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The nurse is caring for a patient requiring seizure precautions. Which actions
may the nurse safely delegate to the non-licensed assistive personnel (NAP)?
*To administer the IV medication if a seizure occurs
*To restrain the patient during the seizure
*To place a tongue blade in the patient's mouth to keep them from swallowing
their tongue
*To inform the nurse if seizure activity is observed
To inform the nurse if seizure activity is observed
Match the following
*Airborne precautions (droplet nuclei smaller than 5 microns)
*Droplet precautions (droplet larger than 5 microns; being within 3 feet of the
patient
*Contact precautions (direct patient or environmental contact)
1.) Private room or cohort, gloves, gown
2.) Private room or cohort patients, mask or respirator
3.) Private room, mask or respiratory protection device, negative-airflow room,
N95 respirator depending on the patient condition
,-Airborne Precautions: *3
-Droplet Precautions: *2
-Contact Precautions: *1
The Centers for Disease Control (CDC) guidelines for preventing tuberculosis
(TB) transmission include: (select all that apply)
*Placing the client on contact precautions
*Requiring health care workers to wear special respirators (N(95) when caring for
clients with suspected TB
*Placing the client in a negative pressure airflow room
*Wearing a N95 mask respirator when planning to come within 3 feet of the
patient
-Placing the client in a private negative-pressure airflow room
-Wearing a N95 respirator when planning to come within 3 feet of the patient
-Requiring health care workers to wear special respirators (N(95) when caring for clients
with suspected TB
-Placing the client on contact precautions
It is your first day of clinical as a University of South Alabama Student Nurse and
you are assigned to care for a client requiring precautions. You understand:
*Protective eyewear is necessary at all times
*standard precautions are for use with all clients
*standard precautions apply only to clients who are HIV positive
*Gowns, masks, and gloves are required for contact with all clients
Standard precautions are for use with all clients
,Reducing the risk for patient harm is a national health care priority. The nurse
reduces the risk for patient harm by: (select all that apply)
*Using 2 ways to identify patients
*Assessing the patient's environment
*Using a teach-back method for call button instructions
*Safely using extremity restraints on all confused patients
-Using 2 ways to identify patients
-Assessing the patient's environment
-Using a teach-back method for call button instructions
The student nurse is planning to assist the client with ambulation. Which action
causes the clinical instructor concern?
*Reviews the client's medications
*Performs a fall risk assessment prior to ambulation
*Plants to use a gait belt
*Quickly runs to the nurses station for help when the patient starts to fall
Quickly runs to the nurses station for help when the patient starts to fall
All are "Never Events" with the exception of:
*ventilator associated pneumonia
*IV infiltration
*Poor blood glucose control
*Patient death associated with a medication error
IV Infiltration
, The nurse has completed the admission assessment on an elderly patient. The
patient has never been admitted to a hospital, takes 5 different medications, and
has vision problems. The nurse plans priority care to reduce the risk for
*Disorientation
*Falls
*Fear
*Suicide
Falls
Hand hygiene is an important aspect of providing high quality care for clients.
When is hand hygiene with soap and water necessary? (select all that apply)
*After removing sterile gloves
*After using the toilet
*Before eating
*When hands are visibly soiled with bloody or bodily fluids
-Before eating
-After using the toilet
-When hands are visibly soiled with blood or bodily fluids
The use of restraints has been associated with which adverse outcome/s? (select
all that apply)
*Pressure injury
*Constipation
*Early discharge
*Death