A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the
... [Show More] nurse implement to prevent infection
A) thread the IV catheter so that the hub rests at the insertion site
B) shave the excess hair from around the insertion site
C) cleanse the site with hydrogen perioxide prior to IV cath insertion
D) palate the site carefully just before inserting the IV catheter
A
(COPY) When initiating an IV inserting the catheter up to the hub reduces the risk of contamination along the length of the catheter
When initiating an IV inserting the catheter up to the hub reduces the risk of contamination along the length of the catheter
A nurse is caring for a postoperative adult client who refuses to use an IS following major abdominal surgery. Which of the following Si the nurse's priority action?
A) request that a respiratory therapist discuss the technique for IS
B) administer a pain med to the client
C) chart the client's refusal to participate in health restorative activites
D) determine the reasons why the client is refusing the IS
D
A nurse is preparing to administer meperidine 80 mg IM from a 100 mg prefilled syringe. After the injection, which of the following is an appropriate action by the nurse
A) return the unused portion to the pharmacy
B) have another nurse witness the disposal of excess medication
C) place the syringe with the unused portion in a locked medication drawer
D) discard the unused medication in the sharps container
B
A nurse is caring for a client who has TB. Which of the following actions should the nurse take? (select all that apply)
A) place the client in a negative pressure room
B) wear gloves when assisting with oral care
C) limit each visitor to 2 hr increments
D) wear a surgical mask when providing client care
E) use antimicrobial sanitizer for hand hygiene
A, B, E
A charge nurse is discussing the responsibility of nurses caring for clients who have clostridium difficult. Which of the following information should the nurse include in teaching?
A) assign the client to a room with a negative air flow system
B) use alcohol-based hand sanitizer when leaving the clients room
C) clean contaminated surfaces in the clients room with phenol solution
D) have family members wear a gown and gloves when visiting
D
(COPY) The nurse can use antimicrobial sanitizer for hand hygiene when caring for a client with TB
The nurse can use antimicrobial sanitizer for hand hygiene when caring for a client with TB
Alcohol based hand sanitizer does NOT kill c-diff must wash hands with soap and water (COPY)
Alcohol based hand sanitizer does NOT kill c-diff must wash hands with soap and water
A nurse is providing teaching to a client about techniques to promote sleep. Which of the following instructions should the nurse include in the teaching
A) consume a light snack of carbohydrates at bedtime
B) drink warm tea at bedtime
C) water TV in bed until drowsy
D) exercise 1 hour before bed
A
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines that the client has developed phlebitis and removes the IV catheter. Which of the following actions should the nurse take?
A) place a warm compress over the IV site
B) record the findings in the clients chart
C) notify the clients PCP
D) prepare to insert a new IV catheter
A
A charge nurse is observing a newly hired nurse prepare a sterile field. Which of the following indicates to the charge nurse that the sterile field is contaminated?
A) outer edge of the sterile field is touching a bottle
B) first fold is opened away from the body
C) sterile objects are held above the waist
D) sterile field is opened on a wet surface
D
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk of inure to this client?
A) use a bed exit alarm system
B) raise 4 side rails while client is in bed
C) apply one soft wrist restraint
D) dim the lights in the clients room
A
A nurse is implementing a plan of care for an older adult client who is at risk for falls. Which of the following is an appropriate nursing action?
A) implement a regular toileting schedule
B) encourage the client to wear athletic socks when ambulation
C) place all 4 bed rails in the upright position
D) require a family member to remain at the bedside
A
When drawing up both NPH and regular insulin which insulin is drawn up first?
Regular
A nurse is completing an admission assessment of an older adult client. Which of the following findings is a potential indication of abuse
A) loss of skin turgor on the back of the hands
B) varicosities on LE
C) thickened discolored nails with ridges
D) presence of bruises on the arms in various stages of healing
D
A nurse is educating a family member of a pt who is immobile about how to prevent back injury associated with moving the pt up in bed. Which of the following statements by the family member should indicate to the nurse that he understands the teaching?
A) I will relax my abdominal muscles when preparing to move her
B) I will keep my knees straight and my feet together
C) I will move back from the bed and bend at the waist
D) I will leverage my weight against my wife and shift it as I move her
D
A nurse on an oncology unit is caring for a client who has tears in his eyes and states " The doctor just told me that I don't have long to live" which of the following is an appropriate response by the nurse?
A) I'm sure that you will feel better soon
B) chemotherapy is almost always effective
C) tell me more about how you're feeling
D) we will do our best to keep you as comfortable as possible
C
Which of the following techniques should the nurse use when performing nasotracheal suctioning for a client?
A) insert the suction father while the client is swallowing
B) apply intermittent suction when withdrawing the fathered
C) place the cath in a location that is clean and dry for later use
D) hold the suction cath with the clean, nondominant hand
B [Show Less]