hygieneSafetyGlucoseChkRestraint_Ques.txt

A client is transferred from a long-term care facility to an acute care setting. An indwelling Foley catheter was inserted just prior to her transfer. Which of the following tasks will help prevent the development of a nosocomial infection?
A. Assessing the client's ability to void independently
B. Frequently cleaning the client's perineal area and properly caring for the catheter
C. Placing an absorbent pad under the client to protect the bed in case of incontinence.
D. Properly hydrating the client and giving her a diet high in fiber to prevent constipation

A client is in balanced suspension traction following a motor vehicle crash. He is unable to perform his own personal hygiene and must have it performed by the nurse. Which of the following factors will have the most influence on his comfort level.
A. The amount of pain medicine he has received
B. The attitude of the nurse
C. The gender of the nurse
D. The client's position

A client experiences dyspnea and reports feeling tired after completing her morning care. Which of the following should the nurse include in the client's plan of care for the next day?
A. Do not offer any morning care
B. Ask a family member to come in and give the client a bath
C. Perform all of the client's care as quickly as possible
D. Plan for several rest periods during the morning care

For a client confined to bed, which nursing activity is a part of the routine "hour of sleep" care, but not for 'early morning' care?
A. Providing a back massage
B. Changing the linen
C. Washing the face and hands
D. Providing a bedpan or urinal

The nurse is preparing to give oral care to an unconscious client. How should the nurse proceed?
A. Lower the head of the bed, place the client in side-laying position
B. Put the client in Fowler's position, ten turn her head to the side
C. Put the bed in high Fowler's position before beginning
D. Place the client supine with her head lowered

Which intervention is a part of the correct procedure to follow in caring for a client's ears?
A. If unable to loosen cerumen by retracting auricle, irrigate the canal
B. Use a syringe to aspirate cerumen from the ear canal
C. Have the client gently remove cerumen with a cotton-tipped applicator
D. Retract the auricle upward to loosen visible cerumen

Which of the following are appropriate teaching measures related to care of the feet for a client with diabetes mellitus? (select all that apply)
a. Inspect feet daily.
b. Use moisturizing lotions on feet.
c. Wash with warm water and let air dry
d. Use over-the-counter products to treat abrasions
e. Check shoes for any foreign objects

The nurse is preparing a presentation at a senior citizens center on the
leading cause of accidents in older adults. What topic should the nurse
concentrate on presenting?

Automobile accidents
Accidental medication overdose
Falls
Home fires

An elderly client, hospitalized with a cerebral vascular accident, is unable to ambulate without help. This client becomes disoriented and tries to get out of bed. What safety measure is most appropriate for this client?

Use a bed exit safety monitoring device
Restrain the client in bed
Check the client every 15 minutes
Ask a family member to stay with the client

The nurse assesses a cyanotic appearance and cool temperature in the hand of a client wearing a wrist restraint. The client complains of numbness and tingling in the hand. What should the nurse do first?

remove the restraint and call the physician.
Reapply the restraint in a different area of the wrist.
Leave the restraint in place and notify the physician.
Loosen the restraint and exercise the limb.

Which statement by a father indicates understanding of safety measures for his 3-year-old son?

"I shouldn't give him ice cream bars on a stick."
"He knows how to swim, so I usually read a book by the pool."
"I can leave him for a few minutes only when he is asleep."
"He can cross the street by himself to play with his best friend

Which adolescent would be at the highest risk for committing suicide or homicide?

An African-American male
A Caucasian female
A European-American female
An male of French descent

Which of the following means freedom from disease-causing microorganisms?
1. Medical asepsis
2. Asepsis
3. Surgical asepsis
4. Sepsis

Which of the following consists primarily of nucleic acid and therefore must enter living cells in order to reproduce?
1. Fungi
2. Bacteria
3. Viruses
4. Parasites

Inflammation is a local and nonspecific defensive response of the tissues to an injurious or infectious agent. Which of the following is NOT a sign of inflammation?
1. Pain
2. Swelling
3. Redness
4. Fatigue

Four commonly used methods of sterilization are moist heat, gas, boiling water, and radiation. Which of the following is the most practical and inexpensive method for sterilizing in the home.
1. Gas
2. Moist heat
3. Radiation
4. Boiling water

A nurse is evaluating a nursing student's understanding of types of infections. Which of the following statements demonstrates a need for further teaching.
1. A local infection is limited to the specific part of the body where the microorganisms remain.
2. If the microorganisms spread and damage different parts of the body, it is a systemic infection.
3. Acute infections may occur slowly, over a very long period, and may last months or years.
4. Nosocomial infections are classified as infections that are associated with the delivery of health care services in a health care facility.

A nurse is planning a seminar on the chain of infection. Which of the following is NOT one of the six links?
1. Etiologic agent
2. Reservoir
3. Portal of entry
4. Mode of transmission

An antigen is a:
1. host that produces antibodies in response to natural antigens (e.g., infectious microorganisms) or artificial antigens (e.g., vaccines).
2. substance that induces a state of sensitivity or immune responsiveness (immunity)
3. host that receives natural (e.g., from a nursing mother) or artificial (e.g., from an injection of immune serum) antibodies produced by another source.
4. part of the body's plasma proteins.

The CDC recommends antimicrobial hand cleansing agents in all of the following situations EXCEPT:
1. when there are unknown multiple nonresistant bacteria.
2. before invasive procedures.
3. in special care units, such as nurseries and ICU's
4. before caring for severely immunocompromised clients.

Which of the following statements about disinfectants is incorrect?
1. A disinfectant is a chemical preparation, such as phenol or iodine compounds, used on inanimate objects.
2. Disinfectants are frequently caustic and toxic to tissues.
3. Disinfectants and antiseptics often have similar chemical components, but the disinfectant is a less concentrated solution.
4. A disinfectant is an agent that destroys pathogens other than spores.

Which types of precautions are used for clients known or suspected to have serious illnesses transmitted by particle droplets larger than 5 microns?
1. Airborne
2. Droplet
3. Contact
4. Connection

When planning immediate injury prevention for parents of a toddler, which of the following would NOT be a focus at that time?
1. Burns
2. Suffocation
3. Choking
4. Lead poisoning

When evaluating a parent's understanding of safety measures for an infant, which of the following statements indicates a need for further teaching?
1. "I will store all household chemicals in the garage."
2. "I will make sure my infant is in his car seat before starting the car."
3. "I will keep small crafting beads locked in the cabinet."
4. "I will keep the trash bags in the kitchen on the bottom shelf by the sink."

A nurse planning a safety instruction class for parents of adolescents knows that the focus of the class should be on:
1. teaching adolescents to sleep on a low bed.
2. teaching adolescents about driver safety.
3. teaching adolescents not to ingest lead paint chips.
4. teaching adolescents not to run or ride a tricycle into the street.

Suicide and homicide are two leading causes of death among teenagers. When planning a workshop on adolescent suicide and homicide, the nurse knows that which of the following is NOT among the most common factors influencing the high suicide and homicide rates?
1. Economic deprivation
2. Stable and fulfilling friendships
3. The availability of firearms
4. Family breakup

A nurse teaching a safety class for parents identifies all of the following as main causes of death for school-age children. Which of the following is NOT one of the leading causes?
1. Broken arms
2. Fires
3. Drownings
4. Firearms

When planning a safety inservice program for an independent living community of r older adults, the nurse will include information on which of the following as the leading cause of injury among older adults?
1. Firearms
2. Drownings
3. Suicide
4. Falls

which of the following is an incorrect part of the nursing assessment before applying restraints on a client?
1. Status of skin to which restraint is to be applied
2. Circulatory status proximal to restraints
3. Consideration of other protective measures that may be implemented before applying a restraint
4. Underlying cause of assessed behavior

When evaluating a parent's understanding of poisoning prevention, which of the following statements indicates a need for further teaching?
1. "we'll store toxic liquids or solids in food containers, such as soft drink bottles, peanut butter jars, or milk a need for further teaching?"
2. "We'll display the phone number of the poison control near or on all telephones in our home so that it is available to babysitters, family, and friends."
3. "We'll teach our children never to eat any part of an unknown plant or mushroom and not to put leaves, stems, bark, seeds, nuts or berries from any plant into their mouths."
4. "We'll not refer to medicine as candy or pretend false enjoyment when taking medications in front of our children."

A nurse establishing a client's plan of care for implementing seizure precautions should plan to include which of the following?
1. If clients have frequent or recurrent seizures or take anticonvulsant medications, they need to wear a medical identification tag (bracelet or necklace) and carry a card delineating any medications they take.
2. Assist the client in alerting all persons in the community about their seizure disorder.
3. Discuss safety precautions for inside of the home only.
4. Discuss with the client , family, and persons in the community factors that may precipitate a seizure.

Which of the following would NOT be a preventive measure for an older client with poor vision?
1. Ensure eyeglasses are functional.
2. Ensure appropriate lighting.
3. Mark doorways only.
4. Keep the environment tidy.