TestnBanknFornMicrobiologynFundamentalsn4thnEditi
onnCowann|n9781260702439n|nAllnChaptersnwithnAns
wersnandnRationals
Thennursenandnannewnnurseninnorientationnarencaringnfornanpatientnwithnpneu
monia.nWhichnstatementnbynthennewnnursenwillnindicatenancorrectnunderstandin
gnofnthisncondition?
na.n"Anninfectiousndiseasenlikenpneumonianmaynnotnposenanriskntonothers."
nb.n"Wenneedntonisolatenthenpatientninnanprivatennegative-pressurenroom."
nc.n"Clinicalnsignsnandnsymptomsnarennotnpresentninnpneumonia."
nd.n"Thenpatientnwillnnotnbenablentonreturnnhome."n-
nANSWERnna.n"Anninfectiousndiseasenlikenpneumonianmaynnotnposenanrisknto
nothers."
ThenpatientnandnthennursenarendiscussingnthenvectorntransmittednRickettsianrick
ettsii—
RockynMountainnspottednfever.nWhichnpatientnstatementntonthennursenindicates
nunderstandingnregardingnthenmodenofntransmissionnfornthisndisease?na.n"When
ncamping,nInwillnusensunscreen."
nb.n"Whenncamping,nInwillndrinknbottlednwater."n
c.n"Whenncamping,nInwillnwearninsectnrepellent."n
d.n"Whenncamping,nInwillnwashnmynhandsnwithnhandngel."n-
nANSWERnnc.n"Whenncamping,nInwillnwearninsectnrepellent."
Thennursenisnprovidingnanneducationalnsessionnfornangroupnofnpreschoolnworke
rs.nThennursenremindsnthengroupnaboutnthenmostnimportantnthingntondontonpre
ventnthenspreadnofninfection.nWhichninformationndidnthennursensharenwithnthenp
reschoolnworkers?n
a.nEncouragenpreschoolnchildrenntoneatnannutritiousndiet.
nb.nSuggestnthatnparentsnprovidenanmultivitaminntonthenchildren.n
c.nCleannthentoysneverynafternoonnbeforenputtingnthemnaway.nd.nWashntheirnh
andsnbetweenneachninteractionnwithnchildren.n-
nANSWERnnd.nWashntheirnhandsnbetweenneachninteractionnwithnchildren.
Thennursenisnadmittingnanpatientnwithnanninfectiousndiseasenprocess.nWhichnqu
estionnwillnbenmostnappropriatenfornannursentonasknaboutnthenpatient'snsuscepti
bilityntonthisninfectiousnprocess?n
a.n"Donyounhavenanspouse?"
nb.n"Donyounhavenanchronicndisease?"n
c.n"Donyounhavenanynchildrennlivingninnthenhome?"n
d.n"Donyounhavenanynreligiousnbeliefsnthatnwillninfluencenyourncare?"n-
nANSWERnnb.n"Donyounhavenanchronicndisease?"
Thenpatientnexperiencednansurgicalnprocedure,nandnBetadinenwasnutilizednasnth
ensurgicalnprep.nTwondaysnpostoperatively,nthennurse'snassessmentnindicatesnth
atnthenincisionnisnrednandnhasnansmallnamountnofnpurulentndrainage.nThenpatie
,ntnreportsntendernessnatnthenincisionnsite.nThenpatient'sntemperaturenisn100.5°n
F,nandnthenWBCnisn10,500/mm3.nWhichnactionnshouldnthennursentakenfirst?n
a.nPlanntonchangenthensurgicalndressingnduringnthenshift.
nb.nUtilizenSBARntonnotifynthenprimarynhealthncarenprovider.
nc.nReevaluatenthentemperaturenandnwhitenbloodncellncountninn4nhours.
nd.nCheckntonseenwhatnsolutionnwasnusednfornskinnpreparationninnsurgery.n-
nANSWERnnb.nUtilizenSBARntonnotifynthenprimarynhealthncarenprovider.
Thennursenisnprovidingnanneducationnsessionntonannadultncommunityngroupnab
outntheneffectsnofnsmokingnonninfection.nWhichninformationnisnmostnimportantnf
ornthennursentonincludeninntheneducationalnsession?n
a.nSmokenfromntobacconproductsnclingsntonyournclothingnandnhair.n
b.nSmokingnaffectsnthencilianliningnthenuppernairwaysninnthenlungs.n
c.nSmokingncannaffectnthencolornofnthenpatient'snfingernails.nd.nSmokingntobacc
onproductsncannbenverynexpensive.n-
nANSWERnnb.nSmokingnaffectsnthencilianliningnthenuppernairwaysninnthenlungs.
Anfemalenadultnpatientnpresentsntonthenclinicnwithnreportsnofnanwhitendischarge
nandnitchingninnthenvaginalnarea.nAnnursenisntakingnanhealthnhistory.nWhichnqu
estionnisnthenpriority?n
a.n"Whennwasnthenlastntimenyounvisitednyournprimarynhealthncarenprovider?"n
b.n"Hasnthisnconditionnaffectednyourneatingnhabitsninnanynway?"n
c.n"Whatnmedicationsnarenyouncurrentlyntaking?"n
d.n"Arenyounablentonsleepnatnnight?n-
nANSWERnnc.n"Whatnmedicationsnarenyouncurrentlyntaking?"
Thennursenisncaringnfornanschool-
agednchildnwhonhasninjurednthenrightnlegnafternanbicyclenaccident.nWhichnsigns
nandnsymptomsnwillnthennursenassessnforntondeterminenifnthenchildnisnexperien
cingnanlocalizedninflammatorynresponse?n
a.nMalaise,nanorexia,nenlargednlymphnnodes,nandnincreasednwhitenbloodncellsn
b.nChestnpain,nshortnessnofnbreath,nandnnauseanandnvomitingnc.nDizzinessnan
dndisorientationntontime,ndate,nandnplacen
d.nEdema,nredness,ntenderness,nandnlossnofnfunctionn-
nANSWERnnd.nEdema,nredness,ntenderness,nandnlossnofnfunction
Whichninterventionsnutilizednbynthennursenwillnindicatenthenabilityntonrecognizen
anlocalizedninflammatorynresponse?n
a.nVigorousnrange-of-motionnexercisesn
b.nTurn,ncough,nandndeepnbreathen
c.nOrientntondate,ntime,nandnplacen
d.nRest,nice,nandnelevationn-nANSWERnnd.nRest,nice,nandnelevation
Thennursenisncaringnfornangroupnofnmedical-
surgicalnpatients.nWhichnpatientnisnmostnatnrisknforndevelopingnanninfection?n
a.nAnpatientnwhonisninnobservationnfornchestnpain.n
b.nAnpatientnwhonhasnbeennadmittednwithndehydration.n
c.nAnpatientnwhonisnrecoveringnfromnanrightntotalnhipnsurgery.nd.nAnpatientnwh
onhasnbeennadmittednfornstabilizationnofnheartnproblems.n-
nANSWERnnc.nAnpatientnwhonisnrecoveringnfromnanrightntotalnhipnsurgery.
,Thennursenisncaringnfornanpatientndiagnosednwithnleukemianandnisnpreparingnto
nprovidenfluidsnthroughnanvascularnaccessn(IV)ndevice.nWhichnnursingninterventi
onnisnanpriorityninnthisnprocedure?n
a.nReviewnthenprocedurenwithnthenpatient.
nb.nPositionnthenpatientncomfortably.
nc.nMaintainnsurgicalnasepticntechnique.n
d.nGathernavailablensupplies.n-
nANSWERnnc.nMaintainnsurgicalnasepticntechnique.
Thennursenisncaringnfornannadultnpatientninnthenclinicnwhonhasnbeennevacuated
nandnisnanvictimnofnflooding.nThennursenteachesnthenpatientnaboutnrest,nexerci
se,nandneatingnproperlynandnhowntonutilizendeepnbreathingnandnvisualization.n
Whatnisnthenprimarynrationalenfornthennurse'snactionsnrelatedntonthenteaching?n
a.nTopicsntaughtnarenstandardninformationntaughtnduringnhealthncarenvisits.n
b.nThenpatientnrequestednthisninformationntonteachnthenextendednfamilynmembe
rs.n
c.nStressnfornlongnperiodsnofntimencannleadntonexhaustionnandndecreasednresis
tancentoninfection.n
d.nThesentechniquesnwillnhelpnthenpatientnmanagenthenpainnandnlossnofnperson
alnbelongings.n-
nANSWERnnc.nStressnfornlongnperiodsnofntimencannleadntonexhaustionnandnde
creasednresistancentoninfection.
Thennursenisncaringnfornanpatientnwhonisnsusceptiblentoninfection.nWhichninstru
ctionnwillnthennursenincludeninnanneducationalnsessionntondecreasenthenrisknofn
infection?n
a.nTeachingnthenpatientnaboutnfallnpreventionn
b.nTeachingnthenpatientntontakenantemperaturen
c.nTeachingnthenpatientntonselectnnutritiousnfoodsn
d.nTeachingnthenpatientnaboutntheneffectsnofnalcoholn-
nANSWERnnc.nTeachingnthenpatientntonselectnnutritiousnfoods
Andiabeticnpatientnpresentsntonthenclinicnfornandressingnchange.nThenwoundnis
nlocatednonnthenrightnfootnandnhasnpurulentnyellowndrainage.nWhichnactionnwill
nthennursentakentonpreventnthenspreadnofninfection?n
a.nPositionnthenpatientncomfortablynonnthenstretcher.n
b.nExplainnthenprocedurenforndressingnchangentonthenpatient.nc.nReviewnthenm
edicationnlistnthatnthenpatientnbroughtnfromnhome.n
d.nDonnglovesnandnothernappropriatenpersonalnprotectivenequipmentn-
nANSWERnnd.nDonnglovesnandnothernappropriatenpersonalnprotectivenequipme
nt
Anpatientnpresentsnwithnpneumonia.nWhichnpriorityninterventionnshouldnbeninclu
dedninnthenplannofncarenfornthisnpatient?n
a.nObserventhenpatientnforndecreasednactivityntolerance.n
b.nAssumenthenpatientnisninnpainnandntreatnaccordingly.n
c.nProvidenthenpatientnicenchipsnasnrequested.n
d.nMaintainnthenroomntemperaturenatn65°nF.n-
nANSWERnna.nObserventhenpatientnforndecreasednactivityntolerance.
, Thennursenisncaringnfornanpatientninnannintensivencarenunitnwhonneedsnanbath.
nWhichnprioritynactionnwillnthennursentakentondecreasenthenpotentialnfornanhealt
hncare-associatedninfection?n
a.nUsenlocalnanestheticnonnreddenednareas.n
b.nUsennonallergenicntapenonndressings.n
c.nUsenanchlorhexidinenwash.n
d.nUsenfilterednwater.n-nANSWERnnc.nUsenanchlorhexidinenwash.
Theninfectionncontrolnnursenisnreviewingndatanfornthenmedical-
surgicalnunit.nThennursennoticesnannincreaseninnpostoperativeninfectionsnfromnA
spergillus.nWhichntypenofnhealthncare-
associatedninfectionnwillnthennursenreport?n
a.nVectorn
b.nExogenousn
c.nEndogenousn
d.nSuprainfectionn-nANSWERnnb.nExogenous
Thenpatientnhasncontractednanurinaryntractninfectionn(UTI)nwhileninnthenhospital.
nWhichnactionnwillnmostnlikelynincreasenthenrisknofnanpatientncontractingnanUTI
?n
a.nReusingnthenpatient'sngraduatednreceptaclentonemptynthendrainagenbag
nb.nAllowingnthendrainagenbagnportntontouchnthengraduatednreceptaclen
c.nEmptyingnthenurinaryndrainagenbagnatnleastnoncenanshiftn
d.nIrrigatingnthencatheterninfrequentlyn-
nANSWERnnb.nAllowingnthendrainagenbagnportntontouchnthengraduatednrecepta
cle
Whichnnursingnactionnwillnmostnlikelynincreasenanpatient'snrisknforndevelopingna
nhealthncare-associatedninfection?n
a.nUsesnsurgicalnasepticntechniquentonsuctionnannairway.n
b.nUsesnancleanntechniquenforninsertingnanurinaryncatheter.n
c.nUsesnancleaningnstrokenfromnthenurinarynmeatusntowardnthenrectum.n
d.nUsesnansterilenbottlednsolutionnmorenthannoncenwithinnan24-hournperiodn-
nANSWERnnb.nUsesnancleanntechniquenforninsertingnanurinaryncatheter.
Thennursenisncaringnfornanpatientninnlabornandndelivery.nWhennnearncompleting
nannassessmentnofnthenpatient'sncervix,nthenelectronicninfusionndevicenbeingnus
ednonnthenintravenousn(IV)ninfusionnalarms.nWhichnsequencenofnactionsnisnmos
tnappropriatenfornthennursentontake?n
a.nCompletenthenassessment,nremovengloves,nandnsilencenthenalarm.n
b.nDiscontinuenthenassessment,nsilencenthenalarm,nandnassessnthenintravenous
nsite.n
c.nCompletenthenassessment,nremovengloves,nwashnhands,nandnassessnthenintr
avenousninfusion.n
d.nDiscontinuenthenassessment,nremovengloves,nusenhandngel,nandnassessnthe
nintravenousninfusionn-
nANSWERnnc.nCompletenthenassessment,nremovengloves,nwashnhands,nandna
ssessnthenintravenousninfusion.
onnCowann|n9781260702439n|nAllnChaptersnwithnAns
wersnandnRationals
Thennursenandnannewnnurseninnorientationnarencaringnfornanpatientnwithnpneu
monia.nWhichnstatementnbynthennewnnursenwillnindicatenancorrectnunderstandin
gnofnthisncondition?
na.n"Anninfectiousndiseasenlikenpneumonianmaynnotnposenanriskntonothers."
nb.n"Wenneedntonisolatenthenpatientninnanprivatennegative-pressurenroom."
nc.n"Clinicalnsignsnandnsymptomsnarennotnpresentninnpneumonia."
nd.n"Thenpatientnwillnnotnbenablentonreturnnhome."n-
nANSWERnna.n"Anninfectiousndiseasenlikenpneumonianmaynnotnposenanrisknto
nothers."
ThenpatientnandnthennursenarendiscussingnthenvectorntransmittednRickettsianrick
ettsii—
RockynMountainnspottednfever.nWhichnpatientnstatementntonthennursenindicates
nunderstandingnregardingnthenmodenofntransmissionnfornthisndisease?na.n"When
ncamping,nInwillnusensunscreen."
nb.n"Whenncamping,nInwillndrinknbottlednwater."n
c.n"Whenncamping,nInwillnwearninsectnrepellent."n
d.n"Whenncamping,nInwillnwashnmynhandsnwithnhandngel."n-
nANSWERnnc.n"Whenncamping,nInwillnwearninsectnrepellent."
Thennursenisnprovidingnanneducationalnsessionnfornangroupnofnpreschoolnworke
rs.nThennursenremindsnthengroupnaboutnthenmostnimportantnthingntondontonpre
ventnthenspreadnofninfection.nWhichninformationndidnthennursensharenwithnthenp
reschoolnworkers?n
a.nEncouragenpreschoolnchildrenntoneatnannutritiousndiet.
nb.nSuggestnthatnparentsnprovidenanmultivitaminntonthenchildren.n
c.nCleannthentoysneverynafternoonnbeforenputtingnthemnaway.nd.nWashntheirnh
andsnbetweenneachninteractionnwithnchildren.n-
nANSWERnnd.nWashntheirnhandsnbetweenneachninteractionnwithnchildren.
Thennursenisnadmittingnanpatientnwithnanninfectiousndiseasenprocess.nWhichnqu
estionnwillnbenmostnappropriatenfornannursentonasknaboutnthenpatient'snsuscepti
bilityntonthisninfectiousnprocess?n
a.n"Donyounhavenanspouse?"
nb.n"Donyounhavenanchronicndisease?"n
c.n"Donyounhavenanynchildrennlivingninnthenhome?"n
d.n"Donyounhavenanynreligiousnbeliefsnthatnwillninfluencenyourncare?"n-
nANSWERnnb.n"Donyounhavenanchronicndisease?"
Thenpatientnexperiencednansurgicalnprocedure,nandnBetadinenwasnutilizednasnth
ensurgicalnprep.nTwondaysnpostoperatively,nthennurse'snassessmentnindicatesnth
atnthenincisionnisnrednandnhasnansmallnamountnofnpurulentndrainage.nThenpatie
,ntnreportsntendernessnatnthenincisionnsite.nThenpatient'sntemperaturenisn100.5°n
F,nandnthenWBCnisn10,500/mm3.nWhichnactionnshouldnthennursentakenfirst?n
a.nPlanntonchangenthensurgicalndressingnduringnthenshift.
nb.nUtilizenSBARntonnotifynthenprimarynhealthncarenprovider.
nc.nReevaluatenthentemperaturenandnwhitenbloodncellncountninn4nhours.
nd.nCheckntonseenwhatnsolutionnwasnusednfornskinnpreparationninnsurgery.n-
nANSWERnnb.nUtilizenSBARntonnotifynthenprimarynhealthncarenprovider.
Thennursenisnprovidingnanneducationnsessionntonannadultncommunityngroupnab
outntheneffectsnofnsmokingnonninfection.nWhichninformationnisnmostnimportantnf
ornthennursentonincludeninntheneducationalnsession?n
a.nSmokenfromntobacconproductsnclingsntonyournclothingnandnhair.n
b.nSmokingnaffectsnthencilianliningnthenuppernairwaysninnthenlungs.n
c.nSmokingncannaffectnthencolornofnthenpatient'snfingernails.nd.nSmokingntobacc
onproductsncannbenverynexpensive.n-
nANSWERnnb.nSmokingnaffectsnthencilianliningnthenuppernairwaysninnthenlungs.
Anfemalenadultnpatientnpresentsntonthenclinicnwithnreportsnofnanwhitendischarge
nandnitchingninnthenvaginalnarea.nAnnursenisntakingnanhealthnhistory.nWhichnqu
estionnisnthenpriority?n
a.n"Whennwasnthenlastntimenyounvisitednyournprimarynhealthncarenprovider?"n
b.n"Hasnthisnconditionnaffectednyourneatingnhabitsninnanynway?"n
c.n"Whatnmedicationsnarenyouncurrentlyntaking?"n
d.n"Arenyounablentonsleepnatnnight?n-
nANSWERnnc.n"Whatnmedicationsnarenyouncurrentlyntaking?"
Thennursenisncaringnfornanschool-
agednchildnwhonhasninjurednthenrightnlegnafternanbicyclenaccident.nWhichnsigns
nandnsymptomsnwillnthennursenassessnforntondeterminenifnthenchildnisnexperien
cingnanlocalizedninflammatorynresponse?n
a.nMalaise,nanorexia,nenlargednlymphnnodes,nandnincreasednwhitenbloodncellsn
b.nChestnpain,nshortnessnofnbreath,nandnnauseanandnvomitingnc.nDizzinessnan
dndisorientationntontime,ndate,nandnplacen
d.nEdema,nredness,ntenderness,nandnlossnofnfunctionn-
nANSWERnnd.nEdema,nredness,ntenderness,nandnlossnofnfunction
Whichninterventionsnutilizednbynthennursenwillnindicatenthenabilityntonrecognizen
anlocalizedninflammatorynresponse?n
a.nVigorousnrange-of-motionnexercisesn
b.nTurn,ncough,nandndeepnbreathen
c.nOrientntondate,ntime,nandnplacen
d.nRest,nice,nandnelevationn-nANSWERnnd.nRest,nice,nandnelevation
Thennursenisncaringnfornangroupnofnmedical-
surgicalnpatients.nWhichnpatientnisnmostnatnrisknforndevelopingnanninfection?n
a.nAnpatientnwhonisninnobservationnfornchestnpain.n
b.nAnpatientnwhonhasnbeennadmittednwithndehydration.n
c.nAnpatientnwhonisnrecoveringnfromnanrightntotalnhipnsurgery.nd.nAnpatientnwh
onhasnbeennadmittednfornstabilizationnofnheartnproblems.n-
nANSWERnnc.nAnpatientnwhonisnrecoveringnfromnanrightntotalnhipnsurgery.
,Thennursenisncaringnfornanpatientndiagnosednwithnleukemianandnisnpreparingnto
nprovidenfluidsnthroughnanvascularnaccessn(IV)ndevice.nWhichnnursingninterventi
onnisnanpriorityninnthisnprocedure?n
a.nReviewnthenprocedurenwithnthenpatient.
nb.nPositionnthenpatientncomfortably.
nc.nMaintainnsurgicalnasepticntechnique.n
d.nGathernavailablensupplies.n-
nANSWERnnc.nMaintainnsurgicalnasepticntechnique.
Thennursenisncaringnfornannadultnpatientninnthenclinicnwhonhasnbeennevacuated
nandnisnanvictimnofnflooding.nThennursenteachesnthenpatientnaboutnrest,nexerci
se,nandneatingnproperlynandnhowntonutilizendeepnbreathingnandnvisualization.n
Whatnisnthenprimarynrationalenfornthennurse'snactionsnrelatedntonthenteaching?n
a.nTopicsntaughtnarenstandardninformationntaughtnduringnhealthncarenvisits.n
b.nThenpatientnrequestednthisninformationntonteachnthenextendednfamilynmembe
rs.n
c.nStressnfornlongnperiodsnofntimencannleadntonexhaustionnandndecreasednresis
tancentoninfection.n
d.nThesentechniquesnwillnhelpnthenpatientnmanagenthenpainnandnlossnofnperson
alnbelongings.n-
nANSWERnnc.nStressnfornlongnperiodsnofntimencannleadntonexhaustionnandnde
creasednresistancentoninfection.
Thennursenisncaringnfornanpatientnwhonisnsusceptiblentoninfection.nWhichninstru
ctionnwillnthennursenincludeninnanneducationalnsessionntondecreasenthenrisknofn
infection?n
a.nTeachingnthenpatientnaboutnfallnpreventionn
b.nTeachingnthenpatientntontakenantemperaturen
c.nTeachingnthenpatientntonselectnnutritiousnfoodsn
d.nTeachingnthenpatientnaboutntheneffectsnofnalcoholn-
nANSWERnnc.nTeachingnthenpatientntonselectnnutritiousnfoods
Andiabeticnpatientnpresentsntonthenclinicnfornandressingnchange.nThenwoundnis
nlocatednonnthenrightnfootnandnhasnpurulentnyellowndrainage.nWhichnactionnwill
nthennursentakentonpreventnthenspreadnofninfection?n
a.nPositionnthenpatientncomfortablynonnthenstretcher.n
b.nExplainnthenprocedurenforndressingnchangentonthenpatient.nc.nReviewnthenm
edicationnlistnthatnthenpatientnbroughtnfromnhome.n
d.nDonnglovesnandnothernappropriatenpersonalnprotectivenequipmentn-
nANSWERnnd.nDonnglovesnandnothernappropriatenpersonalnprotectivenequipme
nt
Anpatientnpresentsnwithnpneumonia.nWhichnpriorityninterventionnshouldnbeninclu
dedninnthenplannofncarenfornthisnpatient?n
a.nObserventhenpatientnforndecreasednactivityntolerance.n
b.nAssumenthenpatientnisninnpainnandntreatnaccordingly.n
c.nProvidenthenpatientnicenchipsnasnrequested.n
d.nMaintainnthenroomntemperaturenatn65°nF.n-
nANSWERnna.nObserventhenpatientnforndecreasednactivityntolerance.
, Thennursenisncaringnfornanpatientninnannintensivencarenunitnwhonneedsnanbath.
nWhichnprioritynactionnwillnthennursentakentondecreasenthenpotentialnfornanhealt
hncare-associatedninfection?n
a.nUsenlocalnanestheticnonnreddenednareas.n
b.nUsennonallergenicntapenonndressings.n
c.nUsenanchlorhexidinenwash.n
d.nUsenfilterednwater.n-nANSWERnnc.nUsenanchlorhexidinenwash.
Theninfectionncontrolnnursenisnreviewingndatanfornthenmedical-
surgicalnunit.nThennursennoticesnannincreaseninnpostoperativeninfectionsnfromnA
spergillus.nWhichntypenofnhealthncare-
associatedninfectionnwillnthennursenreport?n
a.nVectorn
b.nExogenousn
c.nEndogenousn
d.nSuprainfectionn-nANSWERnnb.nExogenous
Thenpatientnhasncontractednanurinaryntractninfectionn(UTI)nwhileninnthenhospital.
nWhichnactionnwillnmostnlikelynincreasenthenrisknofnanpatientncontractingnanUTI
?n
a.nReusingnthenpatient'sngraduatednreceptaclentonemptynthendrainagenbag
nb.nAllowingnthendrainagenbagnportntontouchnthengraduatednreceptaclen
c.nEmptyingnthenurinaryndrainagenbagnatnleastnoncenanshiftn
d.nIrrigatingnthencatheterninfrequentlyn-
nANSWERnnb.nAllowingnthendrainagenbagnportntontouchnthengraduatednrecepta
cle
Whichnnursingnactionnwillnmostnlikelynincreasenanpatient'snrisknforndevelopingna
nhealthncare-associatedninfection?n
a.nUsesnsurgicalnasepticntechniquentonsuctionnannairway.n
b.nUsesnancleanntechniquenforninsertingnanurinaryncatheter.n
c.nUsesnancleaningnstrokenfromnthenurinarynmeatusntowardnthenrectum.n
d.nUsesnansterilenbottlednsolutionnmorenthannoncenwithinnan24-hournperiodn-
nANSWERnnb.nUsesnancleanntechniquenforninsertingnanurinaryncatheter.
Thennursenisncaringnfornanpatientninnlabornandndelivery.nWhennnearncompleting
nannassessmentnofnthenpatient'sncervix,nthenelectronicninfusionndevicenbeingnus
ednonnthenintravenousn(IV)ninfusionnalarms.nWhichnsequencenofnactionsnisnmos
tnappropriatenfornthennursentontake?n
a.nCompletenthenassessment,nremovengloves,nandnsilencenthenalarm.n
b.nDiscontinuenthenassessment,nsilencenthenalarm,nandnassessnthenintravenous
nsite.n
c.nCompletenthenassessment,nremovengloves,nwashnhands,nandnassessnthenintr
avenousninfusion.n
d.nDiscontinuenthenassessment,nremovengloves,nusenhandngel,nandnassessnthe
nintravenousninfusionn-
nANSWERnnc.nCompletenthenassessment,nremovengloves,nwashnhands,nandna
ssessnthenintravenousninfusion.
