A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

"I will rinse the contaminants from a bedpan with hot water."

"I will wear sterile gloves when bathing a client who is incontinent."

"I will use disinfectant to clean the blood pressure cuff after use on a client."

"I will double-bag a client's linens each day."

Answer and Explanation

The Correct Answer is C

A)   "I will rinse the contaminants from a bedpan with hot water." - While rinsing with hot water can help clean a bedpan, it does not effectively disinfect it.

B)   "I will wear sterile gloves when bathing a client who is incontinent." - Sterile gloves are not necessary for routine bathing tasks; clean, non-sterile gloves are appropriate.
C)   "I will use disinfectant to clean the blood pressure cuff after use on a client." - This statement indicates an understanding of the importance of disinfection to prevent the spread of infection.
D)   "I will double-bag a client's linens each day." - Double-bagging linens may be unnecessary and does not directly address infection control principles.

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Correct Answer is C

Explanation

A) The stoma protrudes slightly from the abdomen. - A slightly protruding stoma is a normal finding following colostomy surgery and does not require reporting.
B) The stoma bleeds lightly when touched. - Minor bleeding may occur, especially in the immediate postoperative period, and typically resolves without intervention.
C) The stoma appears dark in color. - A dark or dusky stoma may indicate compromised blood supply and should be reported promptly to the provider.
D) The stoma is draining a small amount of liquid stool. - Stoma output varies among individuals and can include liquid stool, which is a normal finding post-colostomy surgery.

A. Request a change in the medication route to PO. B. Remind the client that they must receive the medication as prescribed. C. Tell the client not to worry because the pain will be temporary. D. Ask one of the client's loved ones to encourage them to receive the IM

Correct Answer is A

Explanation

A) Request a change in the medication route to PO. - If the client is afraid of needles, and if methadone can be effectively administered orally (PO), changing the route of administration to oral may be a reasonable alternative.
B) Remind the client that they must receive the medication as prescribed. - While important to ensure adherence to the prescribed treatment, it's also essential to address the client's concerns and preferences.
C) Tell the client not to worry because the pain will be temporary. - Dismissing the client's fear with reassurance about temporary pain may not adequately address their anxiety.
D) Ask one of the client's loved ones to encourage them to receive the IM medication.

- Involving loved ones may be helpful, but the client's preference should be respected, and alternative options should be explored.

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A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid of needles." Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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