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A patient infected with which pathogen cannot be treated with antibiotics because the infectious agent has a protective envelope?
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Which precautions will be implemented for a patient admitted for suspected West Nile virus?
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concepts of nursing
week 2
| Question | Answer |
|---|---|
| A patient infected with which pathogen cannot be treated with antibiotics because the infectious agent has a protective envelope? | virus |
| Which precautions will be implemented for a patient admitted for suspected West Nile virus? | standard |
| Which patient is considered to be a susceptible host in the chain of infection? | 70-year-old with diabetes learning about insulin therapy |
| Which infections are considered health care–associated infections (HAIs)? | Urinary tract infection related to indwelling catheter Pneumonia related to presence of ventilator Wound infection related to surgical incision |
| Which factor contributed to the development of a health care–acquired respiratory infection in an ambulatory diabetic patient receiving an intravenous antibiotic? | Current comorbidity |
| The nurse recognizes which microorganisms as blood-borne pathogens that can be transmitted by needlesticks? | Hepatitis B virus (HBV) Human immunodeficiency virus (HIV) |
| Prior to discharge, what will the nurse teach patients about prescribed antibiotics to help prevent antimicrobial resistance? | Take all of your medication for the full time prescribed. |
| Antibiotic use in animals contributes to human antimicrobial resistance through which effect? | Creates a reservoir of potentially resistant bacteria. |
| The nurse recognizes which infectious agents as having acquired drug resistance within health care settings? | Methicillin-resistant Staphylococcus aureus (MRSA) Vancomycin-resistant Staphylococcus aureus(VRSA) Vancomycin-resistant enterococci (VRE) Clostridium difficile (C-Diff) |
| The nurse recognizes which function as an adaptive immune response? | Triggering lymphocyte production |
| Which type of immunity protects a person from infection after receiving a skin laceration? | Innate immunity |
| Which type of immunity provides long-term, active immunity for an individual who recovered from a viral infection? | Adaptive immunity |
| The nurse understands that the innate immune response involves which components? | A. Fungi B. Low stomach pH C. Skin D. Capillary dilation |
| Introducing the patient’s normal flora into which body area increases the risk for infection? | Urinary bladder |
| Which component is part of innate immunity and participates in the inflammatory response? | Leukocytes |
| The nurse recognizes which characteristics of adaptive immunity? | -Acquired throughout a person's lifetime -Complex, highly organized system -Requires exposure to specific antigens -Generates antigen-specific defenses |
| Which event occurs first when the adaptive immune system is stimulated by an invading antigen? | Decoding of non-self-marker on antigen surface |
| Which type of immunity will a nurse have after receiving the required three immunizations for HBV (hepatitis B)? | Artificially acquired active immunity |
| Reviewing data collected during the assessment assists the nurse with which part of the nursing process? | Planning |
| Which nursing diagnosis takes priority for a patient with an open draining wound, fever, and nausea? | Imbalanced Nutrition |
| Which patient behavior supports the nursing diagnosis of Knowledge Deficit? | Inability to perform incisional care. |
| Which nursing diagnosis will the nurse add to the care plan after noting an open pressure ulcer on the patient’s coccyx during assessment? | Impaired Skin Integrity |
| “Patient will demonstrate correct handling of dirty and clean dressings” is a measurable patient-centered goal for which nursing diagnosis? | Knowledge Deficit |
| Which are measurable data that can be used to support if a patient is meeting infection-related goals? | Hand washing Perspiring Pain Fever |
| Which goal is realistic for a hospitalized patient who has an infection with the nursing diagnosis of Nutrition Imbalance, Less Than Body Requirements? | Patient will eat 75% of meals by the end of 3 days. |
| What should the nurse do when a patient with a wound infection shows no improvement in assessment baseline after a week? | Review interventions to determine need for revision. |
| The nurse must have a written or oral order when implementing which nursing actions? | Administering an oral medication Beginning an intravenous (IV) infusion |
| Which actions will the nurse take for a patient who is experiencing discomfort from an infection? | Assess pain on scale of 1 to 10. Position patient to relieve discomfort. Encourage diversion such as relaxation. |
| Which individuals are more likely to be involved in an intentional injury? | An adolescent female with severe depression A young adult male with a history of violence A middle-aged female who is a known child abuser |
| The nurse enters a room and notices that the patient’s bed is very high up off the ground, posing a safety risk. What step in the nursing process is this? | Assessing |
| The nurse is walking down the hall and witnesses a small child dumping his juice on the floor. The parent acknowledges the incident but does nothing to stop it. What is the appropriate nursing action to promote safety? | Clean up the juice immediately. |
| An adolescent boy is brought to the ER after consuming a bottle of his mother’s sleeping pills. A suicide note was left beside his bed. What type of injury is this? | Intentional |
| Which are examples of unintentional injuries? | Falls Drowning Fire-associated injuries |
| Which provides specific performance-related patient safety outcomes? | National Patient Safety Goals (NPSGs) |
| Why was The National Center for Injury Prevention and Control established? | To decrease the mortality rate. To reduce cost associated with injuries. To reduce the number of patients on disability. |
| The Institute of Medicine published To Err is Human more than a decade ago and we still use this document to guide our safety practices within the hospital setting. What performance standards has The Joint Commission developed from this? | National Patient Safety Goals |
| A nurse is teaching a student nurse about The Joint Commission’s National Patient Safety Goals. Which statement shows further teaching is needed? | “Before administering medication, I will ask for the patient’s name.” |
| A nurse is teaching a student nurse about The Joint Commission’s National Patient Safety Goals. Which statement shows further teaching is needed? | "Before administering medication, I will ask for the patient's name." |
| A nurse is teaching a student nurse what The Joint Commission (TJC) might do while at a hospital renewing their accreditation. Which statements made by the student nurse demonstrates that the teaching has been effective? | “The surveyor may observe and talk to patients.” “It is likely that the surveyor will interview the staff.” “During an on-site survey, the surveyor will trace patient care.” “A hospital’s information and documentation is reviewed during accreditation.” |
| Quality and Safety Education for Nurses (QSEN) project is increasing emphasis for patient safety. In what way has it impacted actual initiatives and regulations? | Using national resources for professional development to focus attention on safety in hospital settings |
| How does QSEN ensure that nurses advance quality and safety in future health care settings? | By preparing nurses with knowledge, skills, and a positive attitude |
| Which is an example of a patient-centered care nursing skill, as defined by the QSEN project? | Assess and treat pain and suffering in light of patient values, preferences, and expressed needs. |
| nurse has assignment w/family who's nervous about being in hospital. father admitted previous eve w/stroke, serious deficits. nurse assessed patient, began talking w/family. What are some interventions nurse can anticipate during care of patient, family? | Education about the diagnosis of stroke Pain management, as needed by the patient, per health care provider order Performing range of motion and positioning the patient so he is comfortable |
| nurse is educating a student nurse on the initiatives that guide nurses to ensure safety for their patients and environment. Which statements made by the student nurse demonstrates that the education has been effective? | “The QSEN project will continue to guide improvements and recommend safe practice.” “The Joint Commission continues to re-evaluate and recommend new safety goals each year.” |
| nurse is educating a student nurse on the initiatives that guide nurses to ensure safety for their patients and environment. Which statements made by the student nurse demonstrates that the education has been effective? | “The National Center for Health Statistics continues to examine injury and report patterns so we can work toward prevention.” “The Joint Commission (TJC) recommends that acute care hospitals enact a no-lifting policy and provide patient lifting equipme |
| What are purposes of hand hygiene? | Prevents the spread of infection Breaks the chain of infection Interrupts organism transmission |
| Which medical asepsis interventions by the nurse protect the patient from infection? | Cleaning patient bedside equipment routinely Disposing of used needles in sharps containers Providing leak-proof receptacles at bedside for tissues Preventing contamination of intravenous sites and ports |
| Which actions are required by the nurse when preparing for a sterile procedure? | Keeping sterile surfaces dry Setting up the sterile field Checking packaging integrity Monitoring activities of others |
| Which action did the nurse recognize as a breach in surgical asepsis that contaminated the sterile field? | Provider reached over sterile field to pick up a towel |
| Equipment being used to enter a sterile body cavity must undergo which procedure? | Sterilization |
| Which step is first in the sequence for donning personal protective equipment (PPE)? | Hand hygiene |
| The nurse will don a fitted N95 respiratory mask when caring for a patient with which infection? | Tuberculosis |
| Which statements best describe the purpose for greeting the patient and explaining the need for personal protective equipment (PPE)? | Eases fear and misunderstanding Creates a professional relationship Builds a trusting relationship |
| It is permissible for the nurse to use alcohol-based hand sanitizer on which occasion? | Nothing can be visibly seen on hands |
| After educating a patient about respiratory etiquette, which behavior indicates the need for additional teaching? | Reusing tissues for a productive cough |
| Which nursing student’s note will the nurse correct? | Standard precautions used during bed bath and mouth care. |
| The nurse will implement contact precautions when learning that a patient is being admitted with which infection? | Hepatitis A |
| By which means are pathogens transmitted through droplets and require infected patients to be placed on protective precautions? | Coughing Sneezing Suctioning Talking |
| A patient with which infection will be admitted to the airborne infection isolation room? | Varicella zoster |
| Which action to reduce the spread of infections is the nursing taking by avoiding going to work when sick? | Personal |
| Communities can help reduce infections among their citizens by engaging in which actions? | Encouraging and facilitating immunization programs |
| The Centers for Disease Control and Prevention (CDC) applies the term quarantine to which group(s)? | People Animals Cargo Buildings |
| Isolation | Separates sick and contagious people from others |
| Quarantine | Separates people exposed to a contagious disease |
| Protective isolation | Separates people with weak immune systems |
| Which patient’s symptoms are consistent with a chronic inflammatory disorder? | 45-year-old with pain and swelling of the knees from arthritis |
| Which patient (susceptible host) is at greatest risk for developing an infection? | 70-year-old with diabetes and an indwelling urinary catheter |
| The nurse recognizes that a patient’s surgical incision is no longer inflamed, but infected, by noting which finding? | Greenish drainage |
| The nurse recognizes which manifestation indicates systemic infection and warrants further patient assessment? | Temperature 101.3°F (38.5°C) orally |
| Which are strategies for collecting patient assessment data? | -Performing a general assessment -Speaking with the patient's family -Performing the physical assessment -Obtaining a thorough history |
| Which patient objective findings alert the nurse to the presence of infection or the risk for infection? | -Pressure ulcers -Enlarged lymph nodes -Hyperactive bowel sounds -Decreased breath sounds |
| Which blood test specifically indicates the presence of an active inflammatory response rather than infection? | Erythrocyte sedimentation rate (ESR) |
| Which laboratory finding is abnormal and must be reported to the health care provider? | Serum complement 140 hemolytic units |
| Which piece of personal protective equipment (PPE) would the nurse consistently don when anticipating that contact with a patient’s body secretions will be possible? | Gloves |
| Person to person | Contact |
| Coughing, sneezing | Droplet |
| Suspended particles | Airborne |
| Herpes simplex virus (HSV) | Contact |
| Rubella | |
| Rubeola | |
| Which type of infection would a nurse suspect when caring for a patient who has a prescription for a clostridium difficile test? | Gastrointestinal Infection |
| a nurse caring for a patient with an infection would anticipate a temperature less than _____ when the infection has resolved? | 100.4 |
| Which actions by the nurse would be considered independent nursing interventions? | Counseling a patient Repositioning a patient to enhance comfort Teaching a postoperative patient how to prevent surgical site infection |
Created by:
colby.caswell