a nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage which of the following types of transmission precaut

ATI RN

ATI Leadership Practice A

1. A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate?

A. Droplet precautions
B. Protective environment
C. Airborne precautions
D. Contact precautions

Correct answer: D

Rationale: The correct answer is D: Contact precautions. Contact precautions are used when there is a risk of transmission of infections through direct or indirect contact. In this scenario, the client has an abdominal wound with purulent drainage, indicating a potential for infection transmission through contact. Droplet precautions (choice A) are used for infections transmitted through respiratory droplets, such as influenza. Protective environment (choice B) is used for immunocompromised clients. Airborne precautions (choice C) are used for infections transmitted through small droplets that remain in the air, like tuberculosis. Therefore, in this case, the nurse should initiate contact precautions to prevent the spread of infection.

2. Which of the following is an example of total time lost?

A. Number of days off that an employee asks for
B. Number of scheduled days missed
C. Number of days missed
D. Number of days perceived to be absent

Correct answer: B

Rationale: The correct answer is B. Total time lost refers to the number of scheduled days that an employee misses. This includes days that were planned to be worked but were not. Choice A, 'Number of days off that an employee asks for,' is not necessarily time lost as these are approved absences. Choice C, 'Number of days missed,' is vague and does not specify if they are scheduled or unscheduled. Choice D, 'Number of days perceived to be absent,' is subjective and does not clearly relate to scheduled time lost.

3. A nurse is caring for a client who reports difficulty falling asleep. Which of the following recommendations should the nurse make?

A. Watch a television program in bed before going to sleep.
B. Drink a cup of hot cocoa before bedtime.
C. Maintain a consistent time to wake up each day.
D. Exercise 1 hour before going to bed.

Correct answer: C

Rationale: The correct answer is C: "Maintain a consistent time to wake up each day." Establishing a regular wake-up time helps regulate the body's internal clock and promotes better sleep patterns. Watching television in bed (Choice A) can actually hinder sleep due to the light emitted by screens affecting melatonin production. Drinking beverages with caffeine like hot cocoa (Choice B) close to bedtime can interfere with falling asleep. Exercising vigorously right before bed (Choice D) can increase alertness and make it harder to fall asleep.

4.

A. Bedtime glucose of 140 mg/dL
B. Noon blood glucose of 52 mg/dL
C. Fasting blood glucose of 130 mg/dL
D. 2-hr postprandial glucose of 220 mg/dL

Correct answer: B

Rationale:

5. In the traditional rating scale, what is the time period typically used for evaluation?

A. Twelve months
B. Six months
C. Three months
D. One month

Correct answer: A

Rationale: In the traditional rating scale, evaluations are typically conducted over a 12-month period. This duration allows for a comprehensive assessment of the employee's performance and progress throughout the year, capturing a broader range of experiences and accomplishments to provide a more holistic evaluation. Choices B, C, and D are incorrect because they do not align with the standard practice of conducting annual evaluations in a traditional rating scale setting.