A nurse is caring for one patient who has the flu and another patient who has congestive heart failure. What is the best way for the nurse to prevent the spread of infection?

Isolating herself from the patient

Washing her hands

Asking for a new assignment

Wearing a mask

Answer and Explanation

The Correct Answer is B

A. Isolating herself from the patient: Isolation of the nurse is unnecessary and not an effective way to prevent the spread of infection. Nurses are trained to provide care while using proper infection control practices, such as hand hygiene and protective equipment.

B. Washing her hands: Hand hygiene is the most effective method to prevent the spread of infections. Proper hand washing before and after patient contact reduces the risk of transmitting pathogens, including those associated with the flu and other infections.

C. Asking for a new assignment: Requesting a new assignment does not address the prevention of infection spread. Nurses are trained to follow safety protocols, including using personal protective equipment (PPE) and practicing good hygiene to protect both patients and themselves.

D. Wearing a mask: While wearing a mask can help prevent the transmission of respiratory droplets, it is not sufficient on its own. Hand hygiene remains the most important and effective strategy for preventing the spread of infections.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. stage 4 pressure injury: A stage 4 pressure injury involves full-thickness skin and tissue loss with exposed bone, tendon, or muscle, which is beyond subcutaneous tissue damage. These wounds may also include undermining or tunneling and carry a high risk for infection.

B. stage 3 pressure injury: Stage 3 pressure injuries involve full-thickness skin loss that extends into the subcutaneous tissue but does not expose bone, tendon, or muscle, aligning with the description of the wound. This stage may also include slough, undermining, or tunneling.

C. stage 2 pressure injury: A stage 2 injury involves partial-thickness skin loss with exposure of the dermis, typically presenting as a shallow open ulcer, not reaching subcutaneous layers. It may also appear as an intact or ruptured serum-filled blister.

D. stage 1 pressure injury: Stage 1 is characterized by non-blanchable erythema of intact skin without any tissue loss or damage to deeper layers.

A. If connected to suction, do not reconnect to suction for 5 minutes after drug administration. B. Administer the medication at a cold temperature C. Position the client supine prior to administering the drug D. Flush the tube with water between each drug administered

Correct Answer is D

Explanation

A. If connected to suction, do not reconnect to suction for 5 minutes after drug administration: The nurse should actually clamp or disconnect suction during and for at least 30 minutes after administration to allow absorption, so 5 minutes is insufficient.

B. Administer the medication at a cold temperature: Medications should be administered at room temperature to prevent gastric discomfort or cramping. Cold medications can cause nausea or spasms.

C. Position the client supine prior to administering the drug: The client should be positioned upright or with the head of the bed elevated (at least 30–45 degrees) to reduce risk of aspiration during administration.

D. Flush the tube with water between each drug administered: Flushing the nasogastric tube with water before, between, and after medications prevents clogging and ensures proper delivery of each drug and helps prevent drug incompatibilities.

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A nurse is caring for one patient who has the flu and another patient who has congestive heart failure. What is the best way for the nurse to prevent the spread of infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The wound care clinical nurse specialist has been consulted to evaluate a wound on the leg of a client with diabetes. The wound care nurse determines that damage to the subcutaneous tissues has occurred. How would the nurse document this wound?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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