NCLEX Safety & Infection Control

NCLEX Safety & Infection Control 5.0 (1 review) Students also studied Terms in this set (29) Science MedicineNursing Save NCLEX Safety and Infection Control...42 terms Kate383Preview NCLEX Health Promotion & Mainten...33 terms Kate383Preview NCLEX PN Questions for 2024-2025...Teacher 186 terms TutorDkPreview NCLEX 41 terms laur The nurse on the surgical unit receives a call from the operating room to administer a preoperative medication to a client scheduled for surgery. After giving the ordered medication, the nurse discovers the consent form for the surgery has not been signed. Which of the following actions should the nurse take NEXT?Inform the nursing supervisor.Call the operating room and inform them that the surgery must be canceled.Call the physician.Transfer the client to the operating room.Inform the nursing supervisor What precautions are used for patients with pneumonia? Droplet The nurse at the daycare center observes children playing on the playground. The nurse is MOST concerned if which of the following is observed?A 3-year-old is leaning forward with mouth open, tongue protruding, and drooling.Two children are fighting over a ball.A 2-year-old is crying, tugging at his ear, and hugging a stuffed animal.One child tries to pull another off the swing.A 3-year-old is leaning forward with mouth open, tongue protruding, and drooling.(Describes signs of epiglottitis, danger of losing airway)

A patient is ordered to undergo a CT scan with contrast dye. The most important action for the nurse to take in

regard to patient safety is to:

Raise the side rails of the patient's bed.Check the patient's allergy list.Encourage fluids when the patient returns from the scan.Confirm that the consent form is signed.Check the patients allergy list Two days after a coronary artery bypass graft (CABG), a patient is sitting up in a chair by the side of the bed. The nurse walks in and discovers the patient is cold, pale, and responds only to tactile stimulation. Which of the following actions does the nurse take NEXT?Take the client's vital signs.Help the client back to bed.Administer oxygen 2L by nasal cannula.Review charts to see if anything like this has ever happened before.Help the client back to bed The home health nurse visits the home of a client diagnosed with moderate-stage Alzheimer's disease. The patient is pleasantly confused and lives with his son-in- law and daughter. Which of the following observations, if made by the nurse, is MOST concerning?There are extension cords on the floors behind furniture.The door has a lock with a bolt.The stovetops do not turn on without activation of a hidden switch in the nearby drawer.The rugs are secured safely to the floor.The door has a lock with a bolt (Doors need to have locks in atypical locations) The medical/surgical nurse cares for a middle-aged patient with a wound infected with MRSA (Methicillin- resistant Staphylococcus aureus). Which of the following protective safety items, if worn by the nurse, would be considered appropriate?Shoe covers, a gown, and gloves.A mask, gown, and gloves.Gloves only.A gown and gloves.A gown and gloves

A day shift nurse notices that the charting by the previous night shift nurse is not fully complete and ends mid- sentence. What is the CORRECT method to fix this issue?Call the night shift nurse and have her finish her note verbally over the phone.Cross out the entire entry in the patient's chart and make a note stating the night nurse will write her note separately.Leave enough space for the night nurse to write her note and then chart the day note.Forgive the night nurse because she was probably tired and just forgot.Call the night shift nurse and have her finish her nurse verbally over the phone The nurse is caring for a client after an ECT treatment. The nurse is MOST concerned if which of the following is observed?The client is unable to remember what she ate for breakfast.The client complains of backache.The client is unable to recall her name.The client complains of headache.The client complains of a backache (all other ones are expected) A patient comes into the ER with the complaint of inability to void. The nurse performs a bladder scan and receives a result of 2,000 mL. The nurse prepares to catheterize the patient and knows that the most important part of the

procedure relies on:

Educating the patient about possible causes of inability to void.Allowing the patient to attempt to void after 500mL has been drained.Teaching the patient how to self-catheterize themselves at home.Clamping the tubing after every 500mL is drained and waiting five minutes.Clamping the tube after every 500mL and waiting five minutes to avoid bladder spasms

The medical/surgical nurse watches a student nurse prepare a sterile field. Which of the following actions, if performed by the student nurse, requires further instruction?The student nurses' hands, once in the sterile gloves, do not go above her head or below her waist.The student nurses places the sterile drape, then turns to grab a packaged set of sterile gloves from the table behind her.The student nurse places an unwrapped sterile 4×4 on the sterile drape.The student nurse drops the sterile gloves into the sterile field before disposing of the outer packaging.The student nurses places the sterile drape, then turns to grab a packaged set of sterile gloves from the table behind her.A patient is scheduled for a cardiac catheterization this afternoon. Which of the following, if noted in the patient's chart by the nurse, is a contraindication to the test?The patient has a history of asthma.The patient is allergic to clams.The patient is allergic to eggs.The patient is unable to lie on her right side for more than 15 minutes.The patient is allergic to clams (Dye is made of iodine which cross-allergy is shellfish) The nurse is caring for a confused patient with an IV catheter. The patient habitually tugs at the IV tubing with his left hand and has almost dislodged it. What is the LEAST amount of restraint that will still maintain the patient's safety?Safety "mitts" for both hands.Safety "mitt" for the left hand.2-point restraints on the arms only.4-point restraints for maximum safety.Safety mitt for the left hand The nurse is caring for a patient with Meniere's disease.The nurse knows that the most important consideration in

regard for patient safety is to:

Raise the side rails on the patient's bed.Remind the patient to wash her hands frequently, especially after voiding or before meal times.Ask the nursing assistant to walk with the patient when she needs to use the bathroom.Offer the patient alternative meal choices from the cafeteria.Ask the nursing assistant to walk with the patient when she needs to use the bathroom.