Chapter 19- safety pt.3

A patient on chemotherapy develops a low-grade fever and reports fatigue. What is the nurse’s next best action?

• Administer acetaminophen

• Notify the provider and prepare to draw blood cultures

• Increase fluid intake and reassess in 4 hours

• Document the temperature and continue monitoring

The nurse is caring for a patient with Neisseria meningitidis. What personal protective equipment (PPE) is required?

• N95 mask, gown, gloves

• Surgical mask, gloves

• Surgical mask, gown, gloves, face shield

• Gown and gloves only

A patient on contact precautions for VRE requests physical therapy. What must the nurse ensure before transport?

• The patient wears an N95 mask

• The patient is transported by stretcher

• The therapy staff are informed and appropriate PPE is used

• The patient does not require isolation once outside the room

Which patient is most at risk for acquiring a fungal infection?

• 42-year-old with chronic eczema

• 60-year-old with newly diagnosed diabetes

• 34-year-old on long-term corticosteroids for lupus

• 23-year-old post-op from ACL repair

A nurse is performing wound care for a diabetic foot ulcer with MRSA. Which statement indicates appropriate technique?

• I will apply clean gloves when opening the dressing tray.

• I will remove old dressings and cleanse using sterile technique.

• I’ll use alcohol-based hand sanitizer after removing gloves.

• I don’t need eye protection unless there is drainage.

A patient exposed to measles during travel presents to the ED. What room assignment is best?

• Semi-private room

• Contact isolation

• Negative-pressure private room

• Any room with door closed

Which finding in an elderly client most strongly indicates systemic infection?

• Mild cough

• Slight elevation in BP

• Confusion and agitation

• Bruising over extremities

When collecting a midstream urine sample, what instruction is essential?

• Avoid urinating before sample collection.

• Cleanse with betadine and collect in sterile cup.

• Begin voiding, then collect midstream into sterile container.

• Collect the sample after the bladder is completely empty.

Which practice by a nurse increases the risk of a sharps injury?

• Using safety-engineered syringes

• Recapping needles using one-hand scoop

• Disposing uncapped needles in sharps container

• Holding sharps in hand while walking

Which of the following patients should be placed on protective isolation?

• Bone marrow transplant recipient

• Open wound with MRSA

• Clostridium difficile diarrhea

• Newly diagnosed influenza