When giving medications, the nurse will use Standard Precautions, which include what action?

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Fundamentals of Nursing Medication Administration Questions Questions

Question 1 of 5

When giving medications, the nurse will use Standard Precautions, which include what action?

Correct Answer: D

Rationale: Standard Precautions include wearing clean gloves when there is potential exposure to a patient’s blood or other body fluids; never recapping needles; never bending needles or syringes; and discarding all disposable syringes and needles in the appropriate puncture-resistant container.

Question 2 of 5

(Incomplete question, assumed: Which of these medications contains sulfa?)

Correct Answer: B

Rationale: Acetazolamide is a sulfonamide ('sulfa') drug, commonly used as a diuretic or for glaucoma, and can cause allergic reactions in patients with sulfa allergies. Acetohexamide is also a sulfonamide but less commonly used today. Hydralazine and hydroxyzine do not contain sulfa. Based on typical nursing focus, acetazolamide is likely the intended answer.

Question 3 of 5

A nurse is applying a dressing to a wound that has moderate to heavy exudate. Which of the following types of dressing would be most appropriate for this wound?

Correct Answer: D

Rationale: Alginate dressing is a type of dressing that is made from seaweed fibers and is highly absorbent. It is suitable for wounds that have moderate to heavy exudate, as it can absorb up to 20 times its weight in fluid. It also forms a gel-like substance when in contact with wound fluid, which creates a moist environment that facilitates wound healing and autolytic debridement.

Question 4 of 5

A nurse is assessing a client with a pressure ulcer on the sacrum. Which finding indicates a potential complication of the wound?

Correct Answer: C

Rationale: Foul odor from the wound may indicate an infection or necrotic tissue, which can impair wound healing and increase the risk of sepsis. The nurse should notify the provider and obtain a wound culture if indicated.

Question 5 of 5

A nurse is caring for a client who has undergone a skin graft to cover a burn injury on the right arm. Which intervention should the nurse include in the plan of care to promote graft adherence?

Correct Answer: C

Rationale: Immobilizing the right arm with a splint or sling helps to prevent movement and shear forces that can dislodge or damage the graft. The nurse should also avoid applying pressure or friction to the graft site.

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