Safety and Infection Control QuestionDifficulty
Your patient has been admitted for a stroke. He was not a candidate for tPA. His vitals and neurological exams have been stable. He has a follow-up CT scan of his head ordered for tomorrow, orders to see PT/OT, and for sequential compression devices to be placed. He has requested a glass of water. What is your priority right now?...
Your patient is 38 weeks pregnant with eeclampsia and just starting exhibiting seizure activity. Which of the following is not a priority intervention during this time?...
You are assessing to see if your patient with mild preeclampsia has progressed to severe preeclampsia. Which of the following would be associated with this disease process progression? Select all that apply....
You just recieved a call from the lab to tell you that your patient who has been having diarrhea is positive for clostridium difficile and the appropriate isolation precautions need to be ordered and implemented as soon as possible. What isolation precautions will be necessary for this patient? Select all that apply....
Your patient is confused and keeps getting up out of bed. He is an elderly man from a nursing home with mild baseline dementia and a current urinary tract infection. His family was here during the day, but have left for the evening. He redirects and reorients easily, but does easily forget where he is. Which of the following would NOT be an appropriate safety measure for this patient? Select all that apply....
You are training a new nurse on caring for an infant recieving phototherapy for hyperbilirubinemia. Which of the following statements by the new nurse indicates further education is necessary?...
You are working in labor and delivery. Your patient has been in labor for 9 hours. She put on her call light and said that she needs to speak to her nurse immediately. You go into the room and complete an assessment. You immediately noted the baby’s shoulder as the presenting part with the umbilical cord under it. You have called for assistance from your colleagues, one of whom is emergently notifying the MD. Which of the following interventions is NOT something you should do in this situation?...
Your patient is a woman who is 36 weeks pregnant with severe preeclampsia. You have been monitoring her very closely and she was started on magnesium sulfate. However, she just had a seizure. You addressed the seizure appropriately and notified the physician. She is no longer exhibiting seizure activity and is stable. What is your next priority?...
You are discharging your patient who was diagnosed with a hydatiform mole and just had it removed. The procedure went well. You are educating her on the follow-up care required for this. Which of the following would be most appropriate to explain to this patient?...
Your patient just had a hydatiform mole removed. You are caring for her just after the procedure. She is very emotional and upset about the entire situation. She currently recieving oxytocin and IV fluids. What is your priority at this time?...
Your patient is a 31 year old female who just delivered a healthy 7lb 8 oz baby boy. The delivery was assisted by forceps. Which of the following statements by the mother in the postpartum period is most concerning?...
You are working in an OB outpatient client. A patient who is 10 weeks pregnant has come in with the following symptoms: abdominal pain, shoulder pain, vaginal bleeding. You promptly notify the physician of her symptoms because you know what she is experiencing could be a medical emergency. What diagnosis do you anticipate the physician making?...
Your 32 year old patient is 32 weeks pregnant with her first child. She was admitted for sepsis, but now the MD believes she has disseminating intravascular coagulation. Which of the following lab values would you expect to see with this patient?...
Your patient just had an amniocentesis completed approximately 48 hours ago. She is presenting to the ED with symptoms of chorioamnionitis. Which of the following is the priority at this time, considering the suspected diagnosis?...
Your patient just had an amniocentesis completed approximately 48 hours ago. She is presenting to the ED with symptoms of chorioamnionitis. Which of the following would you NOT expect to see this patient exhibit....
Your patient is here to deliver her 2nd child. She is at 39 weeks gestation and has been anemic during the majority of her pregnancy. Which of the following is your biggest concern for this patient?...
You have learned that the patient you are admitting to your unit is addicted to alcohol. Which of the following questions is the priority at this time?...
You are in the emergency department taking care of a patient with delirium tremors and severe alcohol withdrawal. Which question is the priority as you are getting your assessment on them?...
Your 52 year old patient is in behavioral health because he went off of his medications for his schizophrenia. He appears as if he is talking to someone who is not there. You asked who he is talking to. He responded by saying, “Cheryl. She’s right here.” No one is there. What is the most appropriate response with the highest priority?...
Your patient has been diagnosed with Hepatitis A. Which of the following teaching methods is most important to prevent reoccurance this particular type of Hepatitis?...