A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

"I will rinse the contaminants from a bedpan with hot water."

"I will wear sterile gloves when bathing a client who is incontinent."

"I will use disinfectant to clean the blood pressure cuff after use on a client."

"I will double-bag a client's linens each day."

Answer and Explanation

The Correct Answer is C

A)   "I will rinse the contaminants from a bedpan with hot water." - While rinsing with hot water can help clean a bedpan, it does not effectively disinfect it.

B)   "I will wear sterile gloves when bathing a client who is incontinent." - Sterile gloves are not necessary for routine bathing tasks; clean, non-sterile gloves are appropriate.
C)   "I will use disinfectant to clean the blood pressure cuff after use on a client." - This statement indicates an understanding of the importance of disinfection to prevent the spread of infection.
D)   "I will double-bag a client's linens each day." - Double-bagging linens may be unnecessary and does not directly address infection control principles.

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Correct Answer is D

Explanation

A. Hypocalcemia- Vomiting and diarrhea can lead to fluid and electrolyte losses, but hypocalcemia is not a common finding in this scenario.
B. Hypermagnesemia- Hypermagnesemia is unlikely in the context of vomiting and diarrhea, as these conditions typically result in magnesium loss.
C. Hyperkalemia- Vomiting and diarrhea can lead to potassium loss, making hyperkalemia less likely.
D. Hypokalemia- Vomiting and diarrhea can cause potassium depletion, leading to hypokalemia. This electrolyte imbalance is commonly seen in clients with gastrointestinal losses.

A. Administer a sedative medication to the client. B. Have the client sign an against medical advice form. C. Tell the client that the surgeon will prescribe restraints if they try to leave. D. Explain to the client that they cannot leave until the surgeon discharges them.

Correct Answer is D

Explanation

A. Administer a sedative medication to the client- Administering a sedative medication without proper indication and consent is not appropriate in this situation.
B. Have the client sign an against medical advice form- Having the client sign an against medical advice (AMA) form is premature and should only be considered after thorough discussion of the risks and benefits of leaving against medical advice.
C. Tell the client that the surgeon will prescribe restraints if they try to leave- Threatening the client with restraints is coercive and not conducive to a therapeutic nurse-client relationship. Restraints should only be used as a last resort to ensure safety.
D. Explain to the client that they cannot leave until the surgeon discharges them- The nurse should explain to the client that leaving before being discharged by the surgeon can jeopardize their recovery and may result in complications. It is important to communicate the consequences of leaving prematurely and encourage the client to wait for proper discharge instructions.

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A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results for a client who reports vomiting and diarrhea for 2 days, which of the following laboratory findings should the nurse expect?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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