Fundamentals VATI module studyguide

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Fundamentals of Nursing: Safety and Infection 1.A client has a new tracheostomy. Which of the following interventions should the nurse include when performing tracheostomy care?a.Remove soiled dressi ... ng with sterile glovesb.Clean the disposable inner cannula with hydrogen peroxidec.Change the tracheostomy ties when soiledd.Suction the trach before beginning care 2.A client has fallen in the bathroom. Which of the following is the priority nursing action?a.Notify HCPb.Asses LOCc.Assist the client back to bedd.Obtain client's VS 3.A nurse is providing discharge education for a female client diagnosed with Chlamydia. Which statement made by the client would indicate the need for further instruction?a.I will return to the clinic in one month for re-screeningb.I will refrain from sex until completion of abxc.Sx of reinfection may include yellow vaginal d/cd.Possible complications to monitor for include pelvic inflammatory disease 4.A nurse is caring for a client with a diagnosis of sepsis with a temperature of 40.8 C (105.5 F).The provider has ordered a cooling blanket.Which intervention is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?a.Assess client's skin for any reddeningb.Bathe the client to keep the skin dampc.Report shivering by clientd.Obtain a fan for the client's use 5.A nurse is triaging clients following a mass casualty event.The nurse should place a client who has sustained fatal injuries inwhich of the followingtriage categories?a.Emergent category Class Ib.Urgent class IIc.Nonurgent class IIId.Expectant class IV 6.Anurse is positioning a client for a urinary catheterization.Which of the following nursing actions would be best in preventing musculoskeletal injuries during the procedure?a.Position client using draw sheetb.Narrowing the base of supportc.Using the non-dominant hand to insert the catheterd.Raising the bed to a comfortable height 7.A nurse is caring for an older adult client with delirium.Which intervention will most effectively reduce the client's risk for falls?a.Demonstrate how to use a call light b.Use of a night-lightc.Hourly rounding by nursed.Place bedside table in close proximity 8.A fire in a first floor operating room is forcing evacuation of clients from a second floor unit to another building.Which of the following clients would have the highest priority for the charge nurse to evacuate?a.A client receiving IV abx q 6 hours for a leg ulcerb.A client semi-comatose after a CVA with an indwelling urinary catheterc.A client admitted for pancreatitis with NG tube and PCA pump in placed.A client post L hip replacement of two days ago whose daughter is visiting 9.A nurse is providing the family of a client with acquired immunodeficiency syndrome (AIDS) education in preparation for discharge.A family member asks about appropriate clean up of blood or body fluids. Which of the following is the correct response by the nurse?a.Disinfect with 70% isopropyl alcohol after initial cleaningb.Use soap and water, rinse thoroughly, and allow area to air dryc.Clean with soap and water and rinse thoroughly with ammoniad.Disinfect area with 10% bleach after initial cleaning 10.A nurse is caring for a client when the IV infusion pump malfunctions and delivers 1 Literof IV fluid over 2 hours.Which intervention is the priority?a.Monitor urine outputb.Fill out an incident reportc.Report the defective equipmentd.Document the amount of fluid infused [Show More]

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