Infection Control and PPE
A nurse just finished a wound irrigation for a client requiring contact precautions. Which piece of PPE should be removed first?
Gloves
What is the expected range for respiratory rate in an adult patient?
12-20 breaths/min
A client with urinary incontinence should avoid which bladder irritant?
Caffeine
In which position should you carry soiled linens after you have removed them from the bed?
Hold linens away from the body
A nurse looks up a patient’s chart without providing care. This violates which standard?
Confidentiality
What is the first stage of infection?
Incubation stage
Formulating measurable goals occurs in which phase of the Nursing Process?
Planning
A client has tuberculosis and a productive cough. Which type of isolation is needed?
Airborne precautions
How is oxygen transported throughout the body?
Which finding should the nurse expect with a patient that is dehydrated?
Tachycardia, dry mucous membranes, low BP
After caring for a patient with C. Difficile, the nurse should always do the following…
Wash hands with soap and water
What is an example of a physiological stressor?
Infection, injury, or pain
What type of Transmission Based Precautions should a patient who has MRSA be on?
Contact precautions
Which is subjective data?
Anything that can be felt by the patient
A nurse checks the pulse of a client with MRSA in an abdominal wound. What type of PPE should the nurse wear?
Wear gloves and gown before touching the client
A nurse assesses a client with obstructive sleep apnea. What finding is expected?
Periods of apnea during sleep or loud snoring
What signs and symptoms should the nurse expect from a patient that has had diarrhea for a few days?
Hypotension, poor skin turgor, electrolyte loss
What is the proper way to wash your hands with soap and water?
Rub hands together vigorously for at least 20 seconds
A patient reports flashbacks of trauma from a year ago. The nurse recognizes this as:
Post-traumatic stress disorder (PTSD)
Hospitals must treat and stabilize all patients regardless of ability to pay
What is EMTALA?
Provide 2 examples of non-modifiable risk factor?
age, genetics
A nurse sets up a meal tray for a client on droplet precautions. Which PPE is required?
A mask, gown, gloves, eye protection
Pulmonary Artery
When preparing an Enema solution, what should the nurse do to help prevent abdominal discomfort?
To prevent aspiration pneumonia in a client with dementia, the nurse should:
Sit the client upright during meals
A nurse documents an apical pulse that was not obtained. What is this action called?
Falsification of the medical record
The Social Determinants Of Health (SDOH) include:
Education, income, environment, access to care
Leaving a logged-in computer unattended violates what?
HIPAA practices
A client acquired Staphylococcus aureus by touching a contaminated towel. What mode of transmission occurred?
Indirect Contact transmission
A nurse assesses a client with a temperature of 39°C (102.2°F). Which finding should the nurse expect?
Increased heart rate (tachycardia)
A nurse performs oral care for an unconscious client. What position should the patient be in?
Position the client side-lying to prevent aspiration
A massage is contraindicated for which client?
A patient with skin breakdown
A nurse teaches about ethical principles. Not causing harm refers to:
Nonmaleficence
List the 3 levels of prevention in nursing, what they each mean, and an example of each of them
primary- prevention
secondary- screenings
tertiary- treatments