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Module 6 Safety and Infection Control
1.ID: 22266381457 A teenage client returns to the gynecological (GYN) clinic for a follow-up visit after diagnosis and initial treatment of a sexually transmitted infection (STI). Which statement by the client indicates the need for further teaching? A. “I always make sure my boyfriend uses a condom.” B. “I know you won’t tell my parents that I’m sick.” C. “My boyfriend doesn’t have to come in for treatment.” Correct D. “I finished all the antibiotic, just like you said.” 2.ID: 22266381082 occurred when a blood tube containing a specimen from the client broke. What steps should the nurse take to clean up the blood spill? Select all that apply. A. Blotting up the spill with a face cloth or cloth towel B. Disinfecting the area of the blood spill with a dilute bleach solution Correct C. Wearing gloves for the cleanup procedure Correct D. Placing the pieces of broken glass in a plastic bag E. Using tongs to collect any broken glass Correct
3. Which of the following statements reflect the principles of sterile technique? Select all that apply. A. When a sterile field becomes wet, it remains sterile as long as the items on the field are not touched. B. Any part of a sterile field that hangs below the top of the table is sterile as long as it is not touched. C. The clients overbed table is wiped with chlorhexidine. D. Items in a sterile package must be used immediately once the package has been opened; otherwise they are considered contaminated. Correct E. If a package is not labeled as sterile, it should be considered unsterile. Correct F. Sterile objects that come in contact with unsterile objects are to be considered contaminated. Correct 4.ID: 22266381046 following events are described as examples of natural disasters? Select all that apply. A. Drought Correct B. Hurricane Correct C. Toxic waste spill A nurse is preparing to clean up a blood spill on the client’s bedside table that A nurse is attending an in-service program on disaster preparedness. Which of the
D. Bus accident E. Flood Correct F. Terrorist attack
D. Performing an analysis of health problems related to child safety 9.ID: 22266380062 continually tries to climb out of bed. Which of these safety devices that the nurse might suggest is the least restrictive? A. Wrist A hospitalized client, experiencing confusion, is at risk of falling because she
B. Ambularm Correct C. Elbow D. Belt 10.ID: 22266381439 A home health nurse is visiting a client with tuberculosis (TB). Which action by the client tells the nurse that the client understands the necessary respiratory precautions to be taken at home? A. Wearing an oxygen mask at all times B. Staying secluded in the bedroom C. Keeping the house closed up to minimize the spread of disease D. Disposing of contaminated tissues in a container with a leak-proof bag Correct 11.ID: 22266381487 A community health nurse is asked to assist in developing a community disaster plan identified by Federal Emergency Management Agency (FEMA). The nurse knows that the preparedness phase of the plan includes what components? Select all that apply. A. Caring for disaster victims Correct B. Planning for rescue Correct C. Training of disaster personnel Correct D. Actions to prevent the occurrence of a disaster or reduce the damaging effects E. Evacuation Correct F. Putting disaster planning services into action
- ID: 22266380071 A nurse performs an evaluation to determine whether a client's home is electrically safe. Which finding indicates the need for further investigation and intervention? A. Electrical kitchen appliances are located away from the sink. B. A safety-type extension cord is secured to the floor with electrical tape. C. Wiring for the television runs under the carpet. Correct D. Electrical cords are free of frayed and damaged wires.
- ID: 22266381415 A home care nurse visits a client who lives in a small apartment to perform an admission assessment. During the home safety assessment, the client asks the nurse whether it is safe to use a space heater. What is the appropriate response by the nurse? A. “A space heater can be used as long as it is kept at a low setting at all times.”
B. Identifying and training personnel for disaster response Correct C. Activating disaster medical assistant teams D. Educating the public about ways to prepare for disasters Correct E. Developing a federal disaster response plan F. Providing disaster relief Correct
15. ID: 22266380022 Which of these interventions does a nurse manager, reviewing infection control interventions with the nursing staff, tell the staff will reduce reservoirs of infection? Select all that apply. A. Changing dressings that become wet or soiled Correct B. Using soap and water to remove drainage, dried secretions, or excess perspiration from a client’s skin Correct C. Emptying urinary drainage systems (Foley catheter drainage) on each shift unless prescribed otherwise by a physician Correct D. Placing tissues and soiled dressings in paper bags E. Keeping bedside table surfaces clean and dry Correct F. Placing capped needles and syringes in puncture-resistant containers
- ID: 22266381013 A nurse educator is providing an in-service program to emergency department nurses about the signs/symptoms of inhalation anthrax. What does the nurse educator tell the nurses is an early indication of inhalation anthrax? A. Hemorrhage B. Signs/symptoms of shock C. Respiratory distress D. Flulike signs/symptoms Correct
- ID: 22266381496 A nurse is providing instructions to a nursing assistant who will be caring for a client in hand restraints. How often does the nurse instruct the nursing assistant to release the restraints to permit muscle exercises? A. Every 4 hours B. Every 30 minutes C. Every 2 hours Correct D. Every 3 hours
- ID: 22266381001 A military nurse who is in charge of planning a vaccination clinic to administer the smallpox vaccine to military personnel is preparing a pamphlet that sets forth guidelines for care of the vaccination site. Which guideline should the nurse include in the pamphlet?
A. Keep the vaccination site open to air as much as possible. B. Apply an antihistamine ointment to the scab to prevent itching. C. Avoid sharing towels or other items that have come in contact with the vaccination site. Correct D. Soak the scab that forms with warm water every day.
E. “Use public transportation as much as possible.”
- ID: 22266381472 A nurse, assessing a client's readiness for discharge, is performing a home safety assessment to determine whether there are any environmental hazards in the home. Which of the
following statements, if made by the client, would prompt the nurse to investigate further? Select all that apply. A. “I haven’t changed the batteries in the smoke detectors in my home for quite a few years now.” Correct B. “I don’t have any nightlights in the house.” Correct C. “I’ve removed the scatter rugs from the house.” D. “I live in a single-story house.” E. “I keep my personal items within reach when I sit in my easy chair.”
- ID: 22266381058 A staff nurse caring for a client with a head injury notes that the client is restless and pulling at the intravenous (IV) line. The client’s primary health care provider does not want to prescribe sedation, and the family has requested that the client not be restrained. Which action by the nurse is best? A. Asking a family member to sit with the client B. Asking a nursing assistant to monitor the client C. Staying with the client and consulting with the nurse manager about the situation Correct D. Telling the family that the application of wrist restraints is critical in preventing injury to the client
- ID: 22266381911 A nurse, charting the administration of medications to an assigned client at 9 pm, notes that atenolol was prescribed to be administered at 9 am instead of 9 pm. The nurse checks the client’s vital signs, completes an incident report, and calls the primary health care provider to report the error. The primary health care provider tells the nurse that an incident report is not needed but instructs her to monitor the client during the night for hypotension. What action should the nurse take? A. Notify the nursing supervisor B. Tell the primary health care provider that the error warrants the completion of an incident report Correct C. Tear up and discard the incident report D. Tell the nursing supervisor that the primary health care provider did not want an incident report completed and filed
- ID: 22266381914 Which event would require a nurse to complete and file an incident report? A. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor’s blood pressure and takes the visitor to the emergency department for treatment. Correct
- ID: 22266380044 A nurse is discussing accident prevention with the family of an older client who is being discharged from the hospital after hip surgery. This client has a tendency to be forgetful. Which items in the home increase the client’s risk for injury? Select all that apply. A. Cooking equipment such as a stove Correct B. Elevated toilet seat with armrests C. A nightlight in the bathroom D. A water heater thermostat adjusted to a low setting E. Smoke and carbon monoxide detectors F. Common household objects such as door mats Correct
- ID: 22266381055 A nurse manager of an emergency department (ED) arrives at work and is told that four registered nurses scheduled to work will not be reporting to work because they are ill. Every trauma room is busy, and emergency medical services (EMS) has just called to report that several victims involved in a 10-car wreck on the interstate will be brought to the ED. How does the nurse manager initially manage this situation? A. Telling EMS to take the victims to another hospital B. Demanding that the nurses from the night shift stay until all of the victims have been treated C. Closing the emergency department temporarily to incoming clients D. Calling the nursing supervisor to discuss activation of the disaster plan Correct 29. ID: 22266380037 A home care nurse is visiting an older client who has been recovering from a mild brain attack (stroke) affecting her left side. The client lives alone but receives regular assistance from her daughter and son, who both live within 10 miles. Which of the following actions should the nurse take to assess the client’s safety risk? Select all that apply. A. Observe the client’s gait and posture Correct B. Look for any hazards in the home environment Correct C. Assess the client’s visual acuity Correct D. Ask a family member to move in with the client until her recovery is complete E. Evaluate the client’s muscle strength Correct F. Request that the client transfer to an assisted living environment for at least 1 month
- ID: 22266381412 A nurse is preparing to initiate a continuous tube feeding, using a tube- feeding pump. On bringing the pump to the bedside and preparing to plug the pump in, the
nurse discovers that there is no available plug in the wall socket. What is the most appropriate action the nurse should do? A. Determine the need for the appliances now plugged into the needed wall socket Correct B. Use a regular extension cord to allow the use of more than one electrical appliance
among several sites when measuring the blood pressure B. Performing meticulous skin decontamination before venipuncture Correct C. Monitoring the client’s oral temperature Correct D. Maintaining sterile occlusion of intravenous (IV) catheters Correct
E. Requiring the client to use an electric shaver rather than a razor F. Providing a soft toothbrush for oral care
- ID: 22266381442 A nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse goes to attach the IV tubing port to the solution bag, the tubing drops, hitting the top of the medication cart. Which action should the nurse take to maintain asepsis? A. Obtain a new IV solution bag B. Scrub the tubing port with an alcohol swab C. Obtain new IV tubing Correct D. Wipe the tubing port with povidone-iodine solution
- ID: 22266381454 The nurse administers a dose of ramipril 2.5 mg to a client at 9 am. While documenting administration of the medication, the nurse discovers that 1.25 mg, not 2.5 mg, was the prescribed dose. The nurse assesses the client, completes an incident report, and notifies the primary health care provider and nursing supervisor of the error. What statement does the nurse add to the client's record? A. Twice the amount of the prescribed ramipril was administered at 9 am. B. Client’s blood pressure was 128/82 mm Hg after the administration of the incorrect dose of ramipril. C. Ramipril 2.5 mg was administered at 9 am. Correct D. An incident report was completed and filed.
- ID: 22266381908 Contact precautions are initiated for a client with methicillin- resistant Staphylococcus aureus (MRSA) infection. What does the nurse, providing instructions to a nursing assistant about caring for the client, tell the assistant? A. To transfer the client to a semiprivate room B. To wear gloves and a gown when changing the client's bed linen. Correct C. To wear a gown when caring for the client and remove the gown immediately after leaving the client’s room D. That gloves only are needed to care for the client 38.ID: 22266380050
F. A hospital-acquired infection Correct
41. ID: 22266380095 A nurse in a long-term care facility recognizes the need to place wrist restraints on a client, but the client does not want the restraints applied. What would be the most appropriate action by the nurse?
A. Contact the primary health care provider Correct B. Apply the restraints anyway C. Medicate the client with a sedative, then apply the restraints D. Compromise with the client and use only one wrist restraint instead of two
42. ID: 22266380047 Wrist restraints have been prescribed for a client who is constantly pulling at his gastrostomy tube. Which findings does the nurse, developing a care plan, recognize as unexpected outcomes related to the use of restraints? Select all that apply. A. The skin under the restraint is red. Correct B. The client verbalizes the reason for the restraints. C. The client slips his hand from its restraint and pulls at his gastrostomy tube. Correct D. The client becomes agitated. Correct E. The client is unable to reach the gastrostomy tube with his hands. F. The client’s left hand is pale and cold. Correct
- ID: 22266380065 A sedated client is being transported to the radiology department on a stretcher. Which type of restraint should the nurse suggest applying to help ensure the client’s safety? A. Wrist B. Elbow C. Mitten D. Belt Correct.
- ID: 22266381016 An industrial nurse at a large factory provides information to the employees in the mailroom and shipping department about the signs of skin (cutaneous) anthrax. For which early sign of cutaneous anthrax does the nurse tell the employees to check their skin? A. A weeping blister B. An open ulcer C. A black skin area of skin D. An itchy bump Correct
- ID: 22266381490 A nurse caring for a 9-month-old who has undergone repair of a cleft palate applies elbow restraints to the child. The mother visits her child and asks the nurse to remove the restraints. According to the guidelines for the use of restraints, what should the nurse do in response to the mother’s request? A. Remove both restraints
