Safety and Infection Control

The nurse is visiting the home of a patient who recently underwent a trabeculectomy. Which statement improves patient safety?

The woman with human immunodeficiency virus (HIV) who has a high CD4 count is concerned her fetus may be infected with the virus. Which statement by the nurse is appropriate?

The patient who was admitted overnight is scheduled to receive an assortment of oral medications in the morning. The patient tells the nurse he does not recognize these pills. Which response by the nurse is appropriate?

Which is an example of an orthopedic injury due to microtrauma?

Which actions does the nurse take to obtain a sample for culture from the third degree burn wound that appears to be infected? Select all that apply.

Which is the best action by the nurse in the neonatal intensive care unit (NICU) in response to a tornado warning?

The elderly patient with hypertension, hyperlipidemia, arthritis, diabetes, and improving cellulitis is being discharged home after a stay in a sub-acute care facility. The caregiver asks the nurse about the patient's risk for falls. The nurse reviews the patient's medical history for which risk factors for falls? Select all that apply.

The nurse working in the pediatric unit finds the two-year-old patient crying on the floor near his hospital crib. The child's parents were present for the fall, are visibly upset, and tell the nurse that she crawled over the edge and fell to the floor. Which action by the nurse is appropriate?

Review the chart and decide the best room for the patient.

The nurse is assisting a provider with a sterile procedure. During the procedure, the nurse observes the provider lower his right hand holding sterile forceps below his waist. He states, “These forceps are no longer sterile. Could you please obtain another one?” Which response by the nurse is most appropriate?

The nurse is preparing for the insertion of a peripherally inserted central catheter (PICC). Which action prompts the nurse’s orientee to clarify sterile technique?

The nurse is setting up the sterile field for a sterile dressing change. A sterile gauze 4x4 falls with the corner 2 cm from the sterile field. Which action by the nurse is most appropriate?

The nurse is setting up a sterile field for the provider to insert a chest tube. The nurse drops the scissors onto the field where they land with the tip 2 inches from the edge. Which action by the nurse is most appropriate?

The operating room nurse is supervising the orientee circulating nurse who has been asked to pour sterile saline into the sterile tray. Which action(s) by the nurse prompt the supervising nurse to provide additional education? Select all that apply.

The nurse receives a set of orders for a patient. After reviewing the patient’s chart, the nurse clarifies which orders? Review the patient’s chart then select all that apply.

After reviewing the patient’s chart, which order(s) require clarification? Review the patient’s chart, then select all that apply.

The patient who underwent a partial thyroidectomy 1 day ago complains of tingling in the lips and tongue. Upon assessment, the nurse notes increased deep tendon reflexes. Which order does the nurse question for this patient?

The postpartum nurse is supervising new parents placing their newborn into the car seat to drive home during a snowstorm. Which observation is most concerning?

Which information does the nurse include when preparing an informational session for expectant first-time parents about car seat safety? Select all that apply

A fire breaks out on multiple floors of the hospital and the charge nurse has been instructed to evacuate the patients. In which order are the patients evacuated?

The nurse finds the patient’s vaginal radiation implant in the bed while turning the patient. Which action by the nurse is most appropriate?   

The patient had an unsealed radiation source instilled into the uterus on Tuesday. On Friday, the patient has an episode of incontinence and requires a full linen change. How does the nurse dispose of the soiled linens? 

On Monday, the patient receiving chemotherapy for cervical cancer has an unsealed radiation source instilled into the uterus. Tuesday morning, the patient vomits after breakfast. Which action does the nurse take while cleaning the emesis?  

The patient with uterine cancer has a sealed radiation implant placed into the uterus. Which action by the nurse promotes safety? 

The 68-year-old patient is admitted after 5 days of extremely foul-smelling watery diarrhea with a temperature of 37.9°C, heart rate 118 bpm, and blood pressure 98/52 mmHg. The patient’s recent medical history is significant for being treated 2 weeks ago for a diverticulitis flare-up. Upon assessment, the patient is pale, diaphoretic, and has a tense, distended abdomen that he does not guard with palpation. Lab studies reveal an elevated creatinine (1.9 mg/dL), high white blood cell count (20,000 cells/mL), and normal hemoglobin and hematocrit. Which intervention is most important to prevent the spread of this condition to other patients?