Kontrola zakażeń i bezpieczeństwo pacjenta: karta pracy z odpowiedziami

According to the ISMP (US) list of error-prone abbreviations, how should the route “subcutaneous” be written in a medication order?

1. AAs “SC”
2. BAs “sub-Q” with a plus sign
3. CAs “SQ”
4. DAs “subcut” or “subcutaneously”

Under US OSHA rules, how often must a health care worker be fit-tested for a tight-fitting respirator such as an N95?

1. AOnly after the worker has an exposure
2. BAt least once a year, and when the model changes
3. CEvery five years, at license renewal
4. DOnce only, when the worker is first hired by the hospital

Which vaccine is offered to health care workers mainly because of their risk of exposure to blood?

1. AHepatitis B vaccine
2. BRabies vaccine
3. CTyphoid vaccine
4. DYellow fever vaccine

A patient has received oral radioactive iodine therapy. Which precaution is usually taken?

1. APlace the patient on droplet precautions with a surgical mask
2. BLimit time close to the patient and handle body fluids per radiation policy
3. CEncourage pregnant visitors to sit close to the patient to give emotional support
4. DLet the patient share a bathroom with other patients

The laboratory calls with a critical lab result by phone. What should the nurse do?

1. ATell the patient the result first and then call the provider
2. BRemember the value and enter it in the chart at the end of the shift
3. CWait for the printed report to arrive before telling the provider about it
4. DWrite it down, read it back to confirm and report it to the provider promptly

A patient walking with a gait belt suddenly starts to fall. What should the nurse do?

1. AHold the belt, widen the stance and ease the patient gently to the floor
2. BLet go of the belt and run to call for help
3. CGrab the patient under both arms and try hard to keep them standing up
4. DPull the patient backwards quickly toward the bed

An 82-year-old patient is prescribed diphenhydramine at bedtime for sleep. Why should the nurse raise this with the prescriber?

1. AIt is strongly anticholinergic and can cause confusion and falls in older adults
2. BIt raises blood pressure in most older adults
3. CIt is too weak to help an older person sleep
4. DIt is only available as an IV drug and cannot be given by mouth at bedtime

Several patients arrive with suspected inhalational anthrax after a deliberate release. Which precautions are needed for their care?

1. AContact precautions with gowns and gloves
2. BAirborne precautions in negative-pressure rooms, because spores are inhaled
3. CStandard precautions, because it is not spread from person to person
4. DDroplet precautions with surgical masks