When caring for the client with urinary catheter, how can the nurse prevent the transmission of infectious diseases?
a. Ensure the urine bag is placed at client level.
b. Disinfect tubes and ports when collecting specimen.
c. Wear a protective gown when caring for the client.
d. Avoid changing ...
NUR 101 Exam 1 questions and answers| verified
When caring for the client with urinary catheter, how can the nurse prevent the transmission of infectious diseases?
a. Ensure the urine bag is placed at client level.
b. Disinfect tubes and ports when collecting specimen.
c. Wear a protective gown when caring for the client.
d. Avoid changing the client's position.
e. Always apply moisturizers to client's skin. ✔✔ b. Disinfect tubes and ports when collecting specimen.
The nurse should ensure that urine collection bags are positioned lower than the client to prevent backflow.
A protective gown is worn only when there is danger of splashing or spraying body substances.
The client should be repositioned frequently to prevent occurrence of bedsore or injury to the skin.
Moisturizer is applied to dry skin or lips to prevent cracking.
What is the difference in infection causing potential between parasites and saprophytes? ✔✔ Saprophytes live off the organic remains of dead plants and animals, therefore don't usually cause infections in humans.
Parasites are microorganisms that live on or within the host, taking nutrients from and releasing toxins into the host, therefore capable of causing infection.
Why is it inadequate for the nurse to perform hand sanitization if the nurse has been in contact with clients' body fluids? ✔✔ Hand sanitization is inadequate if there is visible soil on the hands or if the nurse has been in contact with clients' body fluids because excess biological material will inactivate the sanitizer.
Which trends in nursing are expected to influence nursing in the 21st century? Select all that apply.
A. Higher client acuity in hospital and long-term settings
B. Traditional nursing education programs
C. Shift to community-based care
D. Advancements in technology
E. Greater life expectancy ✔✔ A. Higher client acuity in hospital and long-term settings
C. Shift to community-based care
D. Advancements in technology
E. Greater life expectancy
A client has been involved in a motor vehicle crash and has multiple injuries. Which guiding principles of Florence Nightingale would assist this client's recuperation and health maintenance? Select all that apply.
A. Clean air and water
B. Cleanliness
C. Blood administration D. Light
E. Efficient drainage ✔✔ A. Clean air and water
B. Cleanliness
D. Light
E. Efficient drainage
The nurse caring for a client must be attentive to the client's emotions, lifestyles, physical changes, spiritual needs, and individual challenges. When the nurse attends to these needs, the nurse is providing which type of care?
A. Behavioral healthcare
B. Specialized healthcare
C. Caring healthcare
D. Holistic healthcare ✔✔ D. Holistic healthcare
A nurse working in a mental healthcare facility understands that the clients are to be treated respectfully and their rights maintained. Which nurse was an advocate for the humane treatment of the mentally ill?
A. Florence Nightingale
B. Melinda Richards
C. Isabel Robb
D. Dorothea Dix ✔✔ D. Dorothea Dix
The first practical nursing school was a 3-month course. What was the primary role of the practical nurse after graduation from this program?
A. Care of infants, children, older adults, and disabled in the client's home
B. Care of all client populations in the hospital setting
C. Advanced care of adult clients in home and hospital
D. Assisting the physician in surgical procedures ✔✔ A. Care of infants, children, older adults, and disabled in the client's home
A high school student interested in becoming a nurse asks the nursing instructor what the role of the LVN/LPN is. Which are the best responses by the instructor? Select all that apply.
A. The LVN/LPN provides bedside care.
B. The LVN/LPN develops the plan of care for clients.
C. The LVN/LPN performs wound care.
D. The LVN/LPN supervises RNs.
E. The LVN/LPN administers prescribed medications to clients. ✔✔ A. The LVN/LPN provides bedside care.
C. The LVN/LPN performs wound care.
E. The LVN/LPN administers prescribed medications to clients.
The LVN/LPN is supervising a nursing assistant working in a long-term care facility. What task may be assigned to the nursing assistant by the LVN/LPN?
A. Administer prescribed medication to a client.
B. Change a sterile dressing.
C. Assist with feeding a client. D. Insert a nasogastric tube in a client. ✔✔ C. Assist with feeding a client.
The student nurse in a practical nursing program asks the instructor what an RN does. Which are the best responses by the instructor? Select all that apply.
A. The RN performs surgical procedures.
B. The RN cares for acutely ill clients.
C. The RN teaches professional and practical nursing students.
D. The RN takes charge in various healthcare settings.
E. The RN manages personnel. ✔✔ B. The RN cares for acutely ill clients.
C. The RN teaches professional and practical nursing students.
D. The RN takes charge in various healthcare settings.
E. The RN manages personnel.
An LVN/LPN is moving to another state to practice nursing. After receiving a license to practice there, what is most important that the LPN do?
A. Determine what the standards of practice are in that state.
B. Take another NCLEX exam for that state.
C. Sign up at the local community college to take review classes.
D. Call the state Board of Nursing to let them know they are going to practice in that state. ✔✔ D. Call the state Board of Nursing to let them know they are going to practice in that state.
A client no longer requires care in the coronary intensive care unit after coronary artery bypass graft surgery. Where should the nurse prepare to transfer the client?
A. Subacute or step-down unit
B. Skilled care unit
C. Medical floor
D. Long-term care facility ✔✔ A. Subacute or step-down unit
The nurse is caring for a terminally ill client that is to be discharged. Which referral should the nurse make with the client's and family's approval?
A. Extended care
B. Telehealth
C. Respite care
D. Hospice ✔✔ D. Hospice
A client that is homebound requires long-term intravenous antibiotic therapy. The insurance company refuses to keep the client in the hospital during this treatment regimen. Which services would best meet the needs of the client?
A. Hospice
B. Respite care
C. Home healthcare
D. Telehealth ✔✔ C. Home healthcare
The RN is developing the plan of care for a client with pneumonia. Who should the nurse include
in the development of the care plan?
A. Unit secretary B. Dietary
C. The client
D. Administration ✔✔ C. The client
The nurse is concerned about a newly developed policy regarding scheduling on the unit. Who is
the appropriate person for the nurse to discuss the concerns with?
A. The nurse manager
B. The nurse's peers
C. The chief nursing officer
D. The board of directors ✔✔ A. The nurse manager
The nurse enters a client's hospital room to administer medication. Which observation made by the nurse would be of greatest concern?
A. The overbed table has a telephone on it.
B. The call light is attached to the bed within the client's reach.
C. The head of the bed is elevated to 45°.
D. The bed is elevated to a high position and the side rails are down. ✔✔ D. The bed is elevated to a high position and the side rails are down.
The nurse hears a client crying out, "Someone please help!" After meeting the client's immediate needs, which nursing action should be provided?
A. Instruct and have the client demonstrate use of the call bell.
B. Inform the client that the call bell must be used in order for someone to come.
C. Place the client in the chair at the nurse's station.
D. Sedate the client with medication. ✔✔ A. Instruct and have the client demonstrate use of the
call bell.
The nurse smells cigarette smoke coming from a client's hospital bathroom. Which action by the nurse is the priority?
A. Inform the client discharge from the hospital is likely.
B. Inform the client that the hospital has a no-smoking policy.
C. Call the security officer to handle the situation.
D. Do nothing because the client has the right to smoke. ✔✔ B. Inform the client that the hospital has a no-smoking policy.
A client requests that the nurse increase the heat in the room. The temperature is presently 72 °F. Which is the priority action by the nurse?
A. Tell the client to put more clothing on.
B. Inform the client that it is warm in the room.
C. Tell the client that you cannot comply with that request.
D. Bring the client a blanket from the warmer. ✔✔ D. Bring the client a blanket from the warmer.
The CNA informs the nurse that a confused client keeps removing the covers and exposing themselves. Which intervention can the nurse suggest to the CNA to protect the client's privacy?
A. Use soft wrist restraints so the client cannot remove the covers.
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