VATI Safety and infection control quiz correctly answered 2024

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A client has a new tracheostomy. Which of the following interventions should the nurse include when performing tracheostomy care? Change tracheostomy ties when soiled. A client has fallen in the bathr... oom. Which of the following is the priority nursing action? Assess the client's level of consciousness CORRECT. Safety first. Before proceeding with the assessment or taking vital signs assess the level of consciousness. Complaints of pain, any joint or bone deformity may provide evidence of fractures or dislocations. Inspection of the skin will determine lacerations, contusions, or hematomas that may need to be treated. After a report to the provider, additional x-rays or exams may be ordered. 00:45 01:22 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? Will return to the clinic in one month for re-screening 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)? Report shivering by the client CORRECT. The unlicensed assistive personnel should be taught to observe for and report shivering during any form of external cooling. Shivering may indicate that the client is being cooled too quickly. A nurse is triaging clients following a mass casualty event. The nurse should place a client who has sustained fatal injuries in which of the following triage categories? Expectant Category (Class IV) CORRECT. Class IV (Expectant Category) is reserved for clients who are not expected to live and will be allowed to die naturally. Comfort measures may be provided, but restorative care will not. These clients are the lowest priority when a mass casualty has occurred. A nurse is positioning a client for a urinary catheterization. Which of the following nursing actions would be best in preventing musculoskeletal injuries during the procedure? Raising the bed to a comfortable height. CORRECT. Working with the bed at a comfortable height is more ergonomically appropriate to prevent back strain and possible injury, to prevent bending and/or twisting from the waist. A nurse is caring for an older adult client with delirium. Which intervention will most effectively reduce the client's risk for falls? Hourly rounding by the nurse. CORRECT. In the health care environment, hourly rounding by nurses significantly reduces the occurrence of client falls, as well as reducing call light usage and increasing client satisfaction. 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 client receiving IV antibiotics every six hours for a leg ulcer. CORRECT. The client with a leg ulcer can walk unassisted without an IV pole. In a hospital evacuation, unlike triage and evacuation outside of the hospital, the most stable, ambulatory clients will be evacuated first, followed by those who need assistance with mobility (wheelchairs) or equipment (tubes, catheters), and finally those who need to be moved by stretcher or in their hospital beds. The prevailing concept is to move as many clients as quickly and safely as possible from the area. 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? Disinfect the area with a 10% bleach solution after initial cleaning. CORRECT. A solution of 1 part bleach to 10 parts water (10% solution) is the disinfecting agent of choice after blood or body fluids are initially cleaned up and disposed of (at home in a sealed plastic bag and placed in the regular trash), and the area is initially cleansed with soap and water. A nurse is caring for a client when the IV infusion pump malfunctions and delivers 1 Liter of IV fluid over 2 hours. Which intervention is the priority? Fill out an incident report. A graduate nurse is caring for a client who is on neutropenic precautions. Which of the following actions by the nurse would require further teaching by the charge nurse? Discarding an empty blood bag and blood tubing in the client's beside trash can. CORRECT. The empty blood bag and tubing are considered to be biohazard waste and should be disposed of in a red bag or bin that will be incinerated rather than taken to a landfill. A newly-licensed nurse is preparing the surgical suite for a client who has a latex allergy. Which action demonstrates a need for further education? Scheduling the case late in the day. 00:02 01:22 A nurse is orienting a newly licensed nurse to the operating room. Which of the following actions by the new nurse indicates a need for further education about surgical aseptic hand hygiene? Rinsing hands and arms while keeping them lower than elbows. A client has just returned to the surgical unit after an open cholestectomy. A nurse notes the abdominal dressing is saturated with sanguineous drainage. Which of the following is the most appropriate intervention? Reinforce the dressing with additional gauze. The parents of an adolescent client ask the nurse why the meningiococcal conjugate vaccine is recommended before attending college. Which of the following statements best explains the reason why college-aged students should receive this vaccine? Living in a dormitory increases the risk of exposure to the disease. CORRECT. Living in close quarters, like dormitories or barracks, greatly increases the risk of being exposed to meningococcal pneumonia. Other risk factors include travel to a country where the disease is endemic, biologists who work with the organism and clients who have no spleen function (and consequently are immunosuppressed). A nurse is instructing a client with a right fractured tibia on the correct technique for using a three-point gait with crutches. Which of the following should be included in teaching? Weight is distributed on both crutches and then on the unaffected leg with the sequence being repeated. A nurse is educating a parent of a newborn about safety measures. Which of the following statements made by the client would indicate a need for further teaching? [Show More]

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