Which action will you take to most effectively reduce the incidence of hospital-associated urinary tract infections?         A. Ensure that clients have enough adequate fluid intake      B. Teach assistive personnel how to provide good perineal hygiene      C. Perform dipstick urinalysis for clients with risk factors for UTI      D. Limit the use of indwelling foley… Read More »

A child is undergoing remission induction therapy to treat leukemia. Allopurinol is included in the regimen. The main reason for administering allopurinol as part of the client’s chemotherapy regimen is to:         A. Prevent uric acid from precipitating in the ureters      B. Enhance the production of uric acid to ensure adequate excretion of urine… Read More »

You are preparing to care for a 6-year-old who has just undergone allogeneic stem cell transplantation and will need protective environment isolation. Which nursing tasks will you delegate to a nursing assistant? Select all that apply.         A. Teaching the client to perform thorough hand washing after using the bathroom.      B. Talking to the family… Read More »

The nurse is evaluating whether a nonprofessional staff understands how to prevent the transmission of HIV. Which of the following behaviors indicates the correct application of universal precautions?         A. An aide wears gloves to feed a helpless client.      B. A pregnant worker refuses to care for a client known to have AIDS.   … Read More »

A 10-year-old client contracted severe acute respiratory syndrome (SARS) when traveling abroad with her parents. The nurse knows she must put on personal protective equipment to protect herself while providing care. Based on the mode of SARS transmission, which personal protective equipment should the nurse wear?         A. Gloves      B. Gown and gloves   … Read More »

Jayson, 1-year-old child, has a staph skin infection. Her brother has also developed the same infection. Which behavior by the children is most likely to have caused the transmission of the organism?         A. Sharing pacifiers      B. Coughing on each other      C. Bathing together      D. Eating off the same plate          … Read More »

A 26-year-old client is diagnosed with scarlet fever. Which of the following is the most appropriate type of isolation for this client?         A. Airborne      B. Contact      C. Droplet      D. Standard           Correct Answer: Answer: C. Droplet. Scarlet fever is an infection caused by Group A Streptococcus bacteria. This bacteria lives… Read More »

A tuberculosis intradermal skin test to detect tuberculosis infection is given to a high-risk adolescent. How long after the test is administered should the result be evaluated?         A. Immediately      B. Within 24 hours      C. In 48 to 72 hours      D. After 5 days           Correct Answer: C. In… Read More »

Jessie, a young man with newly diagnosed acquired immune deficiency syndrome (AIDS) is being discharged from the hospital. The nurse knows that teaching regarding prevention of AIDS transmission has been effective when the client:         A. Verbalizes the role of sexual activity in the spread of the disorder.      B. States he will make arrangements… Read More »

A newly admitted client with streptococcal pharyngitis (tonsillitis) has been placed on droplet precaution. Which of the following statements indicates the best understanding of this type of isolation?         A. Must maintain a spatial distance of 3 feet      B. The client can be placed in a room with another client with measles (rubeola)      C. A… Read More »