Safety and Infection Control quiz

which cause may produce abnormal uterine bleeding?

hypothyroidism, failure to ovulate, bleeding disorders, unidentified pregnancy, use of oral contraceptives, benign lesions of the uterus

which statement shows that the newly diagnosed asthma patient understands how to use peak expiratory flow meter (PEFM)?

i have to blow out as fast and hard into the machine as i can; PEFM measures exhaled air

which birth factors place the neonate at risk for sudden infant death syndrome?

birth order, multiple births, low apgar scores

which product would the nurse instruct intravenous drug users to use for cleaning of needles and syringes between uses?

bleach

the nurse is preparing to administer an intramuscular injection to a newborn. to administer the injection safely, the nurse would be cognizant of which cause of slow absorption in newborns?

blood flow

the nurse is caring for a client admitted with peritonitis. which finding in the medical record if most likely the cause?

bowel obstruction

a client asks what is the primary advantage of breast-feeding? which response is most appropriate?

breast-fed infants have fewer infections

which symptoms indicate pelvic inflammatory disease?

fever, elevated ESR, chronic pelvic pain, irregular vaginal bleeding, abnormal vaginal discharge, bilateral adnexal tenderness

at which interval are humidified oxygen systems replaced to prevent infection?

1 day

which method of delivering client care works well in disaster situations?

functional nursing; tasks are completed quickly and efficiently

which antibody forms first after exposure to an antigen?

IgM

the nurse would instruct a client with type I diabetes to dispose of a used syringe in which container?

a plastic liquid detergent bottle with a screw-top lid

which intervention would the nurse include in the plan of care for a client admitted with herpes zoster?

acyclovir (antiviral), silvadene (applied to open vesicles), gabapentin (treat nerve pain), wet compresses (vesicle discomfort), contact isolation (contagious)

which clinical condition is associated with lead poisoning?

anemia; lead can interfere with binding of iron onto heme causing anemia

the nurse is working with a group of clients in a mental health facility. the nurse would assess risk for suicide in clients with which conditions?

anxiety, alcohol abuse, schizophrenia, bipolar

which side effect would the nurse monitor for when administering a SSRI?

anxiety, nausea, sedation, restlessness, suicidal ideation, increased energy level

which instruction would the nurse provide to an older client using ice and heat to treat pain from back strain?

apply for 30 minute time intervals

for which client illness would airborne precautions be implemented?

chickenpox

to which disaster triage class would the nurse infer a client with a green triage tag belongs?

class III

a child becomes cyanotic during a generalized tonic-clonic seizure. which is the most appropriate action by the nurse?

continuing to observe the seizure; the child will not breathe until the seizure is over

which report by the client post transrectal prostate biopsy needs to be communicated to the HCP as a possible sign of infection?

discharge from the penis

which action would the nurse take when caring for an older adult with a history of recent memory loss?

employ electronic devices that provide alerts

after the nurse provides education about ATV safety for a parent of an 11 yo, which statement made by the parent indicates an understanding of the information?

i will make sure my child does not get on an ATV; under 16 should not operate

which condition is commonly seen following infestation with pediculosis capitis (head lice)?

impetigo

the nurse is preparing a child who has undergone a myringotomy for discharge. which would the parents be taught about their child's care at home?

insert earplugs whenever a bath is given

which emergency medical service agency offers service such as first aid stations and special-need shelters during a disaster or pandemic disease outbreak?

medical reserve corps (MRC)

which substance will the home care nurse instruct a client to use after laryngectomy to cleanse the stoma site

mild soap and water

which medication for treatment of gastroesophageal reflux disease would be contraindicated in the pregnant client?

misoprostol

which action would the nurse take to decrease the risk of transmission of VRE?

move the client to a private room

which type of needs would be placed as an intermediate priority in the prioritization of client care?

potential needs in care

which features would the ED nurse use from an automated tracking system for triage during mass casualty incidents?

priority upon arrival, interaction with caregivers, priority per process of care, priority according to location

which activity would the nurse manager complete during an emergency event when acting as the triage officer according to the hospital incident command system

rapidly evaluating each person who comes to the hospital

which intervention is most important in preventing hospital acquired catheter associated UTI's?

removing the catheter

which stage of HIV would a client with a CD4+ cell count of 325 cells/mm3 be classified?

stage 2 (200-499); stage 1 (500+) stage 3 (less then 200) stage 4 (no info regarding cell count)

which precaution would the nurse identify as a prevention for HIV and other bloodborne illnesses?

standard

which action would the nurse implement when providing care for a client with AIDS

standard precautions

which is the nurse's priority intervention after discovering an infant is apneic?

stimulate the trunk

which adolescent behavior increases the risk of injury?

substance abuse, unprotected sex

when is administration of activated charcoal indicated after a poisoning?

the charcoal has to be administered within 1 hour after poisoning

which issue related to antibiotic use is an increased risk for the older adult

toxicity

which intervention is the best approach to condom use for prevention of sti's?

use of a condom with oral sex

which behavior is an early sign of an abusive personality

verbal abusive, jealous/controlling, enforces rigid sex roles, hypersensitive/easily insulted, isolates partner from family and friends, makes others responsible for their feelings

which statement would the nurse include in the teaching plan of a client anticipating discharge with AIDS?

wash used dishes in hot, soapy water

the school nurse presented a program for teachers about infection-control and hand-washing techniques. which evaluation method is the most effective way for the nurse to evaluate the teacher's knowledge of hand-washing techniques?

watch the teachers demonstrate infection-control techniques

which group has the highest rate of meningococcal infection?

young adults