NSG 280 Chapter 5 questions and answers(Marked Quiz) Scored A. 2020/2021

Questions I got wrong = red pg 117 1. In which order will the nurse take these actions before doing wound irrigation and a dressing change for a client who has a wound infected with methicillin-resistant Staphylococcus aureus (MRSA)? 1. Don gloves. 2. Put on gown. 3. Perform hand hygiene. 4. Place goggles over eyes. 5. Put on mask to cover nose and mouth. __3___, __2___, __5___, ___4__, __1___ 2. A client who has had recent exposure to Ebola while traveling in Africa arrives in the emergency department with fever, headache, vomiting, and multiple ecchymoses. Which action should the nurse take first? 1. Place the client in a private room. 2. Obtain heart rate and blood pressure. 3. Notify the hospital infection control nurse. 4. Ask the client to describe type of Ebola exposure. 3. A client who has been infected with the Ebola virus has an emesis of 750 mL of bloody fluid and complains of headache, nausea, and severe lightheadedness. Which action included in the treatment protocol should the nurse take first? 1. Give acetaminophen 650 mg PO. 2. Administer ondansetron 4 mg IV. 3. Infuse normal saline at 500 mL/hr. 4. Increase oxygen flow rate to 6 L/min. 4. The nurse is caring for a newly admitted client with increasing dyspnea, hypoxia, and dehydration who has possible avian influenza (“bird flu”). Which of these prescribed actions will the nurse implement first? 1. Start oxygen using a nonrebreather mask. 2. Infuse 5% dextrose in water at 100 mL/hr. 3. Administer the first dose of oral oseltamivir. 4. Obtain blood and sputum specimens for testing. 5. The nurse is preparing to leave the room after performing oral suctioning on a client who is on contact and airborne precautions. In which order will the nurse perform the following actions? 1. Remove N95 respirator. 2. Take off goggles. 3. Remove gloves. 4. Take off gown. 5. Perform hand hygiene. ___3__, __2___, __4___, __1___, __5___ 6. A client has been diagnosed with disseminated herpes zoster. Which personal protective equipment (PPE) will the nurse need to put on when preparing to assess the client? Select all that apply. 1. Surgical face mask 2. N95 respirator 3. Gown 4. Gloves 5. Goggles 6. Shoe covers 7. Four clients arrive simultaneously at the emergency department. Which client requires the most rapid action by the triage nurse to protect other clients from infection? 1. A 3-year-old client who has paroxysmal coughing and whose sibling has pertussis 2. A 5-year-old client who has a new pruritic rash and a possible chickenpox infection 3. A 62-year-old client who has an ongoing methicillin-resistant Staphylococcus aureus (MRSA) abdominal wound infection 4. A 74-year-old client who needs tuberculosis (TB) testing after being exposed to TB during a recent international airplane flight 8. The nurse is caring for four clients who are receiving IV infusions of normal saline. Which client is at highest risk for bloodstream infection? 1. Client with an implanted port in the right subclavian vein 2. Client who has a midline IV catheter in the left antecubital fossa 3. Client who has a nontunneled central line in the left internal jugular vein 4. Client with a peripherally inserted central catheter (PICC) line in the right upper arm