c42

25問 • 1年前

問題一覧

A nurse is caring for a client with streptococcal pharyngitis. The nurse has to initiate precautions for the client. Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members?

Droplet Precautions

A client is to be admitted to a local healthcare facility for protective isolation. What should the nurse make sure is outside the client's room before initiating care?

Personal protective equipment

A nurse is caring for a client in isolation. What guideline should the nurse follow when taking the vital signs of the client in the isolation room?

Wear gloves and other personal protective equipment as indicated.

A nurse is caring for a client in a healthcare facility. When should the nurse implement Transmission-Based Precautions?

When caring for clients with known or suspected infectious diseases

A nurse implements Airborne Precautions for a client with tuberculosis. How does airborne transmission occur?

When tiny microorganisms from evaporated droplets remain suspended in air

A nurse is caring for a client with drug-resistant gastroenteritis. The nurse has to initiate precautions for the client. Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members?

Contact precautions

A nurse is caring for a client with tuberculosis. The nurse has to initiate precautions for the client. Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members?

Airborne precautions

A nurse is caring for a client on contact isolation. What guidelines should the nurse follow when taking the vital signs of the client in the isolation room?

Use disposable thermometers and stethoscopes.

A nurse caring for infected clients in a local healthcare facility is expected to follow stringent precautions. The nurse is reviewing these guidelines with a new group of employees. Based on this information, which guideline should the nurse include in the in-service presentation on two-tier precautions for infection control?

Transmission-Based Precautions

A nurse is caring for a client with chickenpox. What precaution should the nurse take when caring for this client?

Place the client in a room that has negative airflow pressure.

A nurse is caring for a client with a draining abscess. What precautions should the nurse take when caring for this client? 1.Place client with other clients infected with the same microorganisms. 2.Wear a mask when within 3 feet of the client. 3.Change gloves after contact with a client's infective material. 4.Place the client in a room that has negative airflow pressure.

3,4

Droplet precautions are being followed for a client in a healthcare facility. The nurse is reviewing key information about droplet precautions with a group of nursing students. What should the nurse give as an example to the students about an illness that requires droplet precautions?

Pertussis

A nurse is employed with the infection control committee of a healthcare facility. Based on this information, what should the nurse tell the new employees about the goal of the infection control committee in the healthcare agency?

Providing a central place for reporting infections

Each accredited healthcare facility must have an infection control committee that monitors and evaluates any infection occurring in the facility. The nurse is reviewing with a group of nursing students the goals of the infection control committee. Based on this information, what would be the best answer by the nursing student about the goals of the infection control committee? 1. Investigate cases of infection 2. Determine the cause of infection 3. Maintain total statistics related to the numbers and types of infections that occur in the facility 4.Report diseases to local authorities

1, 2, 3

Which items would most likely be included in the room of a client who is on contact precautions? 1. Stethoscope 2. BP apparatus 3. Sign on the door 4.Medical administration records

1,2

The nurse is reviewing with the students steps to avoid accidental needlestick injuries. What are key points to include on avoiding accidental needlestick injuries with the group of student nurses?

Use safety syringes.

Although refuse and linen from all clients are considered contaminated, in some types of isolation these items are "double bagged" out of the room. Based on this information, which are correct steps in the double-bagging procedure? 1.The nurse inside the room is considered contaminated and the nurse outside the room is considered clean. 2.The nurse inside the room wears gloves and, if specified, gown and/or mask. 3.The contaminated nurse places dirty items into a bag and closes the top. 4.The clean nurse has a second bag that is considered dirty.

1,3

Each accredited healthcare facility must have an infection control committee that monitors and evaluates any infection occurring in the facility. The nurse is reviewing with a group of nursing students the goals of the infection control committee. Based on this information, what would be the best answer by the nursing student about the goals of the infection control committee? 1. Offer continuing education for nursing students to prevent infections 2. Serve as consultants in cases of questions or concerns by healthcare personnel 3. Establish employee health and wellness programs 4.Work to prevent further recurrences

2, 4

The nurse is reviewing with a group of nursing students about Standards Precautions. Which information is important to include in the presentation?

Combination of Universal Precautions and Body Substance Precautions

A registered nurse is reviewing key principles of Standard Precautions with a group of nursing students. Which statement by a student nurses most accurately describes a nursing action to take with Standard Precautions?

Blood-contaminated materials are disposed of in a biohazard container.

A client has been placed on Droplet Precautions for meningococcal meningitis. The nurse must wear a mask when entering the room and especially within which distance of taking care of the infected client?

3 feet

The clinical unit has been notified of a client being admitted with tuberculosis. Which action best demonstrates the correct measure for prevention of transmission of the disease?

Have the client wear a mask when coming up from the admitting office.

The clinical unit has been notified of a client being admitted with tuberculosis. Which action best demonstrates the correct measure for prevention of transmission of the disease?

Admission to a negative air flow pressure room

A client is admitted to a unit with influenza. What is the most appropriate type of precautions that should be initiated by the nurse for this client?

Droplet Precautions

A client has been placed on protective isolation. Which actions have to be implemented with the care of a client on protective isolation? 1. Client requires a private room 2. Healthcare workers cannot take care of the client if they have a cold or influenza 3. Anyone entering the room must wear a gown and practice strict handwashing before coming in contact with the client 4. Client cannot receive fresh fruit, fresh vegetables, or flowers

1, 2, 4