Make 4 NCLEX-style stand-alone questions written at an NCLEX-level (Bloom’s

The patient has a large midline abdominal inci- 22. What is a rationale for the consistent use of sion. With the specific purpose of reducing a Standard Precautions? (164) possible reservoir of infection, the patient care 1. CDC recommends that health care work- technician: (160) ers use “universal blood and body fluid 1. wears gloves and mask at all times. 2. Precautions.” isolates the patient’s personal articles. 2. 3. It is difficult to accurately identify all has the patient cover mouth and nose patients infected with blood-borne when coughing. pathogens. 4. changes the dressing when it becomes Studies show that infection rates are unaf- soiled. fected by use of protective measures. 4. Hand hygiene, gloves, masks, eye protec- 19. A patient with rubella needs to be transported tion, and gowns are appropriate for patient to the x-ray department. What should the pa- contact. tient care technician do to prepare the patient for transport? (Box 9-8, Figure 9-6) 1. Advise the patient to immediately wash hands after returning from the procedure. 2. Call the x-ray department and inform them to wear gloves at all times. 3. Dress the patient in an isolation gown and then apply a mask 4. Instruct the patient to wear a mask and follow cough etiquette. 23. Which patient needs to be placed into contact precautions? (Table 9-8) 1. One who has a draining wound colonized with multidrug-resistant bacteria 2. One who has cancer and is currently leukopenic 3. One who has meningitis caused by invasive Neisseria meningitidis 4. One who has tuberculosis caused by Mycobacterium tuberculosis 20. When caring for a patient with tuberculosis who is on airborne precautions, the patient care technician should routinely use: (Box 9-8) 1. regular mask and eyewear. 2. gown and gloves. 3. surgical handwashing and gloves. 4. particulate respirator mask. 24. With which patient might you have the most difficulty maintaining a sterile technique throughout the procedure? (163) 1. 4-month-old infant who is crying and up-set, but needs routine immunization 30-year-old woman who is obese and confused needs a Foley catheter inserted 21. The patient care technician is aware that the 3. 50-year-old man is continuously cough- body has normal defenses against infection. ing and needs a dressing change on upper One of the defense mechanisms is an acidic chest environment. Which medication can affect the 4. 15-year-old cheerful patient with Down syndrome “wants to help” insert the IV acidic environment? (Table 9-2) 1. ciprofloxacin (Cipro) 2. aluminum/ magnesium antacid (Mylanta) 3. doxycycline (Vibramycin) 4. chlorhexidine gluconate (Hibiclens)

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