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TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF

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TEST BANK for Fundamentals of Nursing 11TH Edition by Potter Perry PDF The nurse is caring for a patient in an intensive care unit who needs a bath. Which priority action will the nurse take to decrease the potential for a health care-associated infection? a. Use local anesthetic on redde...

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  • October 2, 2024
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TEST BANK for Fundamentals of Nursing
11TH Edition by Potter Perry PDF

The nurse is caring for a patient in an intensive care unit who needs a
bath. Which priority action will the nurse take to decrease the
potential for a health care-associated infection?
a. Use local anesthetic on reddened areas.
b. Use nonallergenic tape on dressings.
c. Use a chlorhexidine wash.
d. Use filtered water. - ANS-c. Use a chlorhexidine wash.

The infection control nurse is reviewing data for the medical-surgical
unit. The nurse notices an increase in postoperative infections from
Aspergillus. Which type of health care-associated infection will the
nurse report?
a. Vector
b. Exogenous
c. Endogenous
d. Suprainfection - ANS-b. Exogenous

The patient has contracted a urinary tract infection (UTI) while in the
hospital. Which action will most likely increase the risk of a patient
contracting a UTI?
a. Reusing the patient's graduated receptacle to empty the drainage
bag
b. Allowing the drainage bag port to touch the graduated receptacle
c. Emptying the urinary drainage bag at least once a shift
d. Irrigating the catheter infrequently - ANS-b. Allowing the drainage
bag port to touch the graduated receptacle

Which nursing action will most likely increase a patient's risk for
developing a health care-associated infection?
a. Uses surgical aseptic technique to suction an airway.
b. Uses a clean technique for inserting a urinary catheter.
c. Uses a cleaning stroke from the urinary meatus toward the rectum.

,d. Uses a sterile bottled solution more than once within a 24-hour
period - ANS-b. Uses a clean technique for inserting a urinary catheter.

The nurse is caring for a patient in labor and delivery. When near
completing an assessment of the patient's cervix, the electronic
infusion device being used on the intravenous (IV) infusion alarms.
Which sequence of actions is most appropriate for the nurse to take?
a. Complete the assessment, remove gloves, and silence the alarm.
b. Discontinue the assessment, silence the alarm, and assess the
intravenous site.
c. Complete the assessment, remove gloves, wash hands, and assess
the intravenous infusion.
d. Discontinue the assessment, remove gloves, use hand gel, and
assess the intravenous infusion - ANS-c. Complete the assessment,
remove gloves, wash hands, and assess the intravenous infusion.

,The nurse and a new nurse in orientation are caring for a patient with
pneumonia. Which statement by the new nurse will indicate a correct
understanding of this condition?
a. "An infectious disease like pneumonia may not pose a risk to
others."
b. "We need to isolate the patient in a private negative-pressure
room."
c. "Clinical signs and symptoms are not present in pneumonia."
d. "The patient will not be able to return home." - ANS-a. "An
infectious disease like pneumonia may not pose a risk to others."

The patient and the nurse are discussing the vector transmitted
Rickettsia rickettsii—Rocky Mountain spotted fever. Which patient
statement to the nurse indicates understanding regarding the mode of
transmission for this disease? a. "When camping, I will use
sunscreen."
b. "When camping, I will drink bottled water."
c. "When camping, I will wear insect repellent."
d. "When camping, I will wash my hands with hand gel." - ANS-c.
"When camping, I will wear insect repellent."

The nurse is providing an educational session for a group of preschool
workers. The nurse reminds the group about the most important thing
to do to prevent the spread of infection. Which information did the
nurse share with the preschool workers?
a. Encourage preschool children to eat a nutritious diet.
b. Suggest that parents provide a multivitamin to the children.
c. Clean the toys every afternoon before putting them away. d. Wash
their hands between each interaction with children. - ANS-d. Wash
their hands between each interaction with children.

The nurse is admitting a patient with an infectious disease process.
Which question will be most appropriate for a nurse to ask about the
patient's susceptibility to this infectious process?
a. "Do you have a spouse?"
b. "Do you have a chronic disease?"
c. "Do you have any children living in the home?"

, d. "Do you have any religious beliefs that will influence your care?" -
ANS-b. "Do you have a chronic disease?"

The patient experienced a surgical procedure, and Betadine was
utilized as the surgical prep. Two days postoperatively, the nurse's
assessment indicates that the incision is red and has a small amount
of purulent drainage. The patient reports tenderness at the incision
site. The patient's temperature is 100.5° F, and the WBC is
10,500/mm3. Which action should the nurse take first?
a. Plan to change the surgical dressing during the shift.
b. Utilize SBAR to notify the primary health care provider.
c. Reevaluate the temperature and white blood cell count in 4 hours.
d. Check to see what solution was used for skin preparation in
surgery. - ANS-b. Utilize SBAR to notify the primary health care
provider.

The nurse is providing an education session to an adult community
group about the effects of smoking on infection. Which information is
most important for the nurse to include in the educational session?
a. Smoke from tobacco products clings to your clothing and hair.
b. Smoking affects the cilia lining the upper airways in the lungs.
c. Smoking can affect the color of the patient's fingernails. d. Smoking
tobacco products can be very expensive. - ANS-b. Smoking affects the
cilia lining the upper airways in the lungs.

A female adult patient presents to the clinic with reports of a white
discharge and itching in the vaginal area. A nurse is taking a health
history. Which question is the priority?
a. "When was the last time you visited your primary health care
provider?"
b. "Has this condition affected your eating habits in any way?"
c. "What medications are you currently taking?"
d. "Are you able to sleep at night? - ANS-c. "What medications are you
currently taking?"

The nurse is caring for a school-aged child who has injured the right
leg after a bicycle accident. Which signs and symptoms will the nurse

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