Fundamentals VATI module study guide | Safety and Infection | Q&A | 17 PAGES

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Fundamentals of Nursing: Safety and Infection 1. A client has a new tracheostomy. Which of the following interventions should the nurse include when performing tracheostomy care? a. Remove soiled d... ressing with sterile gloves b. Clean the disposable inner cannula with hydrogen peroxide c. Change the tracheostomy ties when soiled d. Suction the trach before beginning care 2. A client has fallen in the bathroom. Which of the following is the priority nursing action? a. Notify HCP b. Asses LOC c. Assist the client back to bed d. Obtain client’s VS 3. A nurse is providing discharge education for a female client diagnosed with Chlamydia. Which statement made by the client would indicate the need for further instruction? a. I will return to the clinic in one month for re-screening b. I will refrain from sex until completion of abx c. Sx of reinfection may include yellow vaginal d/c d. Possible complications to monitor for include pelvic inflammatory disease 4. A nurse is caring for a client with a diagnosis of sepsis with a temperature of 40.8 C (105.5 F). The provider has ordered a cooling blanket. Which intervention is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)? a. Assess client’s skin for any reddening b. Bathe the client to keep the skin damp c. Report shivering by client d. Obtain a fan for the client’s use 5. A nurse is triaging clients following a mass casualty event. The nurse should place a client who has sustained fatal injuries in which of the following triage categories? a. Emergent category Class I b. Urgent class II c. Nonurgent class III d. Expectant class IV [Show More]

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