Infection Prevention and Safety

Which client would the nurse consider to be at the highest risk of developing a nosocomial infection? 

• A 65-year-old client with an indwelling urinary catheter

• A 30-year-old client admitted for dehydration

• A 45-year-old client being treated for a gastrointestinal bleed

• An 80-year-old client admitted with pneumonia

The U.S. Department of Health and Human Services (USDHHS) is working to reduce which health-care-related infections?  

• Surgical site infections

• Human immunodeficiency virus

• Covid-19

• Community-acquired pneumonia

The nurse is caring for a client who is being treated for pneumonia and develops clostridium difficile (c-diff) from the antibiotic therapy. The client is placed on contact precautions. What intervention should the nurse perform?

• Use an alcohol-based sanitizer before and after care

• Don a mask prior to entering the client's room

• Remove personal protective equipment after leaving the client's room

• Provide a disposable blood pressure cuff, thermometer and stethoscope

The nurse is inserting an intravenous catheter into a client. Blood drips down from the venipuncture and lands on the nurse’s arm. Which intervention should the nurse perform first? 

• Wash the affected area thoroughly.

• Notify the nurse’s immediate supervisor.

• Complete both injury and incident reports.

• Obtain baseline blood testing for HIV and hepatitis.

Which of the following would be the correct type of isolation for a patient who recently underwent a liver transplant and is receiving immunosuppressant therapy?

• Contact isolation

• Droplet isolation

• Reverse or protective isolation

• Airborne isolation

You are assigned to care for a patient who is currently being restrained due to confusion and attempting to remove his lines and drains. Of the following assessments, which one is the most important?

• Assessing if the patient is hungry or thirsy

• Assessing the patient's circulation to the extremities being restrained

• Assessing if the patient has to use the bathroom

• Assessing patient's feelings about being in restraints

Which safety precaution should the nurse take when preparing to administer an injection to a client? 

• Recapping the needle after administering the injection

• Disposing of the needle immediately in the sharps container

• Setting the needle aside after the injection until bleeding has stopped

• Inserting the needle into a full sharps container for disposal

The nurse is educating the parents of a toddler about medication safety in the home. What should the nurse include in the teaching plan? 

• Keep all medications locked and out of reach of young children

• Refer to medications as candy

• Store medications in a pill box to assist with complicance

• Hide medications under the sink to ensure safety

You notice smoke and flames coming from a patient's room down the hall. Which of the following is response?

• Leave the unit and alert others of the fire.

• Move patients to the elevators and get out of the building as quickly as possible.

• Use RACE

• Call 911

Which factor most decreases adverse outcomes in a health-care facility? 

• Good insurance coverage

• Adequate psychosocial support

• Knowledgeable health care providers

• Quality nursing care