A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include as examples of HAIS?

A client who has pneumonia after being on a ventilator

A client who has a bladder infection and has an indwelling urinary catheter

A client who has a surgical site infection

A client who has influenza acquired from a coworker

A client who has an infection at their central line insertion site

Answer and Explanation

Correct Answer : A,B,C,E

A.   This an example of a health care-associated infections (HAIs), which are infections that patients acquire during the course of receiving health care treatment for other conditions. The patient acquired the pneumonia after being in a ventilator.
B.   This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
C.   This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
D.   This is not an example of a health care-associated infection (HAI), because it is not acquired during the course of receiving health care treatment. This is an example of a community-acquired infection, which is an infection that a person gets from contact with people or sources outside of a health care setting.
E.   This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Instructing the client on the use of the call light allows them to easily summon assistance when needed.
B. Applying an ambulation alarm helps monitor the client's movement, especially if there is a risk of falls or wandering.

C. Applying restraints is not the first-line intervention and should only be used when less restrictive measures are ineffective, and the client is at risk of harm to themselves or others.
D. Raising the four side rails of the client’s bed is a safety measure to prevent falls and ensure the client's protection.

E. Checking on the client hourly is an essential intervention to monitor the client’s mental status and ensure safety. Frequent assessments allow for early identification of complications related to opioid use, such as respiratory depression or increased sedation.

A. Osteoarthritis affects joints bilaterally throughout the body. B. Osteoarthritis is an autoimmune disease. C. Osteoarthritis pain can be relieved by moist heat D. Osteoarthritis can result in systemic symptoms.

Correct Answer is C

Explanation

A. Osteoarthritis typically affects specific joints and is not necessarily bilateral throughout the body.
B. Osteoarthritis is not an autoimmune disease; it is a degenerative joint disease.
C. Moist heat can provide relief for osteoarthritis pain by improving joint flexibility and reducing stiffness.
D. Osteoarthritis is primarily a localized joint disease and does not usually result in systemic symptoms.

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A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include as examples of HAIS?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for scheduled opioid analgesia and notes a change in the client’s mental status. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is reinforcing teaching with a client who has developed osteoarthritis. Which of the following information should the nurse provide about the disease in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

A nurse is collecting data from a client who reports having stiffness in her joints. Which of the following findings should indicate to the nurse that the client may have rheumatoid arthritis?

A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

A nurse is using evidence-based practice (EBP) to decrease the incidence of catheter- associated urinary tract infections (CAUTIS) on a unit. Which of the following actions should the nurse take first?

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

A nurse is reviewing laboratory values for a client. Which of the following findings indicates the presence of an infection?

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client’s risk of aspiration pneumonia?

A nurse in an extended-care facility is reinforcing teaching for with a group of newly licensed nurses about the expected physiologic changes of aging. Which of the following information should the nurse include? (Select all that apply.)