Order Infection Control and Wound Care

Order Infection Control and Wound Care
1. A nurse is caring for an older adult who sustained a
skin tear on the forearm. What type of dressing
should the nurse anticipate the primary health-care
provider might order for this injury?
1. Hydrogel dressing
2. Dry sterile dressing
3. Wet-to-moist dressing
4. Transparent film dressing
2. A nurse is assessing a patient who has a wound on the
leg as the result of a bicycle accident. Which clinical
manifestation indicates a localized inflammatory
response?
1. Body temperature is 101.4°F.
2. Heart rate is 102 beats/minute.
3. Area around the wound is swollen.
4. Exudate from the wound is greenish yellow
in color.
3. A nurse is caring for a patient with gastroenteritis
who is receiving contact precautions. Which actions
are required when caring for this patient? Select all
that apply.
1. Keeping visitors 3 feet away from the
patient
2. Wearing gloves when entering the
patient’s room
3. Wearing a gown when entering the
patient’s room
4. Wearing an eye protective
surgical mask if working within
3 feet of the patient
5. Placing the patient in a private room
or cohort with another patient with
the same organism
4. A nurse is assessing a patient. Which assessment
indicates that the patient may be at risk for infection
because a primary defense is impaired?
1. Oral mucous membranes are pink.
2. Hair can be seen in the nostrils.
3. Eyes appear moist.
4. Skin is dry.
5. Which action is unique to maintaining airborne precautions for a patient with a diagnosis of suspected
primary tuberculosis?
1. Maintaining negative air pressure in the room
2. Wearing a surgical mask when in the room
3. Donning a gown when entering the room
4. Wearing gloves when entering the room
6. A group of women who are positive for HIV are attending a program about how to prevent the transmission of the virus. Which activity should the nurse
teach them to avoid?
1. Hugging
2. Breastfeeding
3. Shaking hands
4. Using public toilet seats
7. A nurse is administering a vaccination to a female
patient. Which questions should the nurse ask the
patient before administering the vaccination? Select
all that apply.
1. “Are you menstruating?”
2. “Do you live in a home with very
young children?”
3. “Have you had a temperature within
the last 24 hours?”
4. “Have you received another vaccination within the last month?”
5. “Did you ever have an allergic reaction to this vaccination in the past?”
8. A nurse is assessing several patients with a variety
of wounds. Which type of wound should the nurse
anticipate will heal by secondary intention?
1. Paper cut
2. Pressure ulcer
3. Abdominal incision from surgery
4. Superficial slash caused by a knife
9. A nurse is assessing a patient who had numerous
stitches several days ago for a traumatic injury to the
base of the right index finger. Which assessment of
the site indicates that the inflammatory response has
progressed to an infectious process?
1. Yellow discharge
2. Swelling around the site
3. Inability to flex the finger
4. Feeling of heat when touched
10. A nurse is counseling a sexually active male patient
newly diagnosed with HIV about the ways it is transmitted. Which situations that increase the risk of
transmitting HIV should the nurse discuss with this
patient? Select all that apply.
1. Unprotected anal sex with another
person
2. Unprotected sex with a menstruating
woman
3. Receiving unprotected oral sex from
another person
4. Unprotected sex when the receiver
has a genital lesion
5. Sharing intravenous drug equipment
with another person

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