Author Question: A nurse is taking stock of the equipment and supplies kept in an infection control room that is ... (Read 14 times)

mydiamond · **on:** Jul 22, 2018

A nurse is taking stock of the equipment and supplies kept in an infection control room that is currently occupied by a client with vancomycin-resistant enterococcus.

Which of the following should the nurse avoid taking outside the client's room to prevent infection among the noninfected clients? A) Thermometer
B) Full trash bags
C) X-ray machine
D) Sphygmomanometer

Question 2

A client is admitted with symptoms of psychosis. The nurse hurries to the client's room when she hears the client calling for help. She finds the client lying on the ground.

The nurse assists the client back to the bed and performs a thorough assessment. The nurse informs the physician and completes the incident report. Which of the following statements should the nurse document in the incident report? A) The client was trying to lower the side rails.
B) The client was found lying on the floor.
C) The client was trying to get out of the bed.
D) The client was not aware that he had fallen.

nixon_s · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Feedback:
Equipment that personnel would ordinarily use for several noninfected clients, such as a stethoscope and sphygmomanometer, are usually kept in the client's infection-controlled room whenever possible and not taken out. This prevents the need to clean and disinfect the items each time they are removed. A dedicated x-ray machine would not remain in the client's room. Trash bags would be removed from the room and discarded appropriately. A thermometer may or may not be removed for the room, since its disposable sheath does not contact the client directly.

Answer to Question 2

B
Feedback:
An incident report is a written account of an unusual, potentially injurious event involving a client, an employee, or a visitor. All of the details given in the incident report should be accurate and not assumed. Accurate and detailed documentation helps to prove that the nurse acted reasonably or appropriately in the circumstance. The nurse should document that the client was found lying on the floor. The other statements are assumptions and should not be included in the incident report.