Chapter 03: Examination Techniques and Equipment

Chapter 03: Examination Techniques and Equipment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Guidelines for Standard Precautions indicate that mask and eye protection or a face mask should be used while performing:

a.	tube feedings.
b.	patient bathing.
c.	wet to dry dressing changes.
d.	trachea care and suctioning.

 

 

ANS:  D

Use of masks and eye protection or a face mask is indicated during procedures that are likely to generate splashes or sprays of body fluids, which include endotracheal secretions. During tube feedings, patient bathing, and wet to dry dressing changes, there is no splashing of body fluids.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 30

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

2. Standard Precautions apply:

a.	only to patients with bloodborne infections.
b.	only to patients with infected, draining wounds.
c.	only to patients believed to have an infectious disease.
d.	to all patients receiving care in hospitals.

 

 

ANS:  D

Standard Precautions were developed with the intent of application to the care of all hospitalized patients; however, the standard has merit to be applied to all cases of patient care, regardless of the environment in which care is delivered. Standard Precautions apply to all patients, not just those with bloodborne infections, infected, draining wounds, or those believed to have an infectious disease.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 31

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

3. According to the guidelines for Standard Precautions, the caregiver’s hands should be washed:

a.	only after touching body fluids with ungloved hands and between patient contacts.
b.	only after touching blood products with ungloved hands and after caring for infectious patients.
c.	only after working with patients who are thought to be infectious.
d.	after touching any body fluids or contaminated items, regardless of whether gloves are worn.

 

 

ANS:  D

Hand washing is to be done after removal of gloves, between patient contacts, and after touching body fluids, regardless of whether gloves are used. The nurse should never touch body fluids or blood products with ungloved hands. The nurse should use hand hygiene regardless of a patient’s possible infection.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 31

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

4. Which patient is at the highest risk for developing latex allergy?

a.	The new patient who has no chronic illness and has never been hospitalized
b.	The patient who has had multiple procedures or surgeries
c.	The patient who is a vegetarian
d.	The patient who is allergic to contrast dye

 

 

ANS:  B

The patient who has had multiple procedures or surgeries has a higher rate of exposure to rubber gloves and to equipment and supplies that contain latex and therefore is at a higher risk for developing an allergic response.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 30

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation

 

5. One recommendation to prevent latex allergy is to:

a.	wear latex gloves frequently to reduce sensitivity.
b.	use oil-based creams or lotions before donning gloves.
c.	wash hands with mild soap after removing gloves and then dry thoroughly.
d.	use well-powdered gloves with increased protein content.

 

 

ANS:  C

The recommendations are to use nonlatex gloves for situations not likely to involve infectious materials, not to use oil-based creams or lotions, wash hands with mild soap and dry thoroughly after removing gloves, or use powder-free latex gloves with reduced protein content.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 30

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Physiologic Adaptation