Chapter 14 - Potter Text Review Questions

Question 1

An older patient is obese and is being treated with chemotherapy for colon cancer. Which of the following nursing diagnoses is the highest priority based on these data?

1. Acute Pain
2. Anticipatory Grieving
3. Risk for Infection
4. Impaired Tissue Integrity

Answer 1

3

Question 2

Which nursing intervention decreases the risk for urinary tract infection when placing an indwelling urinary catheter into a patient?

1. Encourage the patient to drink additional fluids immediately before the insertion
2. Wear a mask, gown, and sterile gloves during procedure
3. Maintain strict surgical asepsis during the entire procedure
4. Have the patient void before the insertion

Answer 2

3

Question 3

A nurse discovers that there is a large amount of drainage on a surgical dressing and the bed lines when attempting to insert new peripheral intravenous (IV) catheter. The nurse performs hand hygiene, puts on clean gloves, and assesses the wound beneath the dressing to be sure that the situation is not emergent. Which action should the nurse take next?

1. Remove gloves and perform hand hygiene before changing the bed linen
2. Remove gloves and perform hand hygiene before regloving and applying a clean dressing
3. Call for someone else to insert IV line
4. Immediately apply new dressing and notify the health care worker

Answer 3

2

Question 4

Why is it important for the nurse to use appropriate skin antisepsis before insertion of any invasive device?

1. Inserting a device such as an intravenous line or drainage tube bypasses the skin as a natural barrier to infection
2. It enhances the effect of antibiotics administered at the same time
3. The sterility of the inserted device is not always certain
4. The patient may have poor personal hygiene or some type of infectious skin condition.

Answer 4

1

Question 5

A patient diagnosed with a multidrug-resistant organism in the surgical wound asks the nurse what this means. What is the nurse’s best response?

1. There is more than one organism in the wound that is causing the infection.
2. The antibiotics the patient has received are not strong enough to kill the organism.
3. The patient needs more than one type of antibiotic to kill the organism.
4. The organism has developed a resistance to one or more broad-spectrum antibiotics, indicating that the organism is hard to treat effectively.

Answer 5

4

Question 6

Which are effective ways to prevent transmission of microorganisms between patients? (Select all that apply.)

1. Following isolation precautions correctly when caring for a patient in transmission-based precautions.
2. Cleaning hands before and after each patient encounter with soap and water or hand gel containing alcohol
3. Cleaning hands before and after wearing personal protective equipment such as gloves, gowns, masks, and goggles
4. Providing all patients with private rooms

Answer 6

1, 2, 3

Question 7

When is it recommended by the CDC that you use soap and water instead of an alcohol-based hand cleaner?

1. When ungloved hands are visibly soiled
2. When caring for a patient with a diagnosis of Clostridium difficile
3. Before eating and after toileting
4. All of the above

Answer 7

4

Question 8

A patient is placed on Airborne Precautions for a confirmed tuberculosis respiratory infection. The nurse notices that the patient seems to be depressed and withdrawn. Which are the best interventions that the nurse takes to help the patient? (Select all that apply.)
1. Encourage the patient to voice his or her feelings and concerns regarding the diagnosis and isolation precautions. 2. Consider making a social services consultation if patient continues to display symptoms of depression. 3. Explain the reason for Airborne Precautions and answer the patient’s questions, giving him or her reassurance that you will respond promptly when needed for. 4. Remove your respirator mask intermittently so the patient can see your face.

Answer 8

1, 2, 3

Question 9

Infection prevention precautions are not needed with patient’s who are in the hospital for other reasons besides infection. True or False?

Answer 9

False

Question 10

What is the most effective action the nurse takes to break the chain of infection?

1. Perform hand hygiene
2. Wear gloves
3. Provide education on infection prevention
4. Provide private rooms for all patient’s

Answer 10

1