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NCLEX RN· Safety and Infection Control · RN Infection Control and Patient Safety

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Showing all 3 practice questions with expert explanatory rationales.

Question 1 of 3

The nurse is caring for a client with Guillain-Barre syndrome. Due to paralysis, the client is unable to press the call button with his finger. The nurse must make accommodations for this client to be able to call for help. Which action by the nurse is correct?

A. leave the client's door open and instruct him to yell loudly for help
B. ask a family member to stay around the clock so she can call for the client
C. round on the client as often as possible since there are no alternatives
D. utilize a call light adapter that will allow the client to call for help by turning his head to activate a special button

Expert Explanatory Rationale

Correct Answer: utilize a call light adapter that will allow the client to call for help by turning his head to activate a special button

Question 2 of 3

Which precaution must a nurse take when checking the blood pressure of an HIV-positive client?

A. wear gloves
B. wear a gown
C. use contact precautions
D. wash hands

Expert Explanatory Rationale

Correct Answer: wash hands

Question 3 of 3

The nurse is caring for a client with limited mobility and right-sided paralysis. The nurse needs to pull the client up in the bed. Which statement reflects correct performance of this action?

A. The nurse stands behind the head of the bed, places her hands under the client's axillae, and pulls him up.
B. The nurse rolls the client to his left side, stands behind the head of the bed, and pulls the client up with the draw sheet.
C. The nurse places the bed in the Trendelenburg position and alternates pulling on each side of the draw sheet, maneuvering the client up in the bed.
D. The nurse calls for another nurse, places the client supine with arms folded across his chest, and each nurse pulls client up using both sides of the draw sheet at the same time.

Expert Explanatory Rationale

Correct Answer: The nurse calls for another nurse, places the client supine with arms folded across his chest, and each nurse pulls client up using both sides of the draw sheet at the same time.

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