
Adv. MedSurg Quiz 5 Ch. 5
Quiz by Darwin
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The nurse is caring for a patient with intractable nausea and vomiting. The patient has a temperature of 99°F, a pulse of 100, a respiratory rate of 24, a blood pressure of 90/60, and oxygen saturation of 91%. What is the first action the nurse should take?
The charge nurse is making patient assignments for the day shift. Which patient should be assigned to an RN who is pregnant?
A patient has been diagnosed with disseminated herpes zoster. Which personal protective equipment will the nurse need to put on when preparing to assess the patient? Select all that apply.
Four patients arrive simultaneously at the emergency department. Which patient requires the most rapid action by the triage nurse to protect other patients from infection?
The nurse is caring for four patients who are receiving IV infusions of normal saline. Which patient is at highest risk for bloodstream infection?
A hospitalized 88-year-old patient who has been receiving antibiotics for 10 days tells the nurse about having frequent watery stools. Which action will the nurse take first?
The nurse notes white powder on the arms and chest of a patient who arrives at the emergency department and reports possible anthrax contamination. Which action included in the hospital protocol for a possible anthrax exposure will the nurse take first?
A pregnant patient in the first trimester tells the nurse that she was recently exposed to the Zika virus while traveling in Southeast Asia. Which action by the nurse is most important?
The nurse at the infectious disease clinic has four patients waiting to be seen. Which patient should the nurse see first?
The nurse notices that the health care provider (HCP) omits hand hygiene after leaving a patient's hospital room. Which action by the nurse is best at this time?
A patient with a vancomycin-resistant enterococcus (VRE) infection is admitted to the medical unit. Which action can be delegated to the assistive personnel who is assisting with the patient's care?
A patient who has been diagnosed with possible avian influenza is admitted to the medical unit. Which prescribed action will the nurse take first?
Which infection control activity should the charge nurse delegate to an experienced assistive personnel (AP)?
The nurse is preparing to change the linens on the bed of a patient who has a sacral wound infected by methicillin- resistant Staphylococcus aureus. Which personal protective equipment (PPE) items will be used? Select all that apply.
A patient who has frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse assign to an LPN/LVN?
Which action by the infection control nurse in an acute care hospital will be most effective in reducing the incidence of health care-associated infections?
The nurse manager is preparing for another community surge of Covid-19. Personal protective equipment (PPE) is in short supply at the hospital. Which methods are approved by the Center for Disease Control (CDC) for optimizing the supply of PPE during the surge? Select all that apply.
When the community health nurse is counseling a patient who has an acute Zika virus infection, which information is most important to include?
Which policy implemented by the infection control nurse will most effectively reduce the incidence of catheter- associated urinary tract infections (CAUTIs)?
The nurse admits four patients with infections to the medical unit, but only one private room is available Which patient is most appropriate to assign to the private room?
Which information about a patient who has meningococcal meningitis is the best indicator that the nurse can discontinue droplet precautions?
While administering vancomycin 500 mg IV to a patient with a methicillin-resistant Staphylococcus aureus (MRSA) wound infection, the nurse notices that the patient's neck and face are becoming flushed. Which action should the nurse take next?
A healthy 65-year-old patient who cares for a newborn grandchild has a clinic appointment in May The patient needs several immunizations but tells the nurse, "I hate shots! I will only take one today." Which immunization is most important to give?
The nurse is caring for a patient who is intubated and receiving mechanical ventilation. Which nursing actions are most essential in reducing the patient's risk for ventilator-associated pneumonia (VAP)? Select all that apply.
The nurse is preparing to insert a peripherally inserted central catheter (PICC) in a patient's left forearm. Which solution will be best for cleaning the skin before the PICC insertion?
The nurse has received a needlestick injury after giving a patient an intramuscular injection but has no information about whether the patient has human immunodeficiency virus (HIV) infection. What is the most appropriate method of obtaining this information about the patient?
Which medication order for a patient with a pulmonary embolism is most important to clarify with the prescribing health care provider before administration?
A patient with atrial fibrillation is ambulating in the hallway on the coronary step-down unit and suddenly tells the nurse, "I feel really dizzy." Which action should the nurse take first?
The nurse is supervising an LPN/LVN who says, "I gave the patient with myasthenia gravis 90 mg of neostigmine instead of the ordered 45 mg!" In which order should the nurse perform the following actions?
The nurse is caring for a confused and agitated patient who has wrist restraints in place on both arms. Which action included in the patient plan of care can be assigned to an LPN/LVN:
The nurse is checking medication prescriptions that were received by telephone for a patient with hypertensive crisis and tachycardia. Which medication is most important to clarify with the health care provider (HCP)?
A 70-kg patient who has had unprotected sexual intercourse with a partner who has hepatitis B is to receive 0.06 mL/kg of hepatitis B immune globulin. The immune globulin is available in a 5-mL. vial. The nurse will plan to administer ____ mL.
An 88-year-old patient who has not yet had the influenza vaccine is admitted after reporting symptoms of generalized muscle aching, cough, and runny nose starting about 24 hours previously. Which of these prescribed medications is most important for the nurse to administer at this time?
The nurse is admitting an 80-year-old female patient who has mild dementia and is incontinent. Which is the best way to assess the patient's pressure injury risk?
A patient who has had recent exposure to Ebola while traveling in Africa arrives in the emergency department with fever, headache, vomiting, and multiple ecchymoses. Which action should the nurse take first?
A patient who has been infected with the Ebola virus has an emesis of 750 ml of bloody fluid and complains of headache, nausea, and severe lightheadedness. Which action included in the treatment protocol should the nurse take first?
Indicate which is the correct order to safely don the personal protective equipment listed below.
Which is the correct order to safely remove the personal protective equipment listed below.