DAVIS ADVANTAGE FOR MEDICALSURGICAL NURSING
MAKING CONNECTIONS TO PRACTICE 2ND EDITION
HOFFMAN SULLIVAN TEST BANK
The nurse is assessing a client with a high fever and chills. What should be included
in the
assessment? Select all that apply.
- Risk for compromised immune system
- Abnormal white blood cell count
- Regularity of bowel movements
- Drainage from wounds
- History of fevers - ANSWER: Risk for compromised immune system
Abnormal white blood cell count
Drainage from wounds
History of fevers
Which objects are at greatest risk for infection transfer in the healthcare
environment? Select all that
apply.
- Healthcare workers
- Artificial fingernails
- Vital sign equipment
- Dietary trays
- Public restrooms - ANSWER: Healthcare workers
Artificial fingernails
Vital sign equipment
A client is asking the nurse how he contracted a multidrug-resistant microorganism
in his foot
wound. What factors likely contributed? Select all that apply.
- Previous use of antibiotics
- Advanced age
- First exposure to the hospital environment
- Chronic illness
- Incorrect dosing of antibiotics - ANSWER: Previous use of antibiotics
Advanced age
Chronic illness
The nurse is teaching a group of elementary students about infection prevention.
Which factors
should be included in the discussion? Select all that apply
,- Importance of washing hands
- Eating a diet with vitamin C at each meal
- Regular physical activity
- Getting an annual influenza immunization
- Sleeping 6 to 9 hours a night - ANSWER: Importance of washing hands
Regular physical activity
Getting an annual influenza immunization
Sleeping 6 to 9 hours a night
The nurse needs an IV pole to begin a new medication for a client. There is a pole in
another client's
room that is not in use. What should be the nurse's next action?
- Ask whether the pole has been cleaned.
- Take the pole and begin using it.
- Disinfect the pole and begin using it.
- Send the pole to the sterilizing department - ANSWER: Disinfect the pole and begin
using it.
A client is admitted to the hospital with bloody sputum and night sweats, signs of
tuberculosis. Which
precautions must the nurse institute immediately?
- Droplet
- Airborne
- Contact
- Protective - ANSWER: Airborne
The client has developed kidney infection following a bladder infection from the
urinary catheter.
How would the nurse describe this? Select all that apply.
- Local
- Systemic
- Primary
- Secondary
- Healthcare-related - ANSWER: Local
Secondary
Healthcare-related
How should the nurse deliver the breakfast tray to the bedside of a client in airborne
isolation?
- Place the tray on the table just inside the client's door.
, - Apply gloves and place the tray on the client's nightstand.
- Apply respirator mask and gloves, then place the tray on the client's nightstand.
- Set the tray outside the client's room. - ANSWER: Apply respirator mask and gloves,
then place the tray on the client's nightstand.
In which situation would standard precautions be adequate? Select all that apply.
- While talking with a client with a moist, productive cough
- While assisting a client with oral care
- While ambulating a client after a procedure
- While inserting an intravenous catheter
- When changing a dressing for a client with MRSA - ANSWER: While assisting a client
with oral care
While ambulating a client after a procedure
While inserting an intravenous catheter
The nurse notices a blood pressure cuff in the client's room with spots of dried blood
on it. What
should be the nurse next action?
- Clean it with a wet rag.
- Disinfect it with a chemical cleaner.
- Sterilize it with an autoclave.
- Report it to the charge nurse - ANSWER: Disinfect it with a chemical cleaner.
A client with dementia becomes belligerent and combative when the nurse attempts
to give him a
tub bath. How should the nurse proceed?
- Call for assistance to help the patient into the bathtub.
- Wait for the patient to calm down, then give him a towel bath.
- Allow the patient to go without bathing for a day or two.
- Ask another staff member to attempt the tub bath. - ANSWER: Wait for the patient
to calm down, then give him a towel bath.
The nurse asks the unlicensed assistive personnel to complete morning care for an
older adult.
What is included with this request? Select all that apply.
- Back massage
- Hair care
- Bathing
- Toileting
- Oral care - ANSWER: Hair care
Bathing
Toileting
Oral care
MAKING CONNECTIONS TO PRACTICE 2ND EDITION
HOFFMAN SULLIVAN TEST BANK
The nurse is assessing a client with a high fever and chills. What should be included
in the
assessment? Select all that apply.
- Risk for compromised immune system
- Abnormal white blood cell count
- Regularity of bowel movements
- Drainage from wounds
- History of fevers - ANSWER: Risk for compromised immune system
Abnormal white blood cell count
Drainage from wounds
History of fevers
Which objects are at greatest risk for infection transfer in the healthcare
environment? Select all that
apply.
- Healthcare workers
- Artificial fingernails
- Vital sign equipment
- Dietary trays
- Public restrooms - ANSWER: Healthcare workers
Artificial fingernails
Vital sign equipment
A client is asking the nurse how he contracted a multidrug-resistant microorganism
in his foot
wound. What factors likely contributed? Select all that apply.
- Previous use of antibiotics
- Advanced age
- First exposure to the hospital environment
- Chronic illness
- Incorrect dosing of antibiotics - ANSWER: Previous use of antibiotics
Advanced age
Chronic illness
The nurse is teaching a group of elementary students about infection prevention.
Which factors
should be included in the discussion? Select all that apply
,- Importance of washing hands
- Eating a diet with vitamin C at each meal
- Regular physical activity
- Getting an annual influenza immunization
- Sleeping 6 to 9 hours a night - ANSWER: Importance of washing hands
Regular physical activity
Getting an annual influenza immunization
Sleeping 6 to 9 hours a night
The nurse needs an IV pole to begin a new medication for a client. There is a pole in
another client's
room that is not in use. What should be the nurse's next action?
- Ask whether the pole has been cleaned.
- Take the pole and begin using it.
- Disinfect the pole and begin using it.
- Send the pole to the sterilizing department - ANSWER: Disinfect the pole and begin
using it.
A client is admitted to the hospital with bloody sputum and night sweats, signs of
tuberculosis. Which
precautions must the nurse institute immediately?
- Droplet
- Airborne
- Contact
- Protective - ANSWER: Airborne
The client has developed kidney infection following a bladder infection from the
urinary catheter.
How would the nurse describe this? Select all that apply.
- Local
- Systemic
- Primary
- Secondary
- Healthcare-related - ANSWER: Local
Secondary
Healthcare-related
How should the nurse deliver the breakfast tray to the bedside of a client in airborne
isolation?
- Place the tray on the table just inside the client's door.
, - Apply gloves and place the tray on the client's nightstand.
- Apply respirator mask and gloves, then place the tray on the client's nightstand.
- Set the tray outside the client's room. - ANSWER: Apply respirator mask and gloves,
then place the tray on the client's nightstand.
In which situation would standard precautions be adequate? Select all that apply.
- While talking with a client with a moist, productive cough
- While assisting a client with oral care
- While ambulating a client after a procedure
- While inserting an intravenous catheter
- When changing a dressing for a client with MRSA - ANSWER: While assisting a client
with oral care
While ambulating a client after a procedure
While inserting an intravenous catheter
The nurse notices a blood pressure cuff in the client's room with spots of dried blood
on it. What
should be the nurse next action?
- Clean it with a wet rag.
- Disinfect it with a chemical cleaner.
- Sterilize it with an autoclave.
- Report it to the charge nurse - ANSWER: Disinfect it with a chemical cleaner.
A client with dementia becomes belligerent and combative when the nurse attempts
to give him a
tub bath. How should the nurse proceed?
- Call for assistance to help the patient into the bathtub.
- Wait for the patient to calm down, then give him a towel bath.
- Allow the patient to go without bathing for a day or two.
- Ask another staff member to attempt the tub bath. - ANSWER: Wait for the patient
to calm down, then give him a towel bath.
The nurse asks the unlicensed assistive personnel to complete morning care for an
older adult.
What is included with this request? Select all that apply.
- Back massage
- Hair care
- Bathing
- Toileting
- Oral care - ANSWER: Hair care
Bathing
Toileting
Oral care
