NCLEX Questions Safety and Infection Control | Nurselytic

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NCLEX Questions Safety and Infection Control Questions

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Question 1 of 5

Discharge instructions for a client taking alprazolam (Xanax) should include which of the following?

Correct Answer: B

Rationale: Sudden cessation of any medication, unless medically necessary, is ill-advised.

Question 2 of 5

The nurse is caring for the client with a urinary catheter. Which interventions should the nurse implement to prevent a catheter-acquired UTI? Select all that apply.

Correct Answer: D,E

Rationale: D: Securing the catheter prevents urethral irritation, reducing UTI risk. E: Keeping the bag below bladder level prevents urine reflux. A: Hand rubs require 15-30 seconds. B: Routine changes increase risk. C: Larger catheters may be needed.

Question 3 of 5

A client has returned from a cardiac catheterization. Which one of the following findings would indicate the client is experiencing a complication from the procedure?

Correct Answer: C

Rationale: Loss of pulse in the extremity. Loss of the pulse in the extremity would indicate impaired circulation.

Question 4 of 5

The nurse has been teaching a client with congestive heart failure about proper nutrition. Which of these lunch selections indicates the client has learned about sodium restriction?

Correct Answer: B

Rationale: Sliced turkey sandwich and canned pineapple. Sliced turkey sandwich is appropriate since it is not a highly processed food and canned fruits are low in sodium. All of the other choices contain one or more high-sodium foods.

Question 5 of 5

An 85 year-old client complains of generalized muscle aches and pains. The first action by the nurse should be

Correct Answer: A

Rationale: assess the severity and location of the pain. Most older adults have 1 or more chronic painful illnesses, and in fact, they often must be asked about discomfort (rather than 'pain') to reveal the presence of pain. There is no evidence that pain of older adults is less intense, and it is necessary for the nurse to assess the pain thoroughly before implementing pain relief measures.

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As part of an infection-control policy, newly admitted clients are screened for possible undiagnosed or unsuspected infectious tuberculosis. Which questions should the nurse ask to accomplish this screening? Select all that apply.
The provider order reads 'Aspirate nasogastric (NG) feeding tube every 4 hours and check pH of aspirate.' The pH of the aspirate is 10. Which action should the nurse take?

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