NCLEX Questions on Safety and Infection Control | Nurselytic

Questions 19

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NCLEX Questions on Safety and Infection Control Questions

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Question 1 of 5

A college student is hospitalized with meningococcal meningitis after being seen in the campus clinic. What is the nurse's responsibility to the campus community regarding this diagnosis?

Correct Answer: C

Rationale: C: Identifying close contacts allows targeted prophylaxis, preventing spread. A: Quarantine is excessive. B: Sharing names violates privacy. D: Prophylaxis is only for close contacts.

Question 2 of 5

A client with amyotrophic lateral sclerosis has a percutaneous endoscopic gastrostomy (PEG) tube for the administration of feedings and medications. Which nursing action is appropriate?

Correct Answer: D

Rationale: Flush adequately with water before and after using the tube. Flushing the tube before and after use not only provides for good tube maintenance, it is flushing that moves medications through. Not all medications should be crushed, for example sustained release preparations should not be cut or pulverized. Stagnant liquids are reduced by flushing after tube use. Cleansing is important, but soap and water are sufficient without the added irritation of hydrogen peroxide.

Question 3 of 5

A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client may need suctioning?

Correct Answer: D

Rationale: Restlessness. Restlessness, increased heart and respiratory rates, and noisy expiration suggest hypoxia and are indications for suctioning.

Question 4 of 5

A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void?

Correct Answer: C

Rationale: When a male is not able to use a urinal unassisted, the client should stand by the side of the bed to void. This is the most desirable position for normal voiding for male clients. Also, given his age, he most likely has some degree of prostate enlargement which may interfere with voiding.

Question 5 of 5

Which of these food choices, if selected by a client with diarrhea, would indicate the need for further teaching about dietary management?

Correct Answer: A

Rationale: Orange juice is contraindicated for a client with diarrhea because it increases the motility of the gastrointestinal tract.

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