A nursing manager is concerned about the number of infections on the hospital unit. What action by the manager would best help prevent these infections?
a. Auditing staff members' hand hygiene practices
b. Ensuring clients are placed in appropriate isolation
c. Establishing a policy to remove urinary catheters quickly
d. Teaching staff members about infection control methods
ANS: A
All methods will help prevent infection; however, health care workers' lack of hand hygiene is the biggest cause of healthcare-associated infections. The manager can start with a hand hygiene audit to see if this is a contributing cause.
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While on break in the hospital cafeteria a nurse witnesses her pregnant co-worker start to choke. The co-worker is conscious, but unable to breathe. Where should the nurse administer thrusts?
a. Below the navel b. The chest c. At the xiphoid process d. The upper back
A patient with renal failure is experiencing decreased erythropoietin production. Upon analysis of the patient's complete blood count (CBC), the nurse will expect which of the following results?
A) An increased hemoglobin and hematocrit B) A decreased hemoglobin and hematocrit C) A decreased mean corpuscular volume (MCV) and mean corpuscular hemoglobin concentration (MCHC) D) An increased MCV and MCHC
A nurse counsels a couple on sex-linked disorders. Both the man and the woman are carriers of the disorder. They ask the nurse how this disorder will affect any children they might have. The nurse's best response is:
1. "If you have a daughter, she will not be affected." 2. "Your son will be affected, since the father has the disorder." 3. "There is a 25% chance that your son will have the disorder, since the mother has the disorder." 4. "There is a 50% chance that your son will be a carrier only."
The standing orders for a patient include acetaminophen 650 mg every 4 hours prn for headache
After assessing the patient, the nurse identifies the need for headache relief and determines that the patient has not had acetaminophen in the past 4 hours. Which action will the nurse take next? a. Administer the acetaminophen. b. Notify the health care provider to obtain a verbal order. c. Direct the nursing assistive personnel to give the acetaminophen. d. Perform a pain assessment only after administering the acetaminophen.