FUNDA 2: Safety/Infection Control Final Exam And Guaranteed Pass Answers.
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Course
NURS 2207
Institution
NURS 2207
The nurse supervisor tells the psychiatric nurse to go to the telemetry unit ("float") as the unit is short staffed and has 2 clients with cardiac arrest. The nurse is not familiar with this client population and does not want to go. What is the best response by the psychiatric nurse?
1. Clarify ...
FUNDA 2: Safety/Infection Control Final
Exam And Guaranteed Pass Answers.
The nurse supervisor tells the psychiatric nurse to go to the telemetry unit ("float") as the unit is short
staffed and has 2 clients with cardiac arrest. The nurse is not familiar with this client population and does
not want to go. What is the best response by the psychiatric nurse?
1. Clarify the skills/knowledge that the nurse is able/unable to perform
2. Read the policy and procedure book for the unit before providing care
3. Refuse to go due to concerns about client safety
4. Tell the supervisor to send someone else instead - Answer 1
The nurse is caring for a client who weighs 450 1b (204.1 kg) 2 days after bariatric surgery. The client is
pleasant, cooperative, and able to fully bear weight. What would be the most appropriate method for
transferring this client safely?
1. 1-person safety standby with walker
2. 2-person full-body sling lift
3. 2-person standing-assist lift
4. 4-person full-body sling lift - Answer 1
All of these events are occurring at the same time. Which one should the registered nurse deal with
first?
1. A health care provider (HCP) is asking to speak to the nurse
2. A visitor is seen lying on the hallway floor
3. A client is requesting an analgesic for pain rated an "8" on a 1-10 scale
4. The intravenous (IV) pump is beeping on a client who is receiving blood - Answer 2
The nurse finds a client on the floor in the client's room. Based on the documentation shown in the
exhibit, the nurse made an incorrect entry in the client's medical record at what time? Click on the
exhibit button for additional information.
Exhibit:
,1700 Found client lying on floor next to bed. Client states, "l fell out of bed while reaching for my
eyeglasses and hit my head on the bedside table." Client is alert and oriented to time, place, person, and
situation. Denies pain, dizziness, or nausea No visible injuries.Assisted back to bed. Neurological vital
signs within normal limits (see assessment flow sheet). Client instructed to use call bell for assistance.
Will continue to monitor._________________RN
1710 Health care provider (HCP) notified of fall. Prescribed CT of head STAT. ___________RN
1740 No change in neurologic status.Client to CT via gurney. Report filed per
policy. _____________RN
1810 Cli - Answer 3
A client with a tracheostomy is alert and oriented and able to tolerate oral intake. Which action would be
appropriate to reduce the client's risk of aspiration pneumonia?
1. Fully inflate the cuff before feeding
2. Have the client sit in an upright position with the neck hyperextended
3. Partially or fully deflate the cuff
4. Provide a modified diet of pureed foods - Answer 3
The charge nurse is preparing for the admission of an elderly client with delirium and agitation
associated with urinary tract infection. To promote client safety, which intervention is most important for
the charge nurse to implement?
1. A bed near the nursing station
2. Four-point leather restraints
3. Minimizing environmental stimuli
4.One-on-one supervision from a sitter - Answer 4
What nursing care related to peripherally inserted IV catheters can reduce the incidence of catheter-
related infections? Select all that apply.
1. Clean ports with 70% alcohol prior to accessing the catheter system
2. Prior to insertion, apply chlorhexidine in a back and forth motion with friction
, 3. Prior to insertion, use povidone-iodine to paint a circle and wipe excess with a sterile gauze
4. Replace or remove the catheter every 3 days
5. Shave excess hair over insertion site - Answer 1,2,4
Which situations would require the nurse to obtain a prescription for physical restraints? Select all that
apply.
1. Belt restraint used for a confused client who keeps trying to get out of bed but is on bed rest
2. Elbow restraints used temporarily for a toddler while drawing blood
3. Full padded side rails in the raised position for a client during a seizure
4. Long leg immobilizer used for a client with a fractured tibia
5. Soft ankle restraint to prevent bleeding at the femoral site following cardiac catheterization - Answer
1,5
The nurse is caring for a client who was admitted to the hospital following a motor vehicle accident
caused by the client's newly diagnosed seizure disorder. The health care provider (HCP) prescribes
seizure precautions for the client. The nurse prepares to initiate which interventions? Select all that
apply.
1. Apply pads to the side rails
2. Lift the side rails
3. Prepare to insert a urinary catheter
4. Remove all linen from the bed
5. Set up bedside suction - Answer 1,2,5
Which measures will help prevent falls in the elderly clients of a long-term care facility? Select all that
apply.
1. Exercise programs
2. Good room lighting
3. Handrails in stairwell
4. Smooth-soled shoes
5. Staff hourly rounds - Answer 1,2,3,5
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