The nurse and the student nurse are caring for two different patients on the medical-surgical unit. One patient is in airborne precautions, and one is in contact precautions. The nurse explains to the student different interventions for care. Which information will the nurse include in the teaching session? (Select all that apply.)

Apply the knowledge the nurse has of the disease process to prevent the spread of microorganisms.

Dispose of supplies to prevent the spread of microorganisms.

Check the working order of the negative-pressure room for the airborne precaution patient on admission and at discharge.

Wash hands before entering and leaving both of the patients' rooms.

Be consistent in nursing interventions since there is only one difference in the precautions.

Have patients in airborne precautions wear a mask during transportation to other departments.

Answer and Explanation

Correct Answer : A,B,C,D,F

A. Applying knowledge of disease processes is essential in preventing the spread of infections and understanding transmission routes.

B. Proper disposal of supplies is crucial in minimizing the risk of cross-contamination and infection spread.

C. Checking the negative-pressure system is critical to ensure it functions properly to contain airborne pathogens.

D. Hand hygiene is a key practice in preventing infection and should be performed before and after patient contact in both scenarios.

E. This statement is misleading; while some precautions may overlap, there are specific differences that must be addressed in interventions for airborne versus contact precautions.

F. It is important for patients in airborne precautions to wear a mask during transportation to prevent the spread of infectious particles.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A. Increased cholesterol levels are not directly related to garlic intake or the effects of warfarin.
B. Distended jugular veins may indicate fluid overload or heart failure but are not a direct concern related to warfarin and garlic interaction.
C. Garlic can enhance the anticoagulant effect of warfarin, increasing the risk of bleeding; therefore, monitoring for signs of bleeding is crucial.
D. Angina is not a direct consequence of the interaction between garlic and warfarin and does not specifically relate to the assessment for this patient.

A. Encourage the patient to perform as many self-care activities as possible. B. Place the patient on bed rest to prevent fatigue. C. Coordinate with occupational therapy for gait training. D. Provide a complete bed bath to promote patient comfort.

Correct Answer is A

Explanation

A. Encouraging self-care helps promote independence and functional recovery in stroke patients, supporting rehabilitation and enhancing self-esteem.
B. Bed rest is not recommended as it can contribute to muscle deconditioning and complications associated with immobility.
C. While coordination with therapy is beneficial, gait training is typically handled by physical therapy rather than occupational therapy.
D. Providing a complete bed bath limits the patient’s autonomy; encouraging partial participation supports the patient's involvement in self-care.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a patient prescribed warfarin discovers that the patient is taking garlic to help with hypertension. Which condition will the nurse assess for in this patient?

Correct Answer is C

Explanation

The nurse is caring for an older-adult patient who has been diagnosed with a stroke. Which intervention will the nurse add to the care plan?

Correct Answer is A

Explanation

A 17-year-old patient, dying of heart failure, wants to have organs removed for transplantation after death. Which action by the nurse is correct?

A patient requires repositioning every 2 hours. Which task can the nurse delegate to the nursing assistive personnel?

A patient has experienced a myocardial infarction. On which primary blood vessel will the nurse focus care to reduce ischemia?

The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)

A nurse teaches a patient about atelectasis. Which statement by the patient indicates an understanding of atelectasis?

Which patients will the nurse determine are in most need of regular perineal care? (Select all that apply.)

While the nurse is taking a patient history, the nurse discovers the patient has a type of diabetes that results from a head injury and does not require insulin. Which dietary change should the nurse share with the patient?

A patient is receiving vancomycin. Which physiological function is the priority for the nurse to assess?