Question 1

Which of the following devices are inconsistent with the nurse's knowledge of types of restraint devices? (Select all that apply.)

Accepted Answer

A stroller seat belt, one side rail, and devices applied temporarily to immobilize the client during medical, dental, diagnostic, or surgical procedures are not considered as restraints. The thumbless mitten is a restraint.

Question 2

A nurse needs to transfer a client from a bed directly onto a stretcher. The client weighs 274 pounds (124.54 kg). Which of the following are appropriate options for the nurse gather prior to performing this transfer? (Select all that apply.)

Accepted Answer

To transfer a client who weighs >200 pounds safely from a bed to a stretcher, the nurse would choose a ceiling lift with sling, a mechanical lateral transfer device, or an air-assisted device and 3 caregivers. 1 to 2 caregivers, a friction-reducing device, and the lateral transfer board would all be appropriate for a client weighing under 200 pounds (90.0 kg). Since the client is not standing on the floor, the nonskid slippers are not needed.

Question 3

The charge nurse is conducting an audit on compliance with Transmission-Based Precautions. Which action by the nursing staff shows good understanding and correct application of these precautions? (Select all that apply.)

Accepted Answer

Transmission-based precautions are determined by the illness and mode of transmission. The minimum required for Contact Precautions is donning gloves and a gown when entering the room. Nurses always use Standard Precautions for every client, no matter what other type of precautions the client is on. Nurses put on a mask when entering the room of a client on Droplet Precautions if close contact with the client is expected, such as when taking vital signs. When a client has two (or more) levels of Transmission-based Precautions, nurses correctly maintain compliance with all types. While private rooms are preferred for clients on Transmission-Based Precautions, cohorting clients with the same infectious agent is acceptable. Immunity is an important consideration for nurses caring for clients on Airborne Precautions.

Question 4

What does the nurse remember about appropriate hand hygiene? (Select all that apply.)

Accepted Answer

The CDC and WHO have concluded that alcohol-based hand sanitizers are the gold standard for hand hygiene and should be used whenever possible and appropriate. After using the toilet, if hands are visibly soiled, or after contact with certain microbes, washing with soap and water is required. The presence of hand sanitizers has increased the frequency of hand hygiene performed.

Question 5

Which of the following are Joint Commission accepted unique client identifiers in a hospital? (Select all that apply.)

Accepted Answer

In the hospital setting, acceptable identifiers include the client's name, date of birth, and account number. In a behavioral healthcare setting, a photograph may be used. In an outpatient setting, the social security is an acceptable choice.

Quiz 1: Foundations of Safe Client Care

Which of the following devices are inconsistent with the nurse's knowledge of types of restraint devices? (Select all that apply.)

A nurse needs to transfer a client from a bed directly onto a stretcher. The client weighs 274 pounds (124.54 kg) . Which of the following are appropriate options for the nurse gather prior to performing this transfer? (Select all that apply.)

The charge nurse is conducting an audit on compliance with Transmission-Based Precautions. Which action by the nursing staff shows good understanding and correct application of these precautions? (Select all that apply.)

What does the nurse remember about appropriate hand hygiene? (Select all that apply.)

Which of the following are Joint Commission accepted unique client identifiers in a hospital? (Select all that apply.)