A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of following actions indicates that the AP understands the principles of infection control?

Places clean linen that touched the floor in the soiled linen bag

Shakes the soiled linen to remove any toilet paper remnants

Places the soiled linen on the floor before bagging it

Holds the soiled linen against her body while carrying it to the linen bag

Answer and Explanation

The Correct Answer is A

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Correct Answer is A

No explanation

A. White blood cells (WBC) count of10 B. Occasional casts C. pH of 5.0 D. Dark amber color

Correct Answer is A

Explanation

A. White blood cells (WBC) of 10:A WBC count of 10 is higher than the typical reference range (usually 0–5 WBCs per high-power field). An elevated WBC count suggests infection or inflammation, and this should be reported for further assessment.

B. Occasional casts:Occasional casts in the urine can be normal, especially hyaline casts, which may appear after exercise or mild dehydration. However, a high number of casts, or specific types like red or white cell casts, may indicate renal disease and would require follow-up.

C. pH of 5.0:A urine pH of 5.0 is within the normal acidic range (typically 4.5 to 8.0) and does not require reporting unless there are other abnormal findings or specific concerns about acidosis or alkalosis.

D. Dark amber color. Dark amber urine can indicate dehydration but is not an unusual finding by itself. Hydration can typically correct this, so it does not need immediate reporting unless accompanied by other concerning symptoms (e.g., jaundice, which might suggest bilirubinuria).

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A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of following actions indicates that the AP understands the principles of infection control?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working on a medical-surgical unit suspects that several clients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

Correct Answer is A

A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is caring for a client with a new diagnosis of acute kidney injury. The client states, "This is going to mess my life up." Which of the following is the best response by the nurse to assist the client to begin to understand the impact of this disease?

A nurse is caring for a group of clients on a medical unit. Which of the following clients is the most at risk for an acute kidney injury? (Select all that apply.)

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A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is the most at risk for developing acute glomerulonephritis?

Among which statements is true regarding intermittent feeding.

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