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. What is the primary goal of evidence-based practice (EBP)?

A. Reduce healthcare costs
B. Improve patient outcomes
C. Enhance clinical decision making
D. Ensure patient safety

Correct answer: C

Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision making by integrating the best available evidence with clinical expertise and patient values. While improving patient outcomes is a significant result of EBP, the ultimate aim is to ensure that healthcare decisions are based on the most current, relevant, and reliable evidence. While reducing healthcare costs and ensuring patient safety are important in healthcare, they are not the primary goals of evidence-based practice.

3. Which of the following best describes intrinsic values?

A. Intrinsic values are often abstract ideas.
B. Intrinsic values are basic needs for sustaining life.
C. Intrinsic values are qualities patients consider to be important in their private lives.
D. Intrinsic values are qualities patients consider important for nurses to have.

Correct answer: B

Rationale: The correct answer is B. Intrinsic values refer to basic needs for sustaining life, such as food, water, shelter, and safety. Choices A, C, and D are incorrect because intrinsic values are not abstract ideas, qualities important in private lives, or qualities important for nurses to have.

4. There are several elements in recruiting strategies. Which of the following is one of those elements?

A. Not selling
B. How to sell
C. When to sell
D. What to sell

Correct answer: B

Rationale: The correct answer is B: 'How to sell.' In any recruiting strategy, key elements include where to look, how to look, when to look, and finally, how to sell. 'How to sell' refers to the tactics and techniques used to attract and persuade potential candidates. Choices A, C, and D are incorrect because 'Not selling,' 'When to sell,' and 'What to sell' are not primary elements in recruiting strategies.

5. What is the main purpose of a utilization review?

A. Evaluate patient outcomes
B. Ensure compliance with regulations
C. Reduce hospital readmissions
D. Assess financial impact

Correct answer: A

Rationale: The main purpose of a utilization review is to evaluate patient outcomes and ensure that patients receive appropriate care based on medical necessity and quality standards. While ensuring compliance with regulations, reducing hospital readmissions, and assessing financial impact are important aspects of healthcare management, the primary goal of utilization review is to focus on the quality and effectiveness of patient care.