he nurse is working for a postsurgical unit. He is caring for four postsurgical patients,
all of whom have been in the hospital for 3 days or more. Which of the following
patients should he be most concerned about regarding a health careassociated
infection?
a.
An asymptomatic elderly patient with bacteria in his urine
b.
A middle-aged woman with a white blood cell count of 10,000/mm3
c.
A young adult woman who is 1 day postoperative with redness at incision site
d.
A middle-aged man with temperature of 101.3 F and complaints of malaise
,Give this one a try later!
ANS: D
By assessing existing signs and symptoms (e.g., the condition of a wound,
the presence of fever), you will determine whether a patients clinical
condition indicates the onset or extension of a systemic infection. The
patient with an elevated temperature such as 101.3 F and a feeling of
malaise is demonstrating signs of infection. When assessing laboratory
data, consider the age of the patient. For example, in an older adult,
bacterial growth in urine without clinical symptoms does not always
indicate the presence of a urinary tract infection. Normal white blood cell
count is 5000 to 10,000/mm3, so a patient with that level would not be
showing a sign of infection unless he or she were already
immunosuppressed. Redness at the incision site is a sign of inflammation,
and the bodys inflammatory response is a protective reaction that
neutralizes pathogens and repairs body cells.
The nurse is preparing to give an intramuscular (IM) injection of pain medication. The
nurse prepares this medication knowing which of the following?
a.
Intramuscular (IM) medications are absorbed faster than subcutaneous medications.
b.
Medication absorption is faster with subcutaneous medications.
c.
Blood supply to the subcutaneous tissue is richer than to muscle.
d.
Muscle tissue has a less developed vascular system than subcutaneous tissue.
Give this one a try later!
, ANS: A
The blood supply to the site of administration determines how quickly the
body absorbs a drug. Sites with rich blood supplies absorb medications
more quickly. For example, the body absorbs a medication administered in
the muscle (intramuscular [IM] route) faster than a medication administered
in the subcutaneous tissue (subcutaneous route) because the blood supply
to muscle is richer than the blood supply to subcutaneous tissue.
A nurse is working in a health facility that creates a culture of safety. Which behavior
will the nurse use in this type of facility?
a. Find blame when problems occur.
b. Reprimand co-workers when a mistake is made.
c. Maximize adverse events.
d. Focus on performance improvement efforts.
Give this one a try later!
ANS: D
These types of organizations foster a patient-centered safety culture by
continually focusing on performance improvement efforts, risk-
management findings, and safety reports to design a safe work
environment. Health care organizations strive to create a culture of safety,
one that consistently minimizes, not maximizes, adverse events despite
carrying out complex and hazardous work. A culture of safety requires the
determination to achieve consistently safe operations and a blame-free
environment in which individuals can report errors without fear or
reprimand.
The nurse is preparing oral medications for a patient. In preparing these medications
the nurse is aware of which of the following?
a.
Acidic medications are absorbed slowly by the gastric mucosa.
b.
, Alkaline medications are absorbed rapidly by the gastric mucosa.
c.
Solutions and suspensions are more difficult to absorb than capsules.
d.
Alkaline medications are absorbed in the small intestine.
Give this one a try later!
ANS: D
The ability of an oral medication to dissolve depends largely on its
formulation or preparation. Acidic medications are absorbed in the gastric
mucosa rapidly, whereas medications that are alkaline are not absorbed
until reaching the small intestine. Solutions and suspensions are already in a
liquid state and are easier for the body to absorb than tablets or capsules.
The nurse is caring for a patient experiencing an allergic reaction to a bee sting who
has an order for BenaDRYL. The only medication in the patients medication bin is
labeled BenaZEPRIL. The nurse contacts the pharmacy for the correct medication to
avoid what type of error?
a. Communication
b. Diagnostic
c. Preventive
d. Treatment
Give this one a try later!
ANS: D
The nurse avoided a treatment error, giving the wrong medication.
Benazepril is an ace inhibitor used to treat blood pressure. According to
Leape, treatment errors occur in the performance of an operation,
procedure, or test; in administering a treatment; in the dose or method of
administering a drug; or in avoidable delay in treatment or in responding to
an abnormal test. Communication errors refer to those that occur from a
failure to communicate. Diagnostic errors are the result of a delay in
diagnosis, failure to employ indicated tests, use of outmoded tests, or
failure to act on results of monitoring or testing. Preventive errors occur
all of whom have been in the hospital for 3 days or more. Which of the following
patients should he be most concerned about regarding a health careassociated
infection?
a.
An asymptomatic elderly patient with bacteria in his urine
b.
A middle-aged woman with a white blood cell count of 10,000/mm3
c.
A young adult woman who is 1 day postoperative with redness at incision site
d.
A middle-aged man with temperature of 101.3 F and complaints of malaise
,Give this one a try later!
ANS: D
By assessing existing signs and symptoms (e.g., the condition of a wound,
the presence of fever), you will determine whether a patients clinical
condition indicates the onset or extension of a systemic infection. The
patient with an elevated temperature such as 101.3 F and a feeling of
malaise is demonstrating signs of infection. When assessing laboratory
data, consider the age of the patient. For example, in an older adult,
bacterial growth in urine without clinical symptoms does not always
indicate the presence of a urinary tract infection. Normal white blood cell
count is 5000 to 10,000/mm3, so a patient with that level would not be
showing a sign of infection unless he or she were already
immunosuppressed. Redness at the incision site is a sign of inflammation,
and the bodys inflammatory response is a protective reaction that
neutralizes pathogens and repairs body cells.
The nurse is preparing to give an intramuscular (IM) injection of pain medication. The
nurse prepares this medication knowing which of the following?
a.
Intramuscular (IM) medications are absorbed faster than subcutaneous medications.
b.
Medication absorption is faster with subcutaneous medications.
c.
Blood supply to the subcutaneous tissue is richer than to muscle.
d.
Muscle tissue has a less developed vascular system than subcutaneous tissue.
Give this one a try later!
, ANS: A
The blood supply to the site of administration determines how quickly the
body absorbs a drug. Sites with rich blood supplies absorb medications
more quickly. For example, the body absorbs a medication administered in
the muscle (intramuscular [IM] route) faster than a medication administered
in the subcutaneous tissue (subcutaneous route) because the blood supply
to muscle is richer than the blood supply to subcutaneous tissue.
A nurse is working in a health facility that creates a culture of safety. Which behavior
will the nurse use in this type of facility?
a. Find blame when problems occur.
b. Reprimand co-workers when a mistake is made.
c. Maximize adverse events.
d. Focus on performance improvement efforts.
Give this one a try later!
ANS: D
These types of organizations foster a patient-centered safety culture by
continually focusing on performance improvement efforts, risk-
management findings, and safety reports to design a safe work
environment. Health care organizations strive to create a culture of safety,
one that consistently minimizes, not maximizes, adverse events despite
carrying out complex and hazardous work. A culture of safety requires the
determination to achieve consistently safe operations and a blame-free
environment in which individuals can report errors without fear or
reprimand.
The nurse is preparing oral medications for a patient. In preparing these medications
the nurse is aware of which of the following?
a.
Acidic medications are absorbed slowly by the gastric mucosa.
b.
, Alkaline medications are absorbed rapidly by the gastric mucosa.
c.
Solutions and suspensions are more difficult to absorb than capsules.
d.
Alkaline medications are absorbed in the small intestine.
Give this one a try later!
ANS: D
The ability of an oral medication to dissolve depends largely on its
formulation or preparation. Acidic medications are absorbed in the gastric
mucosa rapidly, whereas medications that are alkaline are not absorbed
until reaching the small intestine. Solutions and suspensions are already in a
liquid state and are easier for the body to absorb than tablets or capsules.
The nurse is caring for a patient experiencing an allergic reaction to a bee sting who
has an order for BenaDRYL. The only medication in the patients medication bin is
labeled BenaZEPRIL. The nurse contacts the pharmacy for the correct medication to
avoid what type of error?
a. Communication
b. Diagnostic
c. Preventive
d. Treatment
Give this one a try later!
ANS: D
The nurse avoided a treatment error, giving the wrong medication.
Benazepril is an ace inhibitor used to treat blood pressure. According to
Leape, treatment errors occur in the performance of an operation,
procedure, or test; in administering a treatment; in the dose or method of
administering a drug; or in avoidable delay in treatment or in responding to
an abnormal test. Communication errors refer to those that occur from a
failure to communicate. Diagnostic errors are the result of a delay in
diagnosis, failure to employ indicated tests, use of outmoded tests, or
failure to act on results of monitoring or testing. Preventive errors occur
