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NCSBN Test Bank, All Questions and answers. Comprehensive Rationale provided. Latest 2022.

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NCSBN Test Bank, All Questions and answers. Comprehensive Rationale provided. Latest 2022. Standard precautions also includes respiratory/cough etiquette True or False - Ans-True Standard precaut... ions are used to reduce the risk of transmission of bloodborne and other pathogens from both recognized and unrecognized sources. Respiratory hygiene/cough etiquette is now considered part of standard precautions The nurse is making patient room assignments. In order to minimize the risk of a hospital acquired infection, which of these children would be the most appropriate roommate for a 3-year-old child diagnosed with minimal change disease a. 3 year old with fracture, with a sibling that has Fifth disease b. 2 year old diagnosed with respiratory infection c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis d. 4 year old with bilateral inguinal hernia repair - Ans-d. 4 year old with bilateral inguinal hernia repair Minimal change disease is a kidney disorder that can lead to nephrotic syndrome. Corticosteroids can cure the disease in most children but cytotoxic therapy and other drugs may be needed, but this treatment can reduce the child's ability to fight infection. The charge nurse must select a roommate who does not have an infection, which is the child child who had surgery. The sickle cell crisis may have triggered an infection. The child's sibling who has a viral disease has the potential to develop an infection. The nurse is setting up a patient's dinner tray. When the nurse turns her back to the patient, the patient grabs the nurse's buttocks and states that he is hungry for much more than dinner. Which of the following response by the nurse is indicated? a. ignore the behaviorb. call the HCP c. quickly leave the room and ask UAP to assist the patient d. complete an incident report - Ans-d. complete an incident report To keep the therapeutic relationship intact, a nurse needs to set limits on appropriate behavior and not ignore bad behavior. Sexual harassment is a form of violence and is never part of the job. The nurse should report the incident to her supervisor and complete an incident report. The nurse has the right to ask not to be assigned to this patient. Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg true or false - Ans-True During any patient transferring task, if any caregiver is required to lift a patient who weighs more than 35 lbs/15.9 kg, then the patient should be considered fully dependent, and assistive devices should be used for transfer If a draining wound tests positive for MRSA, the patient is placed on contact precautions True or False - Ans-True Patients with abscess or draining wounds who tests positive for MRSA are placed on contact precautions Hands can be cleaned with alcohol-based hand rub after caring for a patient with C. diff True or False - Ans-False Alcohol does not kill C diff spores and soap and water should be used for hand hygiene as recommended by CDC Disaster triage differs from route emergency department triage True or False - Ans-TrueDisaster triage categories range from most urgent (first priority), urgent, nonurgent (the walking wounded), and dead/catastrophic/coma. Newborns are fitted with tamperproof security sensors during their stay at the hospital True or False - Ans-True Wearing a tamper proof safety device reduces the risk of abduction. The sensor shows the location of the infant and the security system can activate other devices (such as cameras, door locks, public address systems, sirens, and other alarms) in the event of an attempted abduction Restraints can be ordered prn by health care providers True or False - Ans-False HCP are required to specify duration and circumstances for which restraints are required and for how they should be used. Nurses and HCPs must frequently monitor patients to reassess for the continued need for restraints. Sensor pads may be used on beds of individuals who are a fall risk True or False - Ans-True Bed alarms and sensor pads can be used to alert caregivers when a patient is attempting to get up from a bed or chair, especially for a patient that is at risk for a fall. This is an effective alternative to the use of restraintts The 3 elements of radiation protection are time, duration, and shielding True or False - Ans-True The farther away people are from a radiation source, the less their exposure; as a rule, if you double the distance, you reduce the exposure by a factor of four. The amount of radiation exposure typically increases with the time people spend near the source of radiation You should quickly remove contaminated clothing by pulling it over your headTrue or False - Ans-False Contaminated clothing should never be removed quickly, but it should be cut off instead of pulled over your head. place contaminated clothing inside a plastic bag, seal the bag, and then place inside another plastic bag The paramedics are transporting a poisoning victim to the local hospital. In which of these cases does the nurse anticipate that hyperbaric O2 therapy will be used? a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam b. 21 yo with suspected ethanol intoxication c. 35 yo found unconscious with suspected CO poisoning 2 yo who ate an undetermined amount of crystal drain cleaner - Ans-c. 35 yo found unconscious with suspected CO poisoning CO poisoning is the leading cause of poisoning in the US. It causes severe hypoxia which is why treatment includes high-dose oxygen. In severe poisoning, hyperbaric O2 therapy may be used. Treatment for: -crystal drain cleaner and diazepam may include gastric lavage and/or activated charcoal -alcohol intoxication may include gastric lavage, IV fluids, and supportive care [Show More]

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