exam 1

the nurse is caring for an older pt admitted w nausea, vomiting, and diarrhea due to food poisoning- Collab and social s

the infection control nurse is reviewing data for the med-surg unit. notice increase is post op infections of aspergills

a home health nurse if performing a home assessment for safety. which comment by the pt wil cause the nurse to follow up

the nurse is monitoring for the 4 categories of risk that have been identified in the hc environment. which will alert

the nurse is performing hand hygiene before assisting a hcp w insertion of a chest tube. while washing hands, touch sink

the nurse is caring for a pt who is at risk infection. which action by the nurse indicates correct understanding

the nurse is discussing about threats to adult saftey w a college group. which statement indicates understanding

the nurse is caring for a patient in the ed with an injured shoulder. which type of joint will the nurse assess

the nurse is starting a exercise program at a local community as a health promotion project. which info should include

infection chain 6 (portal of exit from a resivoir)

an adolescent tells the nurse that a health professional said the fibrous tissue that connects bone was strained- what

the pt has been diagnosed w a respiratory illness a reprts sob. nurse adjusts the temp for comfort. what temp should she

ch-28- infection-the nurse and new nurse in orientation are caring for pt w pneumonia. which statement indicates correct

the nurse is providing an educational sesh for a group of preschool workers. the nurse reminds the group most important

a nurse is providing care to a pt. which action indicates the nurse is following the national patient safety goals

the surgical mask the preop nurse is wearing becomes moist. what action should be taken

the nurse is caring for a pt who becomes nauseated and vomits w out warning. the nurse has contaminated hands. wwnd next

the nurse enders the pts room and notices a small fire in the headlight above pts bed

when making rounds the nurse observes a purple wristband. how to interpret this finding

the nurse is caring for a pt in labor, when near complete assess of the cervix, the electronic iv device alarms. next?

the nurse is caring for a pt who has a blood borne pathogen. splashes blood above the gloves. what step is next

the patient is confused, is trying to get out of bed, and is pulling at the intravenous infusion tubing. during diagnose

the nurse is providing info regarding safety and accidenta poisoning to a grandparent who will be taking custody ofan1yo

a nurse is developing an exercise plan for a middle- aged patient. in which order will the nurse instruct the patient

the nurse has placed a yellow armband on a 70-yo pt. which observation by the nurse will indicate the pt has underlying

the nurse is presenting educational session of safety for parents and adolescents. which info will the nurse include

a surgical procedure, betadine was utilized as surgical prep 2days post op. incision is red and purulent wwjd first

adult pt in the clinic has been evacuated- victim of flooding. the nurse teaches the pt about therapeutic techiques- why

a home health nurse is teaching a family to prevent electric shock. which info will be the nurse include in a teaching

the pt is brought to the ed w possible injury to the left shoulder. which will the nurse assess for better join mobility

in which order will the nurse remove the ppe

a confused patient is restless and continues to try and remove the oxygen cannula and urinary cath. what is the priority

which patient will the nurse see first

a nurse is inserting a urinary catheter. which technique will the nurse use to prevent a procedure-related accident

the nurse is dressing/prepping to care for a pt in preop. the nurse has washed hands and donned. what breaks sterility

the emergency department has been notified a potential bioterrorism attack. which action by the nurse ispriority

the nurse is caring for a pt who is susceptible to infection. which instruction will the nurse include about infection r

the nurse is observing a family member changing a dressing for a pt in the home health environment. which observation

the nurse is caring for a group of patients. which pt will the nurse see first

the nurse is caring for a pt w an incision. which action w best indicate an understanding of asepsis for dressing change

an older pt is using a wheelchair to attend a pt session. which action by the nurse indicates safe transport of the pt

the nurse is preparing to move a pt to a wheelchair. which action indicates the nurse is following protocol

the nurse is providing care to a pt who is bedridden. the nurse raises the height of a the bed. what is the rationale

the nurse evaluating care of a patient for crutches. which finding indicates a successful outcome

the nurse gives instruction to a nap regarding exercise for a pt. which action by the nap indicates correct understandin

the nurse is assessing a patient for led poisoning. which patient is the nurse most likely assessing

a homless adult pt presents to the ed. nurse obtains vitals. temp- 94.8. bp 106/56, ap 58, rr 12. address first-

a pt is admitted w a stroke. the pt is unable to move right side. the nurse uses passive ROM, what indicates success

the nurse is caring for a hospitalized patient. which behavior alerts the nurse to consider the need for a restraint

which activity will cause the nurse to monitor for equipment-related accidents

a patient may need restraints. which tasks can the nurse delegate to a NAP

the nurse is caring for a pt who cant bear weight but needs to be transferred from the bed to a chair. use a lift -wwndn

which process will be requiring after exposure of a nurse to a blood by a cut from a used scalpel in the operative area

the nurse is teaching older adults at an assisted-living facility about age related physiological changes affecting

the nurse is caring for a pt on contact precautions. which action will be most appropriate to prevent the spread of dise

the nurse is caring for a pt w leukemia and preparing to provide fluids through an iv device. which ni is priority

a nurse is caring for a pt who has some immobility from non-inflammorty joint degeneration. what teaching is needed

the patient applies sequential compression devices after going to the bathroom. pt is using devices wrong. wwjd assesing

the nurse is caring for a pt who suddenly becomes confused and tries to remove an iv, which priority will the nurse take

a nurse is assessing a family's home after birth of an infant. a toddler also lies in home. what would cause a follow up

pt reports being tires and weak, lacks energy. patient has gained weight and bp and pulse are elevates. nurse diagnose-

the nurse is caring for a group of medical-surgical pts. when pt is most at risk for developing an infection

the nurse is changing linens for a postop pt and feels a prick in the left hand. a nonactivated safe needled is noted

a nurse observes a pt rising from a chair slowly by pushing on the chair arms. which tension and contraction is observed

a pt w diabetes mellitus is starting an exercise program. which type of exercise will the nurse suggest

the nurse is caring for a pt w inner ear problems. which goal is the priority

the nurse on the surgical team and the surgeon have finished surg. after donning and gathering instruments. what next

which intervention utalized by the nurse will indicate the ability to recognize a localized inflammatory response

a patient is admitting and is placed on fall precautions. the nurse teaches the patient and family about fall precaution

a female adult pt presents to the clinic w reports of a white discharge and itching in the vaginal area. wwjd first

the home health nurse is teaching a pt and fam about hand hygiene in the home. which situation will the nurse emphasize

the pt has contracted a uti while in the hospital. which action will most likely increase the risk of a pt contracting

the pt and the nurse are discussing rickettsi rickettsii- rms fever. which pt statement indicates understanding

a nurse notices that a pt has a structural curvature of the spine associated w vertebral rotation. why

the nurse is trying to use alternatives rather than restraints. which finding will cause the nurse to determine if good

the nurse is caring for a pt who has delivered a neonate. checking the pt for excessive vaginal drainage. which precaut

pt weighs 450 lbs and reports sob w exertion. hcp recommends an exercise program. pt states she cant get out of bed. ND-

a nurse reviews the history of a newly admitted pt. which finding will alert the nurse that the pt is at a risk for fall

a patient has an ankle restraint applied. uppon assessmnet the nurse finds the toes a light blue color, which action

the nurse is caring for a pt in an icu who needs a bath. which priority action will the nurse take to decrease the hcai

which nursing action will most likely increase a pt risk for developing a hcai

a nurse is teaching a community group of school-age parents about safety. which safety item is most important

the nurse is caring for a school-age child w injured right leg- bike accident. s/s of a localized inflammatory response

the nurse is monitoring for never events. which finding indicates the nurse will report a NE

during the admission assesment, the nurse asses the patient for fall risk. which finding will alert the nurse to risk

a nurse is assisting the patient to perform isometric exercise. which action will the nurse take

a nurse is following the no-lift policy when working to prevent personal injury. which type of personal back injury

a pt w pneumonia- which priority intervention should be included in the plan of care for this pt

a nurse is working in a facility that follows a safe pt handling program. which finding will need intervention

the patient is eager to begin an exercise program w a 2mile jog. instructs pt to warm up. pt doesn't wanna. educate

the nurse is caring for a pt in the endoscopy area. the nurse observes the technician performing these tasks. intervene?

a diabetic pt to the clinic for a dressing change. the wound is located right foot- purulent yellow drainage- wwNdf

what would you include when teaching a pt how to use a cane

a nurse is assessing a pt w activity intolerance for possible orthostatic hypotension. which finding will confirm

the nurse is admitting a pt w an infectious disease process. which questions will be most appropriate for a nurse to ask

the nurse in providing an education sesh to an adult community of smoking on infection. most important to educate on

the nurse is caring for a pt who has cultured positive cdiff. which action will the nurse take next

a nurse is teaching a health promotion class about isotonic exercise. which type of exercises will the nurse give

the nurse is caring for a pt in the hospital. the nurse observes the nap turning off faucet w bare hands. what ppp-

the nurse discovers a pt on the floor. the pt states that he fell out of bed. the nurse assesses the pt. wwjd fist