Test Bank NURS 2900 Infection Questions and Answers Rationale,100% CORRECT
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NURS 2900
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NURS 2900
Test Bank NURS 2900 Infection Questions and Answers Rationale
1. You are caring for a client with a stage IV leg ulcer. You are closely monitoring the client for sepsis. What would indicate that sepsis has occurred and that you should notify the physician of immediately?
A) The client feels restl...
test bank nurs 2900 infection questions and answers rationale
1 you are caring for a client with a stage iv leg ulcer you are closely monitoring the client for sepsis what would indicate that sepsi
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Test Bank NURS 2900 Infection Questions and Answers
Rationale
1. You are caring for a client with a stage IV leg ulcer. You are closely
monitoring the client for sepsis. What would indicate that sepsis has
occurred and that you should notify the physician of immediately?
A) The client feels restless and hungry.
B) The client exhibits an increased urinary output.
C) The client's heart rate is greater than 90 beats/minute.
D) The client's respiratory rate is less than 20
breaths/minute. Ans: C
Feedback:
A heart rate greater than 90 beats/minute or a respiratory rate greater than 20
breaths/minute will indicate that sepsis has occurred. Sepsis does not increase
the client's appetite or affect the client's urinary output.
2. The nurse is giving an educational talk to a local parent–teacher
association. A parent asks how he can help his family avoid community-
acquired infections. What would be the nurse's best response to help
prevent and control community-acquired infections?
A) “Encourage your family to adopt a healthy diet and exercise regimen.”
B) “Encourage your family to stop smoking.”
C) “Make sure your family has all their childhood immunizations.”
D) “Make sure your family has regular
checkups.” Ans: C
Feedback:
To help prevent and control community-acquired infections, nurses should
encourage childhood immunizations. Vaccines stimulate the body to
produce antibodies against a specific disease organism. The immunization
protects children as well as adults who may not have developed sufficient
immunity. Following a proper diet and exercise regimen and going for
regular checkups are important, but these measures do not help prevent or
control community-acquired infections. Smoking cessation does not reduce
the risk of such infections either.
3. You are teaching a health class in the local public health center. What
instructions should you provide as the single most important measure to
prevent the spread of infection?
A) Minimal social contact
Page 1
,B) Regular immunizations
C) Thorough handwashing
D) Sufficient food intake
Ans: C
Feedback:
Hand hygiene remains the single most important measure to prevent the
spread of infection. It reduces the number of transient and resident
microorganisms. Sufficient food intake helps restore biologic defense
mechanisms but does not prevent spread of infections. Although minimal
social contact and regular immunizations may help prevent the spread of
infection, especially community-acquired infections, these are not practical
measures.
Page 2
, 4.A nurse on your unit sustains a needlestick injury while caring for a client
whose infectious status is unknown. What would be the best course of action
for the nurse to follow?
A) Avoid notifying the supervisor of the injury until the client's
infectious status is confirmed.
B) Avoid revealing the identity of the client or source of blood.
C) Be tested for disease antibodies at appropriate intervals.
D) Document the injury in writing after the client's infectious status is
confirmed. Ans: C
Feedback:
If a needlestick injury has occurred, the nurse should be tested for disease
antibodies immediately and at appropriate intervals thereafter. The nurse
should document the injury in writing immediately and should not wait until
the client's infectious status is confirmed. The nurse should also notify the
supervisor of the injury immediately and identify the person or source of
blood, if possible.
The nursing instructor is teaching beginning nursing students about
5.
infection. Toward the end of class, the instructor gives the students a
scenario of a client with an infection who has developed fever and diarrhea.
What should the student nurse instruct the client to avoid?
A) Tea and coffee
B) Ice water and broth
C) Fruit juices
D) Milk and gelatin
Ans: A
Feedback:
A client with fever and diarrhea should avoid tea, coffee, and carbonated
beverages containing caffeine because these promote diuresis. The intake of
ice water, broth, fruit juices, gelatin, and milk should be encouraged to add
proteins and calories.
6. You are working on a gerontology unit. A family member calls and tells
you he wants to bring the family in to see one of the clients on the unit. The
family member is concerned because several of the family members have
colds. What instructions should you provide to someone with a respiratory
infection?
Page 3
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