Editing Infection Control and Safety – LPN Practice Questions (section)

==Question 4==
'''Select all that apply.''' Which findings should the licensed practical nurse report to the registered nurse '''promptly'''?
# A postoperative client's incision now has purulent drainage and surrounding redness.
# A client on contact precautions asks for a second pillow.
# An older adult client who was oriented this morning is now confused and pulling at the intravenous line.
# A client on airborne precautions has a room door that has been propped open.
# A client's urinary catheter bag is emptied at the end of the shift and recorded.
# A client with a temperature of 101.8 degrees Fahrenheit and shaking chills.

'''Answer:''' 1, 3, 4, and 6.

''Rationale:'' New purulent drainage suggests surgical site infection, new-onset confusion may be the first sign of infection or delirium in an older adult and also creates a safety risk, an open door defeats airborne containment and is an infection control breach, and fever with rigors suggests systemic infection. Options 2 and 5 are routine care within the LPN scope that do not require escalation.