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A nurse is following the principles of medical asepsis when
performing patient care in a hospital setting. Which nursing
action performed by the nurse follows these recommended
guidelines? - ANSWER-the nurse moves the patient table away
from the nurses body when wiping it off after a meal
A school nurse is performing an assessment of a student who
states, "I'm too tired to keep my head up in class." The student
has a low-grade fever. The nurse would interpret these findings
as indicating which stage of infection? - ANSWER-prodromal
stage
A nurse is caring for patients in an isolation ward. In which
situations would the nurse appropriately use an alcohol-based
handrub to decontaminate the hands? Select all that apply.
Providing a bed bath for a patient
Visibly soiled hands after changing the bedding of a patient
Removing gloves when patient care is completed
Inserting a urinary catheter for a female patient
Assisting with a surgical placement of a cardiac stent
,Removing old magazines from a patient's table - ANSWER--
removing old magazines from a patients table
-removing gloves when patient care is completed
-providing a bed bath for a patient
-inserting a urinary catheter for a female patient
A nurse is performing hand hygiene after providing patient
care. The nurse's hands are not visibly soiled. Which steps in
this procedure are performed correctly? Select all that apply.
Removes all jewelry including a platinum wedding band
Washes hands to 1 in above the wrists
Uses approximately one teaspoon of liquid soap
Keeps hands higher than elbows when placing under faucet
Uses friction motion when washing for at least 20 seconds
Rinses thoroughly with water flowing toward fingertips -
ANSWER--uses friction motion when washing for at least 20
seconds -rinses thoroughly with water flowing toward
fingertips
-washes hands to 1 in above the wrists
-uses approximately one teaspoon of liquid soap
The nurse has opened the sterile supplies and put on two
sterile gloves to complete a sterile dressing change, a
procedure that requires surgical asepsis.
Which action by the nurse is appropriate?
Keep splashes on the sterile field to a minimum
Cover the nose and mouth with gloved hands if a sneeze is
imminent
Use forceps soaked in a disinfectant
,Consider the outer 1 in of the sterile field as contaminated -
ANSWER--use forceps soaked in a disinfectant
in addition to standard precautions the nurse would initiate
droplet precautions
for which patients - ANSWER-a patient diagnosed
with rubella
a patient diagnosed with
diphtheria
an infant diagnosed with adenovirus
infection
A nurse is preparing a sterile field using a packaged sterile
drape for a confused patient who is scheduled for a surgical
procedure. When setting up the field, the patient accidentally
touches an instrument in the sterile field. What is the
appropriate nursing action in this situation?
Ask another nurse to hold the hand of the patient and continue
setting up the field
Remove the instrument that was touched by the patient and
continue setting up the sterile field
Discard the supplies and prepare a new sterile field with
another person holding the patient's hand
No action is necessary since the patient has touched his or her
own sterile field - ANSWER-discard the supplies and prepare a
new sterile field with another person holding the patients hand
a nurse who created a sterile field for a patient is adding a
sterile solution to the field what is an appropriate action when
, performing this task? - ANSWER-pour the solution from a
height of 4 to 6 in
a nurse is finished with a patient how would the nurse
remove PPE when
leaving the room - ANSWER-untie gown
waist strings
remove
gloves
googles
gown
mask
perform hand
hygiene
A nurse who is caring for a patient diagnosed with HIV/AIDS
incurs a needlestick injury when administering the patient's
medications. What would be the first action of the nurse
following the exposure? - ANSWER-wash the exposed area
with warm water and soap
The nurse assesses patients to determine their risk for HAIs.
Which hospitalized patient would the nurse consider most at
risk for developing this type of infection? - ANSWER-a 65 year
old patient who has an indwelling urinary catheter in place
nurse is caring for an obese 62-year-old patient with arthritis
who has developed an open reddened area over his sacrum.