Lesson 3: Chapters 10, 11, 56 Flashcards
Nurse notes client that client is coughing and sneezing. action should the nurse take when preparing the sterile field?
A. keep sterile field at least 6’ away from the client’s bedside
B. Instruct client to refrain from coughing and sneezing during dressing change
C. Place a mask on the client to limit the spread of microorganisms
D. Keep a box of facial tissues nearby for the client to use during the dressing change.
C. Place a mask on the client to limit the spread of microorganisms
Nurse have removed a sterile pack from its outside cover. How should the flaps be unfold first?
A. Flap closest to body
B. Right sided
C. left sided
D. Flap furthest from body
D. Flap furthest from body
Nurse is wearing sterile gloves. which of the following objects can the nurse touch without breaching sterile technique? SATA
A. Bottle containing sterile solution
B. Edge of the sterile drape at base of field
C. Inner wrapping of an item on the sterile field
D. Irrigation syringe on the sterile field
E. One gloved hand with the outer gloved hand
C. Inner wrapping of an item on the sterile field
D. Irrigation syringe on the sterile field
E. One gloved hand with the outer gloved hand
Nurse is reviewing hand hygiene techniques. Which of the following instructions should the nurse include when discussing handwashing? SATA
A, Apply 3-5 ml of liquid soap to dry hands
B. wash the hands with soap and water for atleast 15 seconds
C. Rinse the hands with hot water
D. Use a clean paper towel to turn hand faucets off
E. Allow the hands to air dry after washing
wash the hands with soap and water for atleast 15 seconds
Use a clean paper towel to turn hand faucets off
Which should nurse recognize as contaminating the sterile field?
A. Provider drops a sterile instrument onto the near side of the sterile field
B. Nurse moistens a cotton ball with sterile normal saline and places it on sterile field
c. Procedure is delayed 1hr because the provider receives emergency call
d. Nurse turns to speak to someone who enters through the dot behind the nurse
E. The client’s hand brushes against the outer edge of sterile field
The nurse moistens cotton ball with sterile normal saline and places it on sterile field.
Procedure is delayed 1 hr because the hcp received emergency phone call
Nurse turns to speak to someone who entered the door
Communicable and infectious disease. Rationale for reporting?SATA
A. Planning and evaluating control and prevention strategies
B. determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common-source outbreaks
A. Planning and evaluating control and prevention strategies
B. determining public health priorities
C. Ensuring proper medical treatment
E. Monitoring for common-source outbreaks
Client who had cough for 3 weeks and is beginning to cough up blood. The client has manifestations for?
A. allergic reaction
B. ringworm
C. Lupus
D. Tuberculosis
D. Tuberculosis
client who reports a severe sore throat, pain when swallowing and swollen lymph nodes, The client is experiencing which of the following stages of infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness
Illness
manifestations of systemic infection? SATA
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respirations
A. Fever
B. Malaise
E. Increase in pulse and respirations
Plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which intervention should the nurse include? SATA
A. Place the client in the room that has negative air pressure
B. wear a mask when providing care within 3’ of client
C. Place a surgical mask on the client if transportation is unavoidable
D. use sterile gloves when handling soiled linens
E. Wear a gown when performing care that may result in contamination from secretions
wear a mask when providing care within 3’ of client
Place a surgical mask on the client if transportation is unavoidable
Wear a gown when performing care that may result in contamination from secretions
Examples of direct mode of transmission? SATA
A. Blood spurting from an arterial wound splashes into a nurse’s eye
B. Nurse has a needle stick injury
C. A mosquito bites a hiker in the woods
D. nurse finds a hole in their glove while handling a soiled dressing
E. A person fails to wash their hands after using the bathroom and touches a client.
Blood spurting from an arterial wound splashes into a nurse’s eye
A person fails to wash their hands after using the bathroom and touches a client.
Atypical indications of infection in older adult?
A. Urinary incontinence
B. Malaise
C. Acute confusion
D. Fever
E. Agitation
A. Urinary incontinence
C. Acute confusion
E. Agitation
Nurse preparing to admit a client who is suspected to have pulmonary tuberculosis. Which of the following actions should the nurse plan to perform first?
A. Implement airborne precautions
B. Obtain a sputum culture
C. Administer antituberculosis medications
D. Recommend a screening test for family members
Implement airborne precautions
Nurse in primary care clinic is assessing a client who has a history of herpes zoster. Which of the following findings suggests that the client has postherpetic neuraligia?
A. Linear clusters of vesicles on the right shoulder
B. Purulent drainage from both eyes
C. Decreased WBC count
D. Report of continued pain following resolution of the rash
D. Report of continued pain following resolution of the rash
Charge nurse is teaching a newly licensed nurse about the care of the client who has MRSA. Which statement is an indication that the new nurse understands the teaching?
A. “I should obtain a specimen for culture and sensitivity after the first dose of an antimicrobial”
B. “MRSA is usually resistant to vancomycin, so another antimicrobial will be prescribed
C. “I will protect others from exposure when I transport the client outside the room”
D. “To decrease resistance, antimicrobial therapy is discontinued when the client is no longer febrile”
“I will protect others from exposure when I transport the client outside the room”
