The nurse has contributed to a staff education program about the principles for the first tier of standard precautions. Which statement by a nursing student indicates a correct understanding of the teaching?

"All patients are presumed infectious."

"Isolation is not required for most diseases."

"Patients with a known infection are placed in isolation only when they are admitted."

"Patients are not considered infectious until confirmed so by the laboratory."

Answer and Explanation

The Correct Answer is A

A.   "All patients are presumed infectious.": This statement reflects the principle of universal precautions, which assumes that all patients may potentially transmit infectious agents, regardless of their diagnosis or symptoms. It emphasizes the importance of implementing infection prevention practices for every patient encounter to minimize the risk of transmission.
B.   "Isolation is not required for most diseases.": While isolation precautions may not be required for all diseases, the statement does not fully capture the concept of universal precautions.
C.   "Patients with a known infection are placed in isolation only when they are admitted.": This statement is not accurate as patients with known infections should be placed in isolation as soon as possible to prevent the spread of infection to others.
D.   "Patients are not considered infectious until confirmed so by the laboratory.": Waiting for laboratory confirmation before implementing infection control measures could lead to delays in preventing transmission, as patients may be infectious before laboratory results are available.

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Correct Answer is C

Explanation

A. Incontinence: Incontinence can occur in older adults with UTIs, but it is not necessarily unique to this age group and can occur in individuals of all ages with UTIs.
B. Low back pain: Low back pain can be a symptom of a UTI in individuals of any age and is not specifically unique to older adults.
C. Confusion: Confusion, also known as acute delirium, is a common and often unique symptom of UTIs in older adults. It can manifest as disorientation, altered mental status, agitation, or
behavioral changes.
D. Urinary retention: Urinary retention, the inability to completely empty the bladder, is not typically associated with UTIs. It is more commonly seen in conditions such as urinary tract obstruction or neurological disorders.

A. Nonadherent dressing B. Paste C. Moist, sterile gauze D. Duoderm

Correct Answer is A

Explanation

A. Nonadherent dressing: Nonadherent dressings are suitable for small skin tears in older adult clients because they prevent the dressing from sticking to the wound bed, minimizing trauma during dressing changes.
B. Paste: Paste dressings are typically used for wound packing or for managing exuding wounds, not for small skin tears.
C. Moist, sterile gauze: While moist, sterile gauze can be used for wound dressings, it may adhere to the wound bed, causing further trauma during dressing changes.
D. Duoderm: Duoderm is a type of hydrocolloid dressing used for moderate to heavily exuding wounds, not for small skin tears.

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The nurse has contributed to a staff education program about the principles for the first tier of standard precautions. Which statement by a nursing student indicates a correct understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

Correct Answer is C

Explanation

Which of the following dressing types is most appropriate for the nurses to apply to a small skin tear in an older adult client?

Correct Answer is A

Explanation

A nurse is caring for a client. Exhibits For each potential nursing action, click to specify if the action is essential. nonessential, or contraindicated for the client.

Which of the following is a common sign of wound sepsis?

Which of the following infections would the nurse recognize as being a health care-associated infection?

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

Which term should the nurse use to document a raised, fluid-filled lesion smaller than 1 centimeter?

The nurse is collecting a culture of a wound. During the procedure, the patient asks what is a culture? Which of the following is the best response by the nurse to explain why she is culturing the wound?

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?