LPN exams safety and infection control practice questions set 11

Correct answer:

The correct answer is C: Implementation. This is because administering furosemide 40 mg IV push is a direct action taken by the nurse based on the planned interventions to manage the client's CHF symptoms. During the implementation phase, the nurse carries out the planned interventions to achieve the client's desired outcomes. A: Assessment is incorrect because administering medication is not part of the assessment phase, which involves gathering data about the client's condition. B: Planning is incorrect because administering medication is not part of the planning phase, which involves developing a care plan based on the assessment data. D: Evaluation is incorrect because administering medication is not part of the evaluation phase, which involves assessing the outcomes of the interventions implemented.

Correct answer:

Step-by-step rationale for why B is correct: 1. Kathleen Russell was a public health nurse leader in Canada. 2. She played a key role in establishing the first integrated basic nursing degree program in Canada. 3. Her leadership and advocacy for nursing education reform were instrumental in this achievement. Summary of why other choices are incorrect: A. Florence Nightingale is known as the founder of modern nursing, but she was not involved in establishing the first integrated basic nursing degree program in Canada. C. Edna Moore was a prominent nurse educator, but she did not have a direct role in establishing the specific program mentioned. D. Lillian Wald was a pioneer in public health nursing in the United States, not Canada, and was not associated with the establishment of the mentioned program.

Correct answer:

The correct answer is A because it focuses on addressing the issue of unfair task delegation and incomplete tasks in a professional and constructive manner. The charge nurse should discuss unit expectations with the staff nurse to clarify responsibilities and expectations. This approach promotes open communication, sets clear guidelines, and allows for mutual understanding and accountability. Option B is incorrect as it involves hearsay and does not address the issue directly. Option C is also incorrect as it threatens the staff nurse instead of providing guidance on how to improve. Option D is incorrect because it uses accusatory language and does not offer a solution to the problem. In summary, option A is the best choice as it promotes effective communication and problem-solving to resolve the conflict.

Correct answer:

The correct answer is C because it acknowledges the client's experience while also providing reassurance and reality orientation. By stating that the voices sound scary and attributing them to the illness, the nurse validates the client's feelings and offers a non-judgmental response. This approach helps build trust and rapport with the client, while also providing education about the nature of their symptoms. Choice A is incorrect because it focuses solely on medication adherence without addressing the client's concerns. Choice B is incorrect because it dismisses the client's experience and offers a blanket reassurance without addressing the delusional content. Choice D is incorrect because it oversimplifies the situation and does not provide therapeutic communication or support for the client's distress.

Correct answer:

Step-by-step rationale for why B is correct: 1. Validity in research refers to the accuracy of the measure in assessing what it intends to measure. 2. Accurate measures ensure that the data collected reflects the true characteristics of the variables being studied. 3. If a measure is not accurate, the results may be misleading or invalid. 4. Therefore, the accuracy of the measure (choice B) is crucial to ensure the validity of the research findings. Summary of why other choices are incorrect: A: The consistency of the measure (choice A) refers to reliability, not validity. C: The reliability of the sample (choice C) is related to replicability and stability, not validity. D: The degree to which data supports a hypothesis (choice D) relates to the strength of evidence, not the accuracy of the measure.

Correct answer:

The correct answer is A because overseeing facility security is a primary role of the security department in a hospital's emergency operations plan. Security personnel are responsible for ensuring the safety and security of the hospital premises, patients, and staff during emergencies. Choice B, lockdown of the facility, is sometimes a joint effort between security and other departments, but it is not solely the responsibility of the security department. Choice C, managing people entering and leaving the hospital, is typically the role of hospital staff or emergency management personnel, not exclusively security. Choice D, developing or refining the hospital's emergency operations plan, is usually the responsibility of the emergency management team or a specific committee, not the security department.

Correct answer:

The correct answer is B. Children are more susceptible to environmental toxins because of their smaller body size, higher metabolic rate, and developing organ systems. Children have higher exposure to toxins relative to their body weight, making them more vulnerable to adverse health effects. This increased susceptibility can lead to various health issues and developmental problems. Choice A is incorrect because the prevalence of autism is a complex issue with multiple factors involved, including genetic and environmental factors. While environmental toxins may play a role in autism, it is not the sole cause. Choice D is incorrect because the incidence of asthma among children has actually been increasing in recent years, likely due to various environmental factors such as air pollution and allergens.

Correct answer:

The correct answer is B: Assessing a client who experiences unilateral calf pain when ambulating. This is the priority action because unilateral calf pain can be a sign of deep vein thrombosis (DVT), a potentially life-threatening condition. The nurse should assess the client immediately to rule out DVT and prevent complications. Choice A is incorrect because taking a telephone prescription can be delegated to another qualified staff member, and it is not an urgent priority. Choice C is incorrect because reinforcing a dressing for an above-the-knee amputation, while important, is not as urgent as assessing for a potential DVT. Choice D is incorrect because reassuring the partner of a client with a closed head injury, while supportive, is not the priority compared to assessing a client with potential DVT.

Correct answer:

The correct answer is A. The staff nurse should first directly address the inappropriate behavior with the hiring manager. By clearly stating that the conduct causes discomfort and requesting it to stop immediately, the nurse sets clear boundaries and asserts their rights. This action establishes a record of the nurse's response to the misconduct and gives the hiring manager the opportunity to rectify the situation. It also empowers the nurse to advocate for themselves in a professional manner. Summary: - B: Reporting to the nurse manager can be done after addressing the hiring manager directly. - C: Creating a written document can be important but should follow direct communication. - D: Seeking help from a friend can provide support but should not replace direct confrontation with the hiring manager.

Correct answer:

The correct answer is C because collaborating with a client while developing a nursing care plan empowers the client to actively participate in decision-making about their own care, respecting their autonomy. This intervention allows the client to express their preferences, values, and needs, leading to a more individualized and client-centered approach. A: Establishing client-centered goals is important but doesn't necessarily demonstrate direct commitment to client autonomy as it may not involve active collaboration with the client. B: Assessing for complications is essential for client safety but doesn't directly involve the client in decision-making. D: Encouraging ambulation is beneficial for patient recovery but may not fully engage the client in the decision-making process regarding their care.