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Medical Surgical Nursing 4th Edition Burke Mohn-Brown Eby Test Bank

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Medical Surgical Nursing 4th Edition Burke Mohn-Brown Eby Test Bank

ISBN-13: 978-0133389784

ISBN-10: 0133389782

 

 

Description

Medical Surgical Nursing 4th Edition Burke Mohn-Brown Eby Test Bank

ISBN-13: 978-0133389784

ISBN-10: 0133389782

 

 

 

 

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Free Nursing Test Questions:

Burke: Medical–Surgical Nursing Care, 4e

Chapter 9

Caring for Patients With Inflammation and Infection

 

  1. The nurse is assessing a client with inflammation of the right knee. In order to determine whether the inflammation has becomes systemic, the nurse should assess:
  2. the eyes for jaundice.
  3. the lymph nodes in the groin.
  4. the client’s level of pain.
  5. swelling in the arms.

Answer: 2

Rationale: 1. Jaundice in the eyes is an indication of liver failure.

  1. If the lymph nodes, particularly in the groin, are swollen, the nurse should be concerned that the inflammation has become systemic.
  2. The client’s level of pain does not indicate local or systemic inflammation.
  3. Swelling in the arms is a local response to inflammation and would not be associated with the inflammation of the knee.

Page Reference:176

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Assessment

Learning Outcome: 9-1 Differentiate between the local and systemic manifestations of acute inflammation.

 

 

  1. The nurse is preparing to assess a client with tissue damage to the right arm who is also experiencing immunosuppression. After assessing the local reaction, the nurse assesses for a systemic reaction and should expect:
  2. the respirations to be slowed.
  3. the temperature to be significantly elevated.
  4. the heart rate to be slower than normal.
  5. a normal temperature.

Answer: 4

Rationale: 1. Respirations will increase with systemic inflammation.

  1. The temperature of the client who is immunosuppressed is not likely to be elevated, because the client does not have a normal immune response.
  2. The heart rate would be expected to be elevated.
  3. The temperature of this client is likely to be normal.

Page Reference: 177

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Assessment

Learning Outcome: 9-1 Differentiate between the local and systemic manifestations of acute inflammation.

 

  1. The physician has ordered an erythrocyte sedimentation rate (ESR, or sed rate) on a client who might have an inflammatory process. The nurse should expect the client with a systemic inflammation to have results:
  2. less than 5 mm/hour.
  3. at 10 mm/hour.
  4. over 20 mm/hour.
  5. at 20 mm/hour.

Answer: 3

Rationale: 1. Normal ESR is 20mm/hour.

  1. Normal ESR is 20mm/hour.
  2. An ESR of greater than 20 mm/hour indicates there is an inflammatory response.
  3. An ESR of 20 mm/hour is normal.

Page Reference: 178

Cognitive Level: Analysis

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Assessment

Learning Outcome: 9-2 Describe diagnostic tests used to identify inflammation and infection.

 

 

  1. A client with arthritis has an ESR of 23 mm/hour with a very tight swollen right knee. The physician prescribes corticosteroids to reduce the swelling. The nurses should teach the client to:
  2. take the medication with plenty of water.
  3. take the medication for as long as the knee is swollen.
  4. take the medication when the knee is painful.
  5. never abruptly stop steroid medications.

Answer: 4

Rationale: 1. Steroids are not affected by the amount of water taken.

  1. Steroids are taken exactly as directed, with no deviations.
  2. Taking steroids is not associated with pain.
  3. Taking steroids depresses the body’s adrenal glandsRemember, the medication is tapered off to allow the client’s adrenal glands to restart production of steroids.

Page Reference: 178

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Implementation

Learning Outcome: 9-3 Explain treatments and implement nursing actions to manage patients with inflammation.

 

 

  1. The nurse should encourage a client experiencing inflammation to eat a diet high in carbohydrates, protein, and vitamins because:
  2. protein supports catabolism.
  3. vitamin K helps the blood stay thinner.
  4. carbohydrates are necessary to support extra energy needs.
  5. carbohydrates help anabolic activity.

Answer: 3

Rationale: 1. Protein helps with the building of tissue, which is anabolism.

  1. Vitamin K assists the blood to clot appropriately.
  2. The body uses more energy with healing and carbohydrates help meet energy needs.
  3. Proteins support anabolic needs.

Page Reference: 180

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Implementation

Learning Outcome: 9-3 Explain treatments and implement nursing actions to manage patients with inflammation.

 

  1. The nurse is teaching a family about prevention of infection in the home. The nurse should advise the family that one of the best methods of preventing infection is:
  2. frequent handwashing.
  3. airing out the house in the spring.
  4. scrubbing the floors daily.
  5. using antimicrobial cleaning solutions when cleaning.

Answer: 1

Rationale: 1. The most effective means of preventing infection is handwashing.

  1. Airing the house is not considered a method of preventing infection.
  2. Floors should be cleaned, but not daily.
  3. Using antimicrobial solutions can be dangerous because microorganisms can become resistant and then more powerful.

Page Reference: 181

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Implementation

Learning Outcome: 9-4 Review the mechanisms by which infection occurs and progresses.

 

 

  1. The nurse is teaching a group of clients about preventing infection. To decrease the chance that a client might become a susceptible host, the nurse should teach the group to:
  2. stay out in the sun for 3 hours a day.
  3. consume a well-balanced healthy diet.
  4. stay inside in the winter.
  5. bathe several times a day.

Answer: 2

Rationale: 1. Staying out in the sun will not strengthen the immune system.

  1. Eating a well-balanced, healthy diet promotes the immune system and helps the client resist infections.
  2. Staying inside in the winter does not boost the immune system.
  3. Bathing more frequently will not prevent disease; however, frequent handwashing will help.

Page Reference: 197

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Implementation

Learning Outcome: 9-4 Review the mechanisms by which infection occurs and progresses.

 

  1. The nurse is reviewing the chart of a client who was admitted after experiencing a stroke. The nurse notes that the client was catheterized shortly after admission to the unit. The nurse should monitor the client closely for:
  2. symptoms of heart failure.
  3. wound infections of pressure sores.
  4. urinary tract infection (UTI).

Answer: 3

Rationale: 1. A client who has had a stroke is not necessarily more likely to have heart failure.

  1. The client has not had time to develop pressure sores.
  2. UTIs are the top nosocomial infections in hospitalized clients, usually due to urinary catheterization.
  3. Constipation is a risk down the road but not one day after admission.

Page Reference: 185

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Assessment

Learning Outcome: 9-5 Identify common health care–associated (nosocomial) infections.

 

 

  1. The nurse is participating in community education regarding bioterrorism. The nurse concludes that learning has occurred when a client states:
  2. “Anthrax is a viral infection used by terrorists.”
  3. “Smallpox would only affect people born after 1950 if used as a weapon.”
  4. “Smallpox is spread on utensils.”
  5. “Inhalation anthrax carries the highest mortality rate.”

Answer: 4

Rationale: 1. Anthrax is a bacterium.

  1. Immunizations for smallpox were stopped in 1972Remember, those born after that date might be susceptible to the infection.
  2. Smallpox is spread by contact and inhalation of respiratory droplets.
  3. Anthrax can be contracted by inhalation, ingestion, and skin contact. Inhalation carries the highest mortality rate.

Page Reference: 187

Cognitive Level: Analysis

Client Need: Safe, Effective Care Environment

Client Sub Need: Safety and Infection Control

Nursing Process: Evaluation

Learning Outcome: 9-6 Explain the types and spread of common multidrug-resistant organisms, emerging infectious diseases, and biologic threats.

 

 

  1. The nurse is teaching the family of an elderly client who is being discharged home to the family about risks the client has for infection that are different from risks for infection for the rest of the family. The nurse should include which information during teaching?
  2. The older client might not have the usual symptoms of infection.
  3. The older client is better nourished because she has more free time to eat healthy foods.
  4. The older client is not at high risk for dehydration.
  5. The older client has increased bladder tone.

Answer: 1

Rationale: 1. Altered mental status and confusion can be the presenting symptoms in the elderly client with an infection. Those taking nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic pain might not present with a fever. The nurse should teach the family the risks and possible symptoms of infection.

  1. The older client does not necessarily eat a healthy diet, for various reasons.
  2. The elderly are at high risk for dehydration.
  3. The older client has decreased bladder tone.

Page Reference: 188

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Implementation

Learning Outcome: 9-7 Explain age-related changes and other factors in older adults that increase their risk for infection, and apply nursing implications for these infections.

 

 

  1. The nurse is preparing to administer penicillin to the client who is experiencing an infection. The priority nursing intervention would be for the nurse to:
  2. monitor for white patches in the mouth.
  3. assess the client’s allergy status regarding the antibiotic.
  4. teach the client to take the medication on an empty stomach.
  5. recommend that the client take a prophylactic antifungal medication.

Answer: 2

Rationale: 1.The nurse watches for white patches when a client is on long-term antibiotics as an indication that the client has a fungal infection, but it is not the priority intervention.

  1. Penicillin is one of the antibiotics that produce the most allergic reactions. It is the nurse’s priority to check for the client’s allergy status regarding penicillin.
  2. Since the nurse is giving the medication, the nurse is aware of when the client ate last. The nurse would instruct the client who is being discharged to take the medication on an empty stomach. Allergy status is still the priority.
  3. The physician prescribes an antifungal medication if the client develops a fungal infection.

Page Reference: 191

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Implementation

Learning Outcome: 9-8 Implement common antimicrobial medications, nursing implications, and patient teaching guidelines for patients with infectious diseases.

 

 

  1. The physician has prescribed a cephalosporin for a client with an infection who is hospitalized. For what should the nurse monitor this client?
  2. Peak and trough levels
  3. Elevated heart rate
  4. Decreased urinary output
  5. Elevated blood pressure

Answer: 3

Rationale: 1. Peak and trough levels are not drawn on the cephalosporins.

  1. The heart rate is not likely to be affected with administration of this drug unless the client is allergic to it.
  2. Cephalosporins can cause kidney damage, and the nurse should monitor output and BUN in older clients.
  3. Blood pressure is not usually affected by these drugs.

Page Reference: 191

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Evaluation

Learning Outcome: 9-8 Implement common antimicrobial medications, nursing implications, and patient teaching guidelines for patients with infectious diseases.

 

  1. A client who is diagnosed with rubeola is being admitted to the unit. The nurse should prepare the room for:
  2. standard precautions.
  3. negative air pressure.
  4. contact precautions.
  5. a bathroom outside the room.

Answer: 2

Rationale: 1. Rubeola is an airborne transmission, and precautions must prevent the disease from entering the air of the unit.

  1. The client with rubeola is placed in a negative pressure room so that air flows inward, not outward.
  2. Contact precautions are used for clients with wound infections.
  3. Clients with airborne infections must have a private bathroom in the room.

Page Reference:186

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Implementation

Learning Outcome: 9-9 Apply the guidelines for Standard and Transmission-Based Precautions to patients with infectious diseases.

 

 

  1. The physician has ordered antibiotics and laboratory tests for a client experiencing pneumonia. Before administering the first dose of antibiotics, the nurse ensures that:
  2. blood and sputum cultures have been obtained.
  3. the client has voided.
  4. the client is not experiencing vomiting.
  5. the client has no visitors.

Answer: 1

Rationale: 1. The nurse does not want to give the antibiotic before cultures have been drawn, as the antibiotics could alter the results of the cultures.

  1. There is no need for the client to void first.
  2. While in the hospital, antibiotics are usually given IV or IM.
  3. The client may have visitors during treatment.

Page Reference: 189

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Implementation

Learning Outcome: 9-10 Use the nursing process to collect data, establish outcomes, provide individualized care, and evaluate responses for patients with inflammation and infections.

 

 

  1. When conducting a focused assessment on the client who has pneumonia, the nurse evaluates for which sign of improvement in the client?
  2. Normal urine output
  3. Clearing breath sounds
  4. Elevated heart rate
  5. Pale fingernails

Answer: 2

Rationale: 1. Normal urine output is only relevant if the client had decreased output, which is not usual for pneumonia.

  1. The client with clearing breath sounds is improving. The classic lung assessment for the client with pneumonia is very wet breath sounds as the lungs fill with fluid.
  2. The heart rate should slow as the lungs clear.
  3. Fingernails are pink with good capillary refill if the client is improving.

Page Reference: 188

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Evaluation

Learning Outcome: 9-10 Use the nursing process to collect data, establish outcomes, provide individualized care, and evaluate responses for patients with inflammation and infections.

 

  1. The nurse is caring for an older client who does not exhibit an elevated temperature but is suspected of having a severe infection. The nurse should look for other manifestations of infection, such as:
  2. hypertension.
  3. change in mental function or delirium.
  4. diarrhea.
  5. nausea and vomiting.

Answer: 2

Explanation: 1. Hypertension indicates a problem with blood pressure.

  1. In the elderly, confusion is a frequent atypical sign of infection, along with restlessness, fatigue, and behavioral changes.
  2. Diarrhea indicates a gastrointestinal problem.
  3. Nausea and vomiting can have many causes; however, it is not directly linked to an infection in an older client.

Page Reference: 177

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Assessment

Learning Outcome: 9-7 Explain age-related changes and other factors in older adults that increase their risk for infection, and apply nursing implications for these infections.

 

 

  1. Laboratory studies on a client with pneumonia reveal leukopenia. For which health problem should the nurse plan care for this client?
  2. Nothing, since an infection is not present.
  3. Fungal infection
  4. Viral infection
  5. Bacterial infection

Answer: 3

Explanation: 1. Leukopenia, a decrease in WBC, is seen in anemias, viral infections, and autoimmune disorders.

  1. Fungal infections cause leukocytosis, or an elevated WBC.
  2. Leukopenia, a decrease in WBC, is seen in anemias, viral infections, and autoimmune disorders.
  3. Bacterial infections cause leukocytosis, or an elevated WBC.

Page Reference: 178

Cognitive Level: Analysis

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Planning

Learning Outcome: 9-2 Describe diagnostic tests used to identify inflammation and infection.

 

 

  1. The nurse obtains a specimen of wound drainage for a client. For which reason is the nurse sending the specimen for a culture and sensitivity test?
  2. Determine the severity of the disease
  3. Measure the effectiveness of the client’s immune system
  4. Identify the most effective antibiotic
  5. Recognize the type of pathogen

Answer: 3

Explanation: 1. The culture and sensitivity is not done to determine the severity of the disease.

  1. The culture and sensitivity is not done to measure the effectiveness of the client’s immune system.
  2. The culture and sensitivity identifies the type of pathogen and defines which antibiotic it is sensitive and resistant to.
  3. The culture will identify the type of pathogen.

Page Reference: 178

Cognitive Level: Analysis

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Assessment

Learning Outcome: 9-2 Describe diagnostic tests used to identify inflammation and infection.

 

  1. A client has been taking NSAIDs for arthritic pain. For what should the nurse monitor the client?
  2. Irregular heart rhythms
  3. Occult blood in the stool
  4. Tinnitus
  5. Acoustic toxicity

Answer: 2

Explanation: 1. Irregular heart rhythms are a side effect of many different drugs but not NSAIDs.

  1. Occult blood would be a sign of gastrointestinal bleeding, a common side effect of NSAIDs.
  2. Tinnitus is seen with aspirin and some antibiotics.
  3. Acoustic toxicity can be seen with aspirin and some antibiotics.

Page Reference: 179

Cognitive Level: Analysis

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Assessment

Learning Outcome: 9-3 Explain treatments and implement nursing actions to manage patients with inflammation.

 

 

  1. The nurse instructs the mother of a child with chickenpox to avoid giving aspirin because it can cause:
  2. acoustic toxicity.
  3. meningitis.
  4. seizures.
  5. reye’s syndrome.

Answer: 4

Explanation: 1. Aspirin in a child with chicken pox is not avoided because of acoustic toxicity.

  1. Aspirin in a child with chicken pox is not avoided because of meningitis.
  2. Aspirin in a child with chicken pox is not avoided because of seizures.
  3. Giving aspirin to children with chickenpox or influenza can precipitate Reye’s syndrome.

Page Reference: 178

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Reduction of Risk Potential

Nursing Process: Implementation

Learning Outcome: 9-3 Explain treatments and implement nursing actions to manage patients with inflammation.

 

  1. In corticosteroid therapy, it is important for the nurse to teach the clients to:
  2. watch for signs and symptoms of hypoglycemia.
  3. taper the doses gradually and never stop the medication abruptly.
  4. take the medication on an empty stomach.
  5. increase the dosage when symptoms appear.

Answer: 2

Explanation: 1. Clients should be monitored for hypoglycemia.

  1. Abruptly stopping corticosteroids can cause a client to go into an Addisonian crisis. Tapering the dose allows the adrenal gland to return to normal function.
  2. The medication should be taken with food.
  3. The dose should not be changed without a health care provider’s order.

Page Reference: 178

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Pharmacological and Parenteral Therapies

Nursing Process: Implementation

Learning Outcome: 9-3 Explain treatments and implement nursing actions to manage patients with inflammation.

 

  1. To promote blood clotting and tissue healing, the nurse should instruct the client recovering from multiple wounds to increase intake of foods high in:
  2. vitamins E and C.
  3. vitamins E and A.
  4. vitamins K and B.
  5. vitamins C and B.

Answer: 3

Explanation: 1. Vitamin C is necessary for collagen synthesis. Vitamin E is not indicated for wound healing.

  1. Vitamin A fosters capillary formation. Vitamin E is not indicated for wound healing.
  2. B complex vitamins promote wound healing, and vitamin K is essential for blood clotting.
  3. B complex vitamins promote wound healing. Vitamin C is necessary for collagen synthesis.

Page Reference: 180

Cognitive Level: Application

Client Need: Health Promotion and Maintenance

Nursing Process: Implementation

Learning Outcome: 9-3 Explain treatments and implement nursing actions to manage patients with inflammation.

 

  1. Adequate fluid intake is essential to wound healing. If not contraindicated, the nurse should encourage a client with a foot wound to drink at least:
  2. 600 mL daily.
  3. 1200 mL daily.
  4. 1800 mL daily.
  5. 2500 mL daily.

Answer: 4

Explanation: 1. Adequate hydration helps maintain blood flow and nutrition supply to tissues; 600 mL is not sufficient.

  1. Adequate hydration helps maintain blood flow and nutrition supply to tissues; 1200mL is not sufficient.
  2. Adequate hydration helps maintain blood flow and nutrition supply to tissues; 1800 mL is not sufficient.
  3. Adequate hydration helps maintain blood flow and nutrition supply to tissues; 2500 mL provides an optimal amount.

Page Reference: 181

Cognitive Level: Application

Client Need: Physiological Integrity

Client Sub Need: Basic Care and Comfort

Nursing Process: Implementation

Learning Outcome: 9-10 Use the nursing process to collect data, establish outcomes, provide individualized care, and evaluate responses for patients with inflammation and infections.

 

 

  1. The nurse notes that a client with an indwelling urinary catheter has developed a bladder infection. For which type of infection should the nurse plan care for this client?
  2. Noninvasive
  3. Systemic
  4. Sterile
  5. Nosocomial

Answer: 4

Explanation: 1. An indwelling urinary catheter is an invasive treatment.

  1. A bladder infection is not considered a systemic infection.
  2. Sterile is not a type of infection.
  3. Nosocomial infections are infections acquired in a health care setting, often secondary to the presence of indwelling urinary catheters.

Page Reference: 185

Cognitive Level: Analysis

Client Need: Safe and Effective Care Environment

Client Sub Need: Safety and Infection Control

Nursing Process: Planning

Learning Outcome: 9-5

 

  1. A client is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). What should the nurse keep in mind when planning care for this infection?
  2. Cannot be treated with any antibiotics
  3. Can be treated with no restrictions
  4. The patient can be placed in a room with another client with an infection
  5. The patient must be isolated using contact precautions

Answer: 4

Explanation: 1. MRSA is treated with antibiotics not yet resistant to it.

  1. The treatment of MRSA is limited to specific antibiotics and contact precautions.
  2. It is not recommended to admit a client with MRSA into a room with another client with an infection because of the risk of cross-transmission.
  3. Since MRSA is often transmitted on the hands of health care workers, contact isolation reduces the transmission of direct skin contact and skin to clothing contact. Clients should be isolated to prevent spread of the bacteria.

Page Reference: 197

Cognitive Level: Application

Client Need: Safe and Effective Care Environment

Client Sub Need: Safety and Infection Control

Nursing Process: Planning

Learning Outcome: 9-6 Explain the types and spread of common multidrug-resistant organisms, emerging infectious diseases, and biologic threats.

 

 

  1. A client is diagnosed with an infection caused by a virulent organism. What should the nurse identify as reasons contributing to this infection’s virulence? (Select all that apply.)
  2. Age of the host
  3. Production of toxins
  4. Number of organisms
  5. The health of the host
  6. Number of days the infection is present

Answer: 2, 3, 4

Rationale: 1. Virulence is the power of a microorganism to cause infection. It is not affected by the age of the host.

  1. Virulence is the power of a microorganism to cause infection. It is affected by the production of toxins.
  2. Virulence is the power of a microorganism to cause infection. It is affected by the number of organisms.
  3. Virulence is the power of a microorganism to cause infection. It is affected by the host’s health.
  4. Virulence is the power of a microorganism to cause infection. It is not affected by the number of days the infection is present.

Page Reference: 183

Cognitive Level: Analysis

Client Need: Safe and Effective Care Environment

Client Sub Need: Safety and Infection Control

Nursing Process: Assessment

Learning Outcome: 9-4 Review the mechanisms by which infection occurs and progresses.

 

 

  1. A client is suspected as having an infection caused by a bloodborne pathogen. For which health problems should the nurse expect the client to be tested? (Select all that apply.)
  2. Hepatitis A
  3. Hepatitis B
  4. Hepatitis C
  5. Hepatitis D
  6. Hepatitis E

Answer: 2, 3, 4

Rationale: 1. Hepatitis A is caused by a foodborne pathogen.

  1. Hepatitis B is caused by a bloodborne pathogen.
  2. Hepatitis C is caused by a bloodborne pathogen.
  3. Hepatitis D is caused by a bloodborne pathogen.
  4. Hepatitis E is not an identified type of hepatitis.

Page Reference: 183

Cognitive Level: Analysis

Client Need: Safe and Effective Care Environment

Client Sub Need: Safety and Infection Control

Nursing Process: Planning

Learning Outcome: 9-5 Identify common health care–associated (nosocomial) infections.

 

 

  1. A client is placed on droplet precautions for a highly communicable infection. What personal protection equipment should the nurse apply before entering this client’s room? (Select all that apply.)
  2. Mask
  3. Gown
  4. Face shield
  5. N95 respirator
  6. Eye protection

Answer: 1, 3, 5

Rationale: 1. For droplet precautions the nurse should wear a mask.

  1. A gown is needed for contact precautions.
  2. For droplet precautions the nurse should wear a face shield.
  3. An N95 respirator is needed for airborne precautions.
  4. For droplet precautions the nurse should wear eye protection.

Page Reference: 194

Cognitive Level: Application

Client Need: Safe and Effective Care Environment

Client Sub Need: Safety and Infection Control

Nursing Process: Implementation

Learning Outcome: 9-9 Apply the guidelines for Standard and Transmission-Based Precautions to patients with infectious diseases.

 

 

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