Which of the following is NOT an essential component of a restraint order?

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Infection Control Nursing Questions

Question 1 of 5

Which of the following is NOT an essential component of a restraint order?

Correct Answer: A

Rationale: Correct Answer: A - Informed consent for the restraint Rationale: Informed consent is not required for a restraint order as it involves restricting a person's freedom for their own safety or the safety of others. Consent may not be possible or appropriate in emergency situations. The other components are essential to ensure the restraint is necessary, safe, and specific to the situation. The reason for the restraint, the type of restraint to be used, and the client behaviors that necessitated the restraints help in ensuring the appropriate use of restraints.

Question 2 of 5

The nurse assesses the following data from a patient with diabetes mellitus who is 4 days postoperative for repair of an abdominal aortic aneurysm. Which assessment finding is of greatest concern for the nurse?

Correct Answer: B

Rationale: The correct answer is B: Temperature 38.5o C (101.4o F). A postoperative patient with diabetes mellitus is at higher risk for infection due to impaired immune function. A temperature of 38.5o C indicates a possible infection, which is concerning postoperatively. High fever can indicate sepsis, a life-threatening condition. A: Vesicular breath sounds in the lung bases are normal lung sounds and not indicative of immediate concern in this scenario. C: Incisional pain rating of 6 out of 10 is expected postoperatively and can be managed with appropriate pain medication. D: Blood glucose of 164 mg/dL is slightly elevated but not the primary concern in this postoperative patient with diabetes mellitus.

Question 3 of 5

A nurse is working with a patient who has a contagious condition. In recalling the chain of infection, the nurse knows that an environment favorable for the growth and reproduction of an infectious agent is referred to as ____.

Correct Answer: C

Rationale: The correct answer is C: a reservoir. A reservoir is an environment where infectious agents can live and multiply. In this case, the contagious condition of the patient indicates that there is a source from which the infection is spreading. A reservoir can be a person, animal, plant, soil, or inanimate object. It provides a conducive environment for the infectious agent to survive and thrive. A: A vector refers to an organism that transmits an infectious agent to a host, like a mosquito transmitting malaria. B: A portal of entry is the route through which an infectious agent enters a host's body, like a cut in the skin. D: A susceptible host is an individual who is at risk of developing an infection, but it does not refer to the environment where the infectious agent grows and multiplies.

Question 4 of 5

A nurse working an overnight hospital shift is administering medications to her patients. Which of these is the most important thing to do prior to giving medications to her patients?

Correct Answer: C

Rationale: The correct answer is C. The nurse should identify the patient by name and date of birth on the patient's wristband and match it to the medication order. This is crucial for patient safety to ensure the right medication is given to the right patient. Matching the patient's information on the wristband with the medication order helps prevent medication errors. Option A only identifies the patient by name and room number, which may not be sufficient to ensure accuracy. Option B focuses on the room and bed number, which is less critical than confirming the patient's identity. Option D relies solely on asking the patient for their name, which is not as reliable as checking the wristband. Matching the patient's information on the wristband is the best practice to prevent medication errors and ensure patient safety.

Question 5 of 5

Which of these is the correct order of events a nurse should follow when applying personal protective equipment (PPE)?

Correct Answer: D

Rationale: The correct order of events when applying PPE is crucial for infection control. Starting with handwashing removes potential contaminants. Gowning before mask and eye protection prevents contamination of the face. Eye protection comes before gloves to avoid self-contamination. Gloves are the last item to be put on to minimize the risk of touching contaminated surfaces. Therefore, the correct order is handwashing, gown, mask, eye protection, and gloves. Other choices are incorrect because they do not follow the proper sequence for maximum protection.

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