A nurse is collecting contaminated items and collaborating with a colleague to deposit them and contain them appropriately outside the client's room. Which of the following infection control measures are the nurses specifically performing?
A) Double-bagging
B) Airborne precautions
C) Personal protection
D) Droplet precautions
A
Feedback:
The nurses are performing the double-bagging infection control measure, in which one bag of contaminated items, such as trash or laundry, is placed within another. Personal protection, airborne precautions, and droplet precautions are important infection control measures but they do not describe this particular action.
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On returning from the cardiac catheterization laboratory, the patient asks if he can get up in the chair. The most appropriate response would be
a. "You cannot get up because you may pass out." b. "You cannot get up because you may start bleeding." c. "You cannot get up because you may fall." d. "You cannot get up until you urinate."
Members of the local emergency medical service unit have just transported an accident victim to the emergency department. They tell the ED nurse that the victim has AIDS, and they have blood on their hands and clothing
The nurse advises them to wash their hands and to change any clothing that is wet with blood. The nurse talks to them about getting a baseline HIV test and about future testing. They ask the nurse how long it will take before they will know if they are infected. The nurse's response should be a. "You will need to be tested in 6 weeks and regularly for the next 10 years, because that is the average length of time it takes to detect the virus by testing." b. "You will need to be tested in 3 months and again in 6 months, because 95% of people seroconvert to antibody-positive in 3 months and 99% in 6 months." c. "Transmission by occupational exposure is rare. There is no need for you to be concerned." d. "You will need to be tested in 3 weeks, because most people seroconvert in that length of time."
Tap water irrigation of an older adult's ear canal has failed to dislodge the impacted cerumen that has been causing the patient to experience otalgia
In preparation for another attempt at relieving the patient's problem, what action should the nurse take? A) Instill a hypertonic saline solution for 30 minutes prior to irrigating the patient's ear. B) Attempt irrigation using a 10 mL syringe and higher pressure. C) Put a small amount of mineral oil in the patient's ear before attempting removal. D) Use a flexible suction catheter and 100 to 120 mm Hg of wall suction to remove the cerumen.
Which assessment findings indicate to the nurse that a child has fluid volume excess? Select all that apply
a. Weight gain b. Decreased blood pressure c. Moist breath sounds d. Poor skin turgor e. Rapid bounding pulse