nursing care > EXAM > NURS 320 TEST EXAM 1 PRACTICE 2025/2026 STUDY QUESTIONS LATEST WITH CORRECT DETAILED ANSWERS GUARANT (All)
Your assigned patient has a leg ulcer that has a dressing on it. During your assessment you find that the dressing is saturated with purulent drainage. Which action would be best on your part? A. Rei... nforce dressing with a clean, dry dressing and call the health care provider. B. Remove wet dressing and apply new dressing using sterile procedure. C. Put on gloves before removing the old dressing; then obtain a wound culture. D. Remove saturated dressing with gloves, remove gloves, then perform hand hygiene and apply new gloves before putting on a clean dressing. - Answer>>> D. Gloves need to be changed, and hand hygiene performed to prevent transfer of microorganisms from one source to another. Gloves may have microscopic holes that allow microorganisms to have contact with the caregiver's skin. Therefore gloves are removed, and hand hygiene is performed whenever the nurse moves from an activity requiring gloves to another nursing action or leaves the patient's room and whenever all patient tasks are completed. The family of a patient who is confused and ambulatory insists that all four side rails be up when the patient is alone. What is the best action to take in this situation? (Select all that apply) 1. Contact the nursing supervisor 2. Restrict the family's visiting privileges 3. Ask the family to stay with the patient if possible 4. Inform the family of the risks associated with side-rail use 5. Thank the family for being conscientious and put the four rails up 6. Discuss alternatives that are appropriate for this patient with the family - Answer>>> 3, 4, 6 The family is concerned about ensuring a safe environment for their loved one. The nurse should discuss their concerns, the risk of using restraints related to using four side rails, and safer alternatives such as the presence of a family member. If the family still insists on use of four side rails, you could contact the nursing supervisor to further discuss the situation with them. This is not a reason to restrict visitation; but, although you should appreciate their concern, the use of four side rails should be avoided. The infection control nurse has asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on your part would contribute to reducing health care-acquired infections? (Select all that apply.) A. Teaching correct handwashing to assigned patients B. Using correct procedures in starting and caring for an intravenous infusion C. Providing perineal care to a patient with an indwelling urinary catheter D. Isolating a patient who has just been diagnosed as having tuberculosis E. Decreasing a patient's environmental stimuli to decrease nausea - Answer>>> A, B, C, Iatrogenic infections are infections associated with a procedure or therapy. The patient with tuberculosis was probably infected outside of the health care environment, and preventing nausea is not associated directly with infection prevention. [Show More]
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