Safety and Infection Control 2

The nurse at a family practice is responsible for reviewing home safety issues with all patients. She knows that there is an increased risk of falls in which of these two groups of patients?

A nurse is counseling an 87-year-old female patient and her daughter. The patient is obese, has multiple medical problems, including dementia, and takes numerous medications. The patient is preparing to move in with her daughter for full-time care. Which of the following is least important for the nurse to discuss with the patient and her daughter.

A nurse on the medical/surgical floor is caring for an elderly, postoperative patient with dementia who is in restraints because she refuses to stay in bed or keep her IVs in. The nurse knows that she will have to provide range of motion exercises and ask if the patient needs to use the restroom how often?

A nurse in the emergency room is taking care of a 4-year-old patient who has a suspected case of impetigo. The nurse knows that which of the following precautions is most important to prevent the spread of this infection?

A nurse is working with a patient who has a contagious condition. In recalling the chain of infection, the nurse knows that an environment favorable for the growth and reproduction of an infectious agent is referred to as ____.

A nurse is volunteering in an indigent clinic. She is seeing a patient whom she suspects has active tuberculosis. In this disease process, which of the following body systems serves as both the reservoir and portal of entry for this infection?

A nurse is preparing a bag of chemotherapy agent for one of the patients. The nurse accidentally pierces a hole through the bag while attempting to spike it. A moderate amount of chemotherapy spills onto the ground. Which of the following actions should the nurse perform first?

The nurse is admitting a 70-year-old patient for a procedure. The patient has type I diabetes mellitus with significant peripheral neuropathy, atrial fibrillation controlled with antiarrhythmic medications, and osteoarthritis bilaterally in his knees. He is also on anticoagulants with an INR of 3.0. Given that the nurse knows about the individual risk factors that raise the risk of a fall, accident, or injury while hospitalized, which of the following should be identified as the most significant risk factor for this patient?

A patient with a suspected renal tumor is being admitted for an intravenous pyelogram (IVP). The nurse discusses the procedure with the patient in addition to taking a full medical history. Which of these pieces of information reported in the patient’s history should the nurse report to the physician performing the IVP?

A nurse working an overnight hospital shift is administering medications to her patients. Which of these is the most important thing to do prior to giving medications to her patients?

A nurse is working in a nursing home when there is a fire in the kitchen and cafeteria area. Which of the following is the first priority for the nurse in this situation?

A nurse is checking on her patients and notes that one of them has slid down in the bed. The patient states that he is uncomfortable, but that he is unable to reposition himself on his own. The nurse knows that in order to help him and avoid injury to herself, she needs to ____.

Select the appropriate personal protective equipment (PPE) that will be applied prior to entering the room of a patient with influenza.

A. gloves
B. mask
C. gown
D. goggles
E. respirator

A nurse who works in an outpatient surgical center develops a new respiratory illness. She has atypical symptoms and is not responding to conventional therapies. Her work history includes spending considerable amounts of time in her facility’s central supply and equipment sterilization areas. Her treating physician suspects her illness is linked to a workplace exposure. Where is the best place for the nurse to obtain information regarding her potential workplace exposures?

Which of these is the correct order of events a nurse should follow when applying personal protective equipment (PPE)?

A nurse has just completed a blood draw for a patient with unknown HIV status. Which of the following is the correct way to dispose of the needle?

A nurse inadvertently administers the wrong dose of antibiotic to a patient recovering from surgery. Which of these is the correct course of action for the nurse when documenting this in the patient’s medical record?

A nurse is caring for a patient receiving intravenous drug therapy via an infusion pump. The pump continues to sound an alarm and the nurse is unsure if it is administering the drug correctly. Which of these is the correct course of action for the nurse to follow?

There has been a mass casualty shooting at a nearby school. A nurse is working in the emergency department and is asked to triage clients as they arrive at the hospital. One of the clients arriving at the emergency department is in a wheelchair speaking to a nurse frantically while clutching his leg around a bloodied bandage and his foot is oddly angled. Based on this information, which of the following tag colors would the triage nurse assign this client?

A nurse is setting up and assisting in a sterile surgical procedure. According to the principles of surgical asepsis, the nurse understands that which of these statements is correct?