Exam (elaborations)
_HURST REVIEW Qbank_Customize Quiz - Safety and Infection Control With Correct Answers Rated 100-
- Course
- Institution
_HURST REVIEW Qbank_Customize Quiz - Safety and Infection Control With Correct Answers Rated 100-
[Show more]
Seller
Follow
Content preview
9/4/24, 10:58 PM*HURST REVIEW Qbank/Customize Quiz - Safety and
Infection Control
Jeremiah
eliall
Practice questions for this set
Learn 1 /7 Study with Learn
2., & 5. CORRECT: It is crucial to place the facility's allergy alert bracelet on the client
upon admission, generally on the same wrist as the facility ID bracelet. Each time the
client's ID is verified, staff will also see the allergy bracelet. Dietary department must also
be alerted of all allergies in writing as should the pharmacy. In most facilities allergy alert
stickers are attached on the outside of the chart, on the medication sheet, and facility-
specific areas to remind the staff caring for the client.
1. INCORRECT: A client with allergies does not have to be placed into a private room,
even if the allergies are environmental. There is no such thing as a "sterile" client room,
which implies a sealed location with reverse airflow system. Although operating rooms
try to maintain a sterile atmosphere, the entire room itself is not sterile.
3. INCORRECT: Allergies would not require the client to wear a mask in the hallway, or
when transported to another department. Even if a client allergy is airborne, such as dust,
a mask does not provide significant protection.
4. INCORRECT: A sign listing exact client allergies would violate HIPAA regulations and
privacy policies. In severe cases, a facility may choose to place a plain allergy sticker in
the client's room, but cannot place any specific, identifying client information in public
view.
*HURST REVIEW
Choose Qbank/Customize
matching term Quiz - Safety and Infection Control
1/22
,9/4/24, 10:58 PM
A client admitted to a long-term care facility is legally blind and partially deaf. How would the nurse
best provide for the client's safety in the event of an emergency?
Select all that apply
1. Have roommate lead client out of the room to safety area.
1
2. Assign a specific UAP every shift to escort client to safety.
3. Research established protocols utilized by emergency groups.
4. Discuss best communication methods with client and family.
5. Plan for the supervisor to be responsible for evacuating the client.
Which is the correct method for removing personal protective equipment (PPE)?
1. Contaminated gloves should be removed in the client's room.
2. The glove that is removed first should be placed in the wastebasket before the other glove is
2
removed.
3. Remove face shield or goggles first.
4. Shoe covers should be removed last.
The following clients arrive to the emergency department (ED) at the same time. The triage nurse
gives priority to which client?
1. A client with a possible fracture of the tibia 45 minutes ago.
3
2. A client with left hemiparesis and aphasia beginning 1 hour ago.
3. A client smelling of alcohol and reporting of severe abdominal pain.
4. A client involved in a motor vehicle accident (MVA) with a possible fractured pelvis.
A client has been admitted with multiple severe allergies, including food and medications. The nurse
knows what actions are most important to protect the client?
Select all that apply
1. Assign client to a private, sterile room.
4
2. Place allergy alert bracelet on client.
3. Have client wear mask when in hallway.
4. Attach sign listing allergies above the bed.
5. Send list of allergies to dietary department.
Don't know?
Terms in this set (50)
A nurse enters a client's room to find the 4. Correct: Placing a rolled towel under the client's head prevents further injury to the
client on the floor having a seizure. Which client.
nursing action is appropriate for this client?
1. Hold the client's arms and legs. 1. Incorrect: Restraining the client may cause further injury to the client.
2. Insert a padded tongue blade in the
client's mouth. 2. Incorrect: Forcing an object into the client's mouth can result in choking the client or
3. Assist the client back into the bed. injuring the client's teeth and mouth.
4. Place a rolled towel under the client's
head. 3. Incorrect: Lifting the client may cause injury to the nurse and client.
2/22
, 9/4/24, 10:58 PM
3. CORRECT: Restraints are considered a last resort when caring for a client, whether
soft cloth or chemical restraints. The most acceptable use is to prevent a client from
harming self or others. In this instance, a confused client has previously pulled out a
prescribed IV. Therefore, the use of hand mitts is the most appropriate, least-restrictive
method to prevent the client from further self-harm.
The nursing supervisor is reviewing several
instances in which restraints have been used.
1. INCORRECT: There are several problems here. The client had side rails up, which are
The nurse is aware the only acceptable use
considered a form of restraint and in many facilities are no longer permitted. By
of restraints is what?
applying a chest restraint, the client has been restrained twice. Just because a client is
1. An elderly male had a chest restraint
elderly does not mean restraints are needed. This restraint is not acceptable. The nurse
applied after crawling over bed rails several
should provide regular toileting periods and determine why this client is climbing out of
times.
bed.
2. An Alzheimer client's room door is closed
to prevent wandering during shift change.
2. INCORRECT: Closing a client into a room is overly restrictive and unsafe. This
3. A confused client with a closed head
Alzheimer's client needs to be observed and closing the room door prevents visual
injury had hand mitts applied after pulling
access. Additionally, closing the door may violate fire safety codes in certain facilities.
out IV
At shift change, when staff is occupied with report, special arrangements should be
4. A dementia client with sundowners is
made so that the client can be observed and not restrained.
placed in Geri-chair with lap belt at nurse's
station.
4. INCORRECT: Depending on the facility, placing a client upright at night, using a Geri-
chair and a lap belt is overly restrictive. A client with dementia is challenging,
particularly in the presence of sundowner syndrome. However, keeping a client upright
all night, belted into a chair for the purpose of observation, is neither safe nor healthy
for the client.
1., 2., 3., 4., & 5. Correct: Parkinson's disease causes deterioration of the basal ganglia,
ultimately impacting motor control and function. As muscles become stiff and rigid,
mobility slows, resulting in poor coordination and loss of balance. Safety is a chief
concern in all ADLs, requiring modifications in activity, nutrition, and the client's
The homecare nurse is providing family
environment. Because Parkinson's disease affects mobility, modification such as grab
teaching on safety issues for a client
bars and night lights are essential. Clients develop constipation because of decreased
diagnosed with Parkinson's disease. What
peristalsis, so adding bran and fiber can address impending bowel issues. Scatter, or
adaptations should the nurse instruct the
throw, rugs along with loose extension cords on the floor create a fall risk because the
family to initiate?
client is unable to pick up feet during ambulation. The shuffling gait that develops
Select all that apply
increases the risk for falls. These clients also have problems with insomnia along with
1. Install grab bars on tub walls.
poor REM sleep, leading to daytime drowsiness. Making the bedroom conducive to
2. Place nightlights in hallways.
sleep may help alleviate symptoms for a period of time. A dark, cool room with no
3. Add bran and fiber to daily diet.
distractions is the most appropriate sleep environment.
4. Remove scatter rugs or loose cords.
5. Keep bedroom dark, cool and quiet.
6. Incorrect: The proper method of utilizing a walker is to step into the walker, pause
6. Put tennis balls on legs of walker.
and then move it forward before stepping again. Even though clients with Parkinson's
disease have a shuffling gait and stooped posture, sliding a walker with tennis balls on
the walker legs presents a serious safety issue. The client would not have the ability to
control the speed or hold the walker steady while stepping into it.
3/22
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Denyss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now