L3 Ch.7 (ATI ch.56 Q&A) Flashcards
A nurse in a residential care facility is assessing an older adult client.
Which of the following findings should the nurse identify as a typical indication of infection in the client?
(select all that apply)
Answer is OnLY:
Acute confusion
Urinary incontinence
Agitation
A nurse is preparing to admit a client who is suspected to have pulmonary tuberculosis.
Which of the following actions should the nurse plan to perform first?
Implement airborne precautions !!!!!!!!
WHY?—The greatest safety risk to the nurse and others is transmission of the infection from airborne exposure to tuberculosis
A nurse in a primary care clinic is assessing a client with a history of herpes zoster.
Which of the following findings suggest that this client has postherpetic neuralgia ? ( common complication of shingles)
Report of continued pain following resolution of the rash.
WHY?—Pain that persist following resolution of the vesicular rash is an indication of postherpetic neuralgia
A charge nurse is teaching a newly licensed nurse about the care of a client who has methicillin-resistant staphylococcus aureus (MRSA)
Which of the following statements should the charge nurse identify as an indication that the newly licensed nurse understands the teaching?
“I will protect others from exposure when I transport the client outside the room”
WHY?——Particularly with infections due to antibiotic-resistant bacteria, protect everyone the client comes in contact with from transmission, especially when outside the Isolation room.
A nurse is discussing direct and indirect contact modes of transmission of infection at a staff education session.
Which of the following incidents should the nurse include as examples of the direct mode of transmission? ( select all that apply)
Blood spurting out an arterial wound and splashes into nurses eye
A person fails to wash their hands after using the bathroom and touches a client
