TEST4 Flashcards
(50 cards)
A female client is on isolation because she acquired a methicillin-resistant S. aureus (MRSA) infection after hospitalization for hip replacement surgery. What name is given to this type of infection?
Nosocomial.
Nurses provide many interventions to prevent falls in health care settings. Which of the following would be an appropriate nursing intervention to prevent falls?
Lock wheels on bed and wheel chairs.
When educating parents of preschoolers, what is most important to include in your presentation?
Keep chemicals in a locked cabinet
A girl age 4 years has been admitted to the emergency department after accidentally ingesting a cleaning product. Which of the following treatments is most likely appropriate in the immediate treatment of the girl’s poison?
Administration of activated charcoal
Which of the following people has the greatest risk for accidental injury?
A worker who operates industrial machines
What are the general nursing care guidelines that the nurse should follow when caring for client .. in facility?
Avoid jewelry with prongs or protruding stones
Which of the following most accurately defines an infection?
A disease resulting from pathogens in or on the body
An emergency room nurse is assessing a toddler with multiple bruises and burns. The nurse suspects the toddler has been abused. What is legally required of the nurse?
Report suspicions about the abuse to proper authorities
Which of the following nursing diagnoses would be appropriate for teaching interventions for a single mother who leaves her toddler unattended in the bathtub?
Risk for Suffocation
A client with diabetes has impaired sensation in her lower extremities. What education would be necessary to reduce her risk for injury?
“Always test the temperature of bath water before stepping in.”
What age group is most vulnerable to toxic fumes or asphyxiation?
Young children
The clinical nurse educator at a long term care facility is responsible for organizing and carrying out staff educational sessions. Which of the following topics for staff education is most likely to benefit the greatest number of …
Educating nurses on how to prevent falls
A grade school nurse is addressing parents at a PTA meeting regarding car safety. Which of the following.. recommended safety guideline for this age group?
Booster seats should be used for children until they are 4 feet 9 inches tall or at least 8 years of age
A nurse is performing a sterile dressing change. If new sterile items or supplies are needed, how… the sterile field?
With sterile forceps or hands wearing sterile gloves
A client with an upper respiratory infection (common cold) tells the nurse “I am so angry…. because he would not give me any antibiotics.” What would be the most accurate respond?
“Antibiotics have no effect on viruses.”
An adolescent has recently had a ring inserted into her navel. Which of the following is the greatest risk facing the adolescent as a result of this activity?
A local and or systemic infection
A physician orders restraints for a confused client who is at risk for injury by pulling out tubes necessary to sustain her life. Which of the following statements describe an accurate action to take when applying these restraints?
Ensure that two fingers can be inserted between the restraint and the client’s extremities .
A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for the procedure?
Gather new sterile supplies and start over
A nurse is caring for a client with a serious bacterial infection. The client is dehydrated. Knowledge of the physical effects of the infection would support which of the following nursing diagnosis?
Risk for imbalance body temperature
A nurse is admitting a client to a geriatric medicine unit following the client’s recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client’s chance of experiencing a fall while on the unit?
Orient the client to the room and environment thoroughly upon admission.
In light of the failure of alternatives, a nurse has been forced to physically restrain an agitated client. Which of the following actions should the nurse perform when applying and maintaining the restrains
Tie the client’s hand restraint to the bed frame rather than the side rail.
A nurse caring for a client who has gas gangrene knows that this infection originated in which of the following reservoirs?
Soil
A client comes to the emergency department with major burns over 40% of his body. Although…. true, which one would provide the rationale for a nursing diagnosis of Risk for Infection?
Intact skin and mucous membranes protect against microbial invasion
A nurse is caring for an adolescent who is diagnosed with mononucleosis, common called “the kissing disease”. The nurse explained that the organism causing this disease were transmitted by
Direct contact
