Nursing Chapter 31 Competencies Quality And Safety Practice Use

Kozier & Erb’s Fundamentals of Nursing, 10/E

Chapter 31

Question 1

Type: MCSA

The nurse is setting up a sterile field. Which action by the nurse best exhibits surgical asepsis?

1. Disinfecting an item before adding it to a sterile field

2. Allowing sterile gloved hands to fall below the waist

3. Suctioning the oral cavity of an unconscious client

4. Touching only the inside surface of the first glove while pulling it onto the hand

Question 2

Type: MCSA

The nurse is using medical asepsis when providing client care. Which action did the nurse demonstrate?

1. Administering parenteral medications

2. Changing a dressing

3. Performing a urinary catheterization

4. Using personal protective equipment

Question 3

Type: MCSA

The nurse is reviewing the care needs for a group of assigned clients. Which client should the nurse recognize as

being most at risk for a nosocomial infection?

1. A client in the emergency department with abdominal pain

2. A 19-year-old woman in her first trimester of pregnancy

3. A 72-year-old male client with COPD

4. An 86-year-old female client on steroid therapy

Question 4

Type: MCSA

The nurse is preparing discharge teaching for a client recovering from surgery. What instruction is the most

important for the nurse to give this client who has a surgical wound?

1. Adjust the diet so it contains more fruits and vegetables.

2. Apply lubricating lotion to the edges of the wound.

3. Notify the physician of any edema, heat, or tenderness at the wound site.

4. Thoroughly irrigate the wound with hydrogen peroxide.

Question 5

Type: MCSA

A patient is diagnosed with a systemic infection. What will the nurse most likely assess in this client?

1. Edema, rubor, heat, and pain

2. Fever, malaise, anorexia, nausea, and vomiting

3. Palpitations, irritability, and heat intolerance

4. Tingling, numbness, and cramping of the extremities

Question 6

Type: MCSA

An older client with gallbladder disease has had a cholecystectomy. Which factor should the nurse realize would

influence the development of an infection in this client?

1. Active bowel sounds

2. Dry intact skin

3. Intact mucous membranes

4. Susceptibility of the client

Question 7

Type: MCSA

The nurse is reviewing collected data from a client. Which information should the nurse identify as a

physiological barrier to defend the client’s body from microorganisms?

1. Heavy smoking

2. Moisturizing the skin

3. Breakdown of skin

4. Voiding quantity sufficient

Question 8

Type: MCSA

The nurse determines that a client has active immunity to a microorganism. What did the nurse assess that caused

the client to develop this type of immunity?

1. Becoming ill with tetanus and receiving tetanus toxoid

2. Having chickenpox

3. Receiving a rabies shot after being bitten by a rabid dog

4. Receiving an injection of gamma globulin

Question 9

Type: MCSA

A client was bitten by a rabid raccoon. What care should the nurse prepare to provide to this client?

1. A tetanus toxoid injection

2. An immunization for rabies

3. An injection of immunoglobulin

4. Mother’s breast milk with antibodies in it

Question 10

Type: MCSA

The nurse is planning care for a client. Which intervention would be appropriate to reduce the risk of infection?

1. Assess vital signs only once daily.

2. Raise the temperature in the client’s room.

3. Wash hands.

4. Wear a mask for all client care.

Question 11

Type: MCSA

The nurse wants to protect a client from developing an infection. Which action should the nurse take to break a

link in the chain of infection?

1. Cover the mouth and nose when sneezing.

2. Place contaminated linens in a paper bag.

3. Use personal protective equipment (PPE) sparingly.

4. Wear gloves at all times.

Question 12

Type: MCSA

The nurse is caring for a client with hepatitis A. Which technique should the nurse use to promote proper hand-

washing technique with this client?

1. Allow the water to splatter forcibly when it is turned on.

2. Clean the faucet after use.

3. Hold the hands upward under the faucet.

4. Use approximately a teaspoon of soap.

Question 13

Type: MCSA

The nurse is removing personal protective equipment. Which nursing action demonstrates the appropriate

technique for removing a mask?

1. Bend the strip at the top of the mask.

2. Loop the ties over the ears.

3. Tie the strings in a bow.

4. Touch the mask by the strings only.

Question 14

Type: MCSA

The nurse is preparing to remove soiled gloves. What action should the nurse take first?

1. Drop the gloves into the appropriate waste receptacle.

2. Ease the fingers into the gloves.

3. Grasp the outside of the nondominant glove.

4. Hook the bare thumb inside the other glove.

Question 15

Type: MCSA

The nurse is concerned that a break occurred in a sterile field. Which action occurred that caused this break?

1. Grasping the edge of the outermost flap and opening it away from oneself

2. Keeping objects on the field 1 inch from the edge

3. Keeping the sterile field in eyesight

4. Transferring a sterile object to a sterile field with a clean gloved hand

Question 16

Type: MCSA

A client needs to be placed in contact isolation. What items should the nurse ensure are included in this client’s

room?

1. Cabinet stocked with gloves and gowns

2. Cards and records

3. Paper towels, sink, and blood pressure cuff

4. Sign on the door