A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit. The nurse manager should identify that which of the following nursing actions is a possible source of infection?

Wearing gloves when performing perineal care

Failing to don a mask when entering a client's isolation room

Cleansing visibly fecal-soiled hands with alcohol-based hand rub

Putting on a protective gown before entering a client's room

Answer and Explanation

The Correct Answer is C

Cleansing visibly fecal-soiled hands with alcohol-based hand rub is a possible source of infection because alcohol-based hand rubs are not effective against Clostridium difficile spores. The nurse should wash his or her hands with soap and water for at least 15 seconds after contact with fecal material or surfaces contaminated with feces.

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Correct Answer is B

Explanation

A client identifier is a unique piece of information that can be used to verify the identity of a client before providing care or services. Using client identifiers helps to prevent errors and ensure patient safety. A photograph is an example of a client identifier that can be used by the nurse to confirm that they are administering the medication to the right person.

A. "The client's age is part of the measurement." B. The scale measures six elements." C. "Each element has a range from one to five points. D. "The higher the score, the higher the pressure injury risk."

Correct Answer is B

Explanation

This response shows that the newly licensed nurse knows the components of the Braden scale, which are sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

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A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit. The nurse manager should identify that which of the following nursing actions is a possible source of infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?

Correct Answer is B

Explanation

A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who is to self-administer an ophthalmic solution. Which of the following statements by the client indicates an understanding of the teaching?

A nurse at a long-term care facility is providing change-of-shift report to an oncoming nurse about a client who has shingles. Which of following information should nurse include in report?

A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?

A nurse is providing end-of-life care for a client. Which of the following actions should the nurse take?

A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?

A nurse is speaking with the partner of a client who is unconscious and has a do-not resuscitate (DNR) order in place. The partner requests that CPR be performed if necessary. Which of the following responses should the nurse make?

A nurse is testing a client for conduction deafness by performing the Weber's test. Which of the following actions should the nurse take when performing this test?

A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)