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.A hospitalized client has acquired an infusion-related infection. Which is the most
appropriate intervention for a nurse to implement when caring for a client who has an
infusion-related infection? - CORRECT ANSWER: monitoring for signs and symptoms of
sepsis
.During a hospital orientation, a newly hired nurse learns that infectious waste must be
incinerated as mandated by the Environmental Protection Agency (EPA). The nurse
understands that the main focus of the EPA is on: - CORRECT ANSWER: risk-
management strategies
A client presents to an emergency department with confusion, a respiratory rate of 30
breaths per minute, blood pressure 100/70 mm Hg, and a previous admission for renal
failure. The client's arterial blood gases reveal a pH of 7.32, an HCO 3 of 20 mEq/L, and
a PaCO 2 of 34 mm Hg. Which acid-base imbalance should a nurse suspect? -
CORRECT ANSWER: Metabolic acidosis
A client with active tuberculosis (TB) is admitted to a hospital. A nurse implements
transmission-based precautions when caring for the client because the nurse is
concerned about the dissemination of the disease. Which statement best describes
dissemination? - CORRECT ANSWER: The movement of microorganisms from an
individual into the immediate environment
A healthy individual comes in contact with a rhinovirus while out in the community.
Which actions constitute the first line of nonspecific defense mechanisms against the
invading infection? - CORRECT ANSWER: Physical and chemical barriers
, A home-care nurse provides education regarding basic infection control to the parents
of a child with HIV infection. Which instructions should be included in the nurse's
education? - CORRECT ANSWER: -Carefully wash all fresh veggies and fruit
-wash bottles, nipples and pacifiers in dishwasher.
-Cleanse the inside of the nipple bottle with salt and rinse well
A nurse analyzes a client's laboratory report that shows a serum potassium level of 5.7
mEq/L. - CORRECT ANSWER: A client who has sustained a traumatic burn
A nurse assesses a client who has moist crackles (rales) in the lung bases, an
increased respiratory rate, dyspnea, and 3+ edema of the ankles. - CORRECT
ANSWER: Fluid volume excess
A nurse is caring for a client who has an I.V. access. With which sources of
contamination should the nurse be concerned when attempting to reduce the client's
risk of infection? - CORRECT ANSWER: skin
air
entry ports
A nurse is caring for an elderly, hospitalized client diagnosed with emphysema. The
client's arterial blood gases reveal that the blood chemistry includes a 7.5 pH. What
does this mean physiologically for the client? - CORRECT ANSWER: The PH is
considered physiologically neutral
A nurse is preparing to administer I.V. cyclosporine. To prevent leaching of diethylhexyl
phthalate (DEHP - CORRECT ANSWER: the cyclosporine is administered through non-
PVC I.V. tubing
A nurse is preparing to initiate I.V. therapy on a client admitted with dehydration. Which
pre cannulation antiseptic agents are acceptable for the nurse to use, according to the
Infusion Nurses Society's Standards of Practice, to cleanse the client's skin? -
CORRECT ANSWER: 70% isopropyl alcohol