse informs the group that most needlestick injuries result from: recapping a needle. faulty needles and syringes. needles left in the client's linen. full needle boxes.
recapping a needle.
The nurse is caring for assigned clients who are all stable. Which client should the nurse see firstto minimize the spread of infection? the client placed in contact isolation who was admitted with a draining abdominal wound the client who is 48-hours postsurgical procedure the client admitted with diarrhea who tested positive for Escherichia coli (E. coli) the client admitted with a rash who reports recent exposure to measles
the client who is 48-hours postsurgical procedure
When the client who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is: universal precautions. droplet precautions. body-substance isolation. reverse precautions.
universal precautions
A nurse needs to send the blood and urine specimen of a client with acute diarrhea to the pathology laboratory. Which precaution is the priority when collecting and delivering the specimens to the laboratory? use a particulate air filter respirator use disposable cover gowns and goggles use thoroughly washed gloves use sealed containers in a plastic biohazard bag
use sealed containers in a plastic biohazard bag
While assessing a client admitted with a transmissible spongiform encephalopathy, what finding might the nurse observe? difficulty breathing distended abdomen reddened, circular rash unsteady gait
unsteady gait
A nurse is caring for a 55-year-old postoperative client. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? endotracheal tube urinary catheter Salem sump nasogastric tube PICC line
urinary catheter
A nurse is caring for a client with rubella. Which nursing action is an important precaution to be taken when caring for this client? changing gloves after contact with the client's infective material using a special high-filtration particulate respirator wearing a mask when working within 3 feet (1 m) of the client washing hands with an antimicrobial agent or waterless antiseptic agent
wearing a mask when working within 3 feet (1 m) of the client
A nurse is about to work with a client who has AIDS. When must the nurse use standard precautions? in emergency situations with all clients who have a documented infectious disease with all clients only with clients who have AIDS
with all clients