Review Nursing Safety and Infection Control related questions and content
A client is diagnosed with Meniere's disease. Which nursing diagnosis would take priority for this client?
A. risk for injury
B. disturbed body image
C. low self-esteem
D. impaired skin integrity
Correct Answer: A
Rationale: Meniere's disease causes vertigo and balance issues, increasing the risk of falls and injury, making 'risk for injury' the priority nursing diagnosis. Options B, C, and D are less immediate concerns.
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A home health nurse is visiting a client who is due for a dressing change for a diabetic foot ulcer. While at the client's home, the nurse notes open cleaning products sitting on the counter next to a plate of chicken. Which is the best response by the nurse?
A. notify the health care provider about the hazardous conditions found in the client's home
B. explain to the client that this situation is unsafe, then offer to check her home for other hazards she may not be aware of
C. perform the dressing change without commenting on the chemicals, then notify social services to intervene
D. do not say anything; the nurse is there to address the client's dressing change and not criticize the client's housekeeping
Correct Answer: B
Rationale: Educating the client and offering to check for hazards promotes safety while maintaining respect.
A nurse is preparing to administer IV Rocephin for infection to a client. The client has a central venous line infusing blood but no other IV access. The blood still has 30 minutes left to infuse. The Rocephin is due now. How should the nurse proceed?
A. hold the Rocephin since it will be too late to give it after the blood completes infusing
B. draw up the Rocephin in a syringe after reconstitution and inject it into the blood bag so it can infuse with the blood
C. stop the blood, flush the line with 0.9% NS, administer the Rocephin, and then flush the line with the NS before restarting blood
D. allow the blood to finish infusing before giving Rocephin; the Rocephin will be administered during an acceptable time frame for 'on time' administration
Correct Answer: C
Rationale: Stopping the blood, flushing, administering Rocephin, and restarting ensures safe administration without mixing medications or delaying treatment.
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