Safety and Infection control

Which nursing intervention is most appropriate to reduce environmental stimuli that may cause discomfort for a client?

A nurse is assisting a client with shampooing his hair while he is still in bed. While helping the client, the nurse raises the bed to approximately the level of her waist. What is the rationale for this action?

A patient triaged as class IV in a mass casualty emergency situation means that the patient:

You see a patient lying on the floor of the bathroom. You are NOT assigned to this patient. What is the first thing that you should do?

You are ready to give your resident a complete bed bath. The temperature of this bath water should be which of the following?

The nurse should wash from the ___________ when washing a patient’s eye area.

Your patient had a stroke, or CVA, five years ago. The resident still has right sided weakness. You are ready to transfer the resident from the bed to the wheelchair. The wheelchair should be positioned at the ______________.

You are getting the patient ready to eat. The patient is on complete bed rest. You will put the head of the bed up at ____________ degrees or more.

Your patient has shortness of breath. You should position the patient in the ________ position.

The Sims’ position is MOST similar to the ____________ position.

You take an adult’s blood pressure and it is 40/20. You place the patient in a Trendelenberg position before rechecking the blood pressure. You will __________ to put the patient into the Trendelenberg position.

A nurse realizes after a patient has left the office that she forgot to put the patient’s complaint of a sore throat. Which of the following choices would BEST correct her error?

Which of the following vital signs can be expected in a child that is a febrile?

A patient is having difficulty understanding how to properly run her glucose meter. Which of the following teaching methods would best help the patient understand how to use her instrument correctly?

When teaching a patient to use the three point gait technique of crutch use:

A nurse enters a client’s room and finds her lying on the floor near the bathroom door. As the nurse provides assistance, the client states, “I thought I could get up on my own.” What information must the nurse document in this situation?

A nurse is performing an end-of-shift count of narcotics kept in the locked cabinet. The narcotic log states there should be 26 oxycodone pills left, but there are only 24 in the drawer. What is the first action of the nurse?

Which of the following is an example of whistle blowing?

A teacher brings a 5-year old child to the school nurse because of a bruise under her eye. When asked about the bruise, the child responds, “my daddy did it.” What is the nurse’s initial action in this situation?

Which of the following accurately reflects the order of discharge/relocation under the criteria for discharge/relocation of patients?

OSHA has very strict standards for hospital employees who may encounter hazardous materials or patients who have been exposed to them. These regulations include all of the following EXCEPT:

Which of the following screening tools have been found to have a high diagnostic accuracy for screening for intimate partner violence?

A family member is complaining that the lights are too dim in the middle of the night when she comes in to visit her husbanD. What is the most objective response?

What is a key principle of patient teaching that must take place to ensure patient safety?

A nurse is assessing a client’s pulse oximetry on the surgical unit. As part of routine interventions, the nurse turns off the exam light over the client’s bed. Which of the following best describes the rationale for this intervention?

Which of the following conditions increases a client’s risk of aspiration of stomach contents?

Hepatitis C virus (HCV) can be spread through hugging, sneezing, coughing, sharing eating utensils and other forms of casual contact.

The primary route of transmission of MRSA is via:

You will be escorting a patient to the operating room on a stretcher. In order to prevent this patient from falling, you must do which of the following?

All hospitals and nursing homes are mandated to have the goal of a restraint free environment. The best way to achieve this goal is to ________.

Which of these devices is considered a protective device, rather than a restraint?

Restraints are sometimes used for what patient conditions or situations?

The chain of infection includes the _______________.

Asepsis is defined as _____________.

Mary T. was admitted to a nursing home on May 1st. On July 4th, she was diagnosed with a skin infection. This infection is considered a __________________ infection.

Alzheimer’s disease patients wander. The dangers associated with this wandering can be prevented with which of the following?

Mr. S has just been diagnosed with active tuberculosis. Which of the following nursing interventions should the nurse perform to prevent transmission to others?

Which of the following is an example of client handling equipment?

Which practice will help to reduce the risk of a needlestick injury?

Which of the following actions can a nurse do to prevent a fire from occurring in the area where he works?