NMNC 1110 EAQ 10: Safety and Infection Control (Mastery) Questions With Complete Solutions.

NMNC 1110 EAQ 10: Safety and Infection Control (Mastery) Questions With Complete Solutions. How would the nurse position a client with epistaxis? Upright leaning forward Which information would the nurse provide a client with diabetes mellitus (DM) regarding alcohol consumption? With or shortly after meals Which report by the client post transrectal prostate biopsy needs to be communicated to the health care provider as a possible sign of infection? Discharge from penis Which example of indirect bullying would the nurse use when teaching a parent about bullying? Exclusion Which finding during a home health visit would prompt the nurse to provide a client with home safety instructions? Select all that apply. One, some, or all responses may be correct. - Area rugs on the floor - Clogged, dirty fireplace - Multiple electrical cords - Multiple prescribed medications - Wheeled walker with uneven legs Which intervention would the nurse use to prevent injury to others when caring for a client with intermittent explosive disorder? Select all that apply. One, some, or all responses may be correct. - Set limits and expectations. - Provide structure and boundaries. - Ignore attention-seeking behaviors. The nurse would instruct a client with type I diabetes to dispose of a used syringe in which container? A plastic liquid detergent bottle with a screw-top lid Which precaution would the nurse identify as a prevention for transmission of human immunodeficiency virus (HIV) and other bloodborne illnesses? Standard A child with meningitis suddenly assumes an opisthotonic position. In which position would the nurse position the child? Side-lying Which type of isolation precautions would the postpartum nurse plan to institute for a client who has delivered her infant by cesarean birth because of active genital herpes? Contact Which disaster triage tag would the nurse find on victims of a mass causality event with minor injuries who arrived to a hospital in a private vehicle? Green When assessing a client with Hepatitis A, the nurse is particularly careful with which substance to prevent transmission of the disease? Fecal matter The school nurse is planning to teach the importance of hand washing to the children in first grade. Which is the most effective approach for this age group? Demonstrating hand washing and asking for return demonstrations The nurse should take which infection control measures when caring for a client admitted with a tentative diagnosis of infectious pulmonary tuberculosis (TB)? Don an N95 respirator mask before entering the room. When a client with a health care-acquired respiratory tract infection asks the nurse what this means, which response will the nurse give? "Your infection occurred because of exposure to a health care facility. " The client with which color tag would be treated first, according to the disaster triage tagging system? Red Who would the nurse contact to receive training as a Community Emergency Response Team (CERT) member? Federal Emergency Management Agency (FEMA) Which statement accurately describes the current advice regarding breast self-examination (BSE)? BSE should be taught to all women. A burn client is receiving the open method for wound treatment. Which information will the nurse explain to the client? "Personal protective equipment will be worn by staff." Which are examples of internal disasters that must be accounted for when formulating a disaster response plan? Select all that apply. One, some, or all responses may be correct. Correct 1 - Fire - Power outage Which cardiac disease has the lowest risk for maternal mortality? Patent ductus arteriosus Which cause may produce abnormal uterine bleeding? Select all that apply. One, some, or all responses may be correct. - Hypothyroidism - Failure to ovulate - Bleeding disorders - Unidentified pregnancy - Use of oral contraceptives - Benign lesions of the uterus Which risk factor increases a client's risk for infection in the community? Select all that apply. One, some, or all responses may be correct. - Lifestyle - Occupation - Frequent traveling Which client condition would require the highest priority for treatment among four clients admitted at the same time under mass casualty conditions? Client A - Massive head trauma Client B - Open fracture with a distal pulse Client C - Shock Client D - Strains and contusions Client C Which is the facility-level organizational model for disaster management? Hospital Incident Command System (HICS) Which information would the nurse consider when planning care for a client with scabies? Scabies is highly contagious. The nurse is caring for a client who has an implanted port. How often would the nurse change the noncoring needle? Every 7 days Which intervention would the nurse use to promote the safety of a client experiencing alcohol withdrawal? Administer chlordiazepoxide. Which physical assessment situation is appropriate for use of alcohol-based hand sanitizer for hand hygiene? Before and after palpating a pulse Which technique would the nurse employ for an obstetrical client with a foreign body airway obstruction? Chest thrusts Which role does the federal government play in emergency preparedness? Stockpiles critical equipment Which position increases cardiac output in the obstetrical client with cardiac disease? Lateral positioning Which side effect would the nurse monitor for when administering a selective serotonin reuptake inhibitor (SSRI)? Select all that apply. One, some, or all responses may be correct. - Anxiety - Nausea - Sedation - Restlessness - Suicidal ideation - Increased energy level Which unique adverse effect of pharmacotherapy is the pediatric population most at risk for? Growth suppression The nurse is working with a group of clients in a mental health facility. The nurse would assess risk for suicide in clients with which conditions? Select all that apply. One, some, or all responses may be correct. - Anxiety - Alcohol abuse - Schizophrenia - Bipolar disorder Which finding during assessment prompts the nurse to don a protective gown? Excessive wound drainage Who is responsible for triaging the victims of a multiple motor vehicle crash on a major interstate? Emergency first responders Where is the blood pressure cuff placed on a client with a dialysis access fistula in the right arm? On the left arm By which age should an infant have had his or her first dental examination? 12 months Which would the nurse do first if an allergic reaction to a blood transfusion occurs? Shut off the infusion. Which action would the nurse take when preparing to change a client's dressing using surgical asepsis? Keep the area free of microorganisms. The nurse provides discharge teaching to a client who had a total hip replacement. The client states that the plan is to go swimming at the community pool the day after discharge. Which action would the nurse take in response to the client's comment? Explain that the incision should not be immersed in water until it has healed. Which training measure is most effective to adequately familiarize health care providers with emergency response procedures? Drills The nurse is caring for a child who has an external fixation device on the leg. Which is the nurse's priority goal when providing pin care? Preventing infection To ensure accuracy when assessing a client's blood pressure, how would the nurse prevent a parallax error? Read the manometer at eye level. Which term describes the practice of placing clients with the same infection in a semi-private room? Cohorting Which goal would be priority for the child with autism spectrum disorder who has frequent episodes of self-biting and head-banging and needs help with feeding and toileting? Remaining safe from self-inflicted injury Which activity would the nurse manager complete during an emergency event when acting as the triage officer according to the Hospital Incident Command System (HICS)? Select all that apply. One, some, or all responses may be correct. Rapidly evaluating each person who comes to the hospital A client's sputum smears for acid-fast bacilli (AFB) are positive and requires transmission-based airborne precautions. Which instruction would the nurse teach when orienting the client's visitors? Wear a particulate respirator mask when in the room. Which effect has resulted in the avoidance of tetracycline use in children under 8 years old? Permanent tooth discoloration Which statement is true regarding Community Emergency Response Teams (CERTs)? They organize untrained volunteers to assist until professional services arrive at the disaster site. Which actions by the staff of a mental health unit can lead to client violence? Select all that apply. One, some, or all responses may be correct. - Inconsistent limit setting - Controlling staff members - Randomly taking away privileges Which nursing resource must be available to effectively meet potential needs during a disaster? Select all that apply. One, some, or all responses may be correct. - Staff - Medication - Hospital beds - Mechanical ventilators - Personal protective equipment Which clinical finding is associated with strabismus? Frequent squinting Which is the priority nursing action for the nurse caring for a child undergoing chemotherapy to treat leukemia? Using techniques to minimize risk for infection Which foods increase the risk of aspiration or are choking hazards for toddlers? Select all that apply. One, some, or all responses may be correct. - Peas - Nuts - Hot dogs Which substance will the home care nurse instruct a client to use after laryngectomy to cleanse the stoma site? Mild soap and water Which factors would the nurse include when discussing adolescent signs of gang membership with parents? Substance abuse The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous suction. Which tube would the nurse select? Salem sump For which condition would an infant born with exstrophy of the bladder be at risk? Infection