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Safety and Infection Control

(340 questions)

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  1. The nurse must assess the temperature and blood pressure of a client on contact precautions every shift. Which is the appropriate nursing action to minimize the spread of microorganisms?
    1. Keep the equipment in the client’s room.
    2. Store the equipment in the soiled utility room between uses.
    3. Cleanse the equipment after each use.
    4. No special action is required with the equipment.


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  2. The nurse is making a home visit to a 70-year-old client with emphysema. Which assessment finding has the most serious implication for this client's nursing care?
    1. Increased anterior-posterior diameter of the chest
    2. Bilateral crackles throughout the lung fields
    3. Pursed-lip breathing
    4. Circumoral cyanosis


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  3. While performing an environmental assessment of a 72-year-old client, what hazards should the nurse document and correct?
    1. Absence of grab bars in the bathroom, and unanchored rugs
    2. Non-skid tub and shower mats
    3. Smoke detectors and fire extinguishers
    4. Night lights in bathrooms and hallways


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  4. A client who is in Stage II of Alzheimer's disease has memory impairment. The nurse should plan to do which of the following at the beginning of the upcoming work shift?
    1. Check to ensure that the client is wearing an ID badge.
    2. Place the client in a quiet, calm environment.
    3. Write a note on the cover of the chart asking for a prn order for restraints.
    4. Instruct ancillary caregivers to assess the client's level of consciousness hourly.


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  5. Which statement by the client with myasthenia gravis indicates a need for further instruction before discharge?
    1. "I realize I need to be sure I take my medications at the scheduled times."
    2. "I won't be drinking anymore gin and tonics!"
    3. "I am looking forward to taking a really long, hot bubble bath when I get home."
    4. "I am not going to train for the triathlon this year."


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  6. A client asks the nurse to explain why she is receiving lidocaine (Xylocaine) in her IV when her dentist injects it into her gums to numb the teeth before a filling. The best response by the nurse is:
    1. "The medication is more effective intravenously, and you will feel no pain anywhere."
    2. "As an IV medication, it will help you relax and rest, so your heart can heal."
    3. "When given IV, this medication reduces the irritability of the cells in your heart, and helps reduce dysrhythmias."
    4. "The medication will increase your urine output, so that you will be less likely to suffer from heart failure."


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  7. Which of the following actions by the nurse comply with core principles of surgical asepsis? Select all that apply.
    1. Wash hands before and after client care.
    2. Keep the sterile field in view at all times.
    3. Wear personal protective equipment.
    4. Add contents to the sterile field holding the package 6 inches above the field.
    5. Consider the outer 1.5 inches of the sterile field as contaminated.


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  8. The major focus for nursing care of the client with meningitis will be to:
    1. Enhance coping skills.
    2. Provide cognitive stimulation.
    3. Assess risk for injury and prevent complications.
    4. Increase cardiac output.


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  9. The nurse is providing home care instructions for a family with a toddler diagnosed with lice. The nurse includes which of the following instructions in the teaching plan? (Select all that apply.)
    1. Immerse combs and brushes in boiling water for 30 minutes to kill lice.
    2. Vacuum floor and furniture to remove hair that might have live nits.
    3. Have the mother use a bright light and magnifying glass to check the hair for lice.
    4. Launder the child’s bedding and clothing in hot water with detergent and dry in a hot dryer for 20 minutes.
    5. Teach children to not share combs, brushes, and hats.


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  10. To treat a client with autonomic dysreflexia, the nurse positions the client:
    1. Prone, head to the side, arms on pillows.
    2. In a fetal position with a blood pressure cuff on.
    3. Leaning forward over the bedside table.
    4. By elevating the head of bed and removing support hose.


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